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Childhood Adiposity, Adult Adiposity, and Cardiovascular Risk Factors

Identifieur interne : 001763 ( PascalFrancis/Corpus ); précédent : 001762; suivant : 001764

Childhood Adiposity, Adult Adiposity, and Cardiovascular Risk Factors

Auteurs : Markus Juonala Juonala ; Costan G. Magnussen ; Gerald S. Berenson ; Alison Venn ; Trudy L. Burns ; Matthew A. Sabin ; Sathanur R. Srinivasan ; Stephen R. Daniels ; Patricia H. Davis ; WEI CHEN ; CONG SUN ; Michael Cheung ; Jorma S. A. Viikari ; Terence Dwyer ; Olli T. Raitakari

Source :

RBID : Pascal:12-0004569

Descripteurs français

English descriptors

Abstract

BACKGROUND Obesity in childhood is associated with increased cardiovascular risk. It is uncertain whether this risk is attenuated in persons who are overweight or obese as children but not obese as adults. METHODS We analyzed data from four prospective cohort studies that measured childhood and adult body-mass index (BMI, the weight in kilograms divided by the square of the height in meters). The mean length of follow-up was 23 years. To define high adiposity status, international age-specific and sex-specific BMI cutoff points for overweight and obesity were used for children, and a BMI cutoff point of 30 was used for adults. RESULTS Data were available for 6328 subjects. Subjects with consistently high adiposity status from childhood to adulthood, as compared with persons who had a normal BMI as children and were nonobese as adults, had an increased risk of type 2 diabetes (relative risk, 5.4; 95% confidence interval [CI], 3.4 to 8.5), hypertension (relative risk, 2.7; 95% CI, 2.2 to 3.3), elevated low-density lipoprotein cholesterol levels (relative risk, 1.8; 95% CI, 1.4 to 2.3), reduced high-density lipoprotein cholesterol levels (relative risk, 2.1; 95% CI, 1.8 to 2.5), elevated triglyceride levels (relative risk, 3.0; 95% CI, 2.4 to 3.8), and carotid-artery atherosclerosis (increased intima-media thickness of the carotid artery) (relative risk, 1.7; 95% CI, 1.4 to 2.2) (P≤0.002 for all comparisons). Persons who were overweight or obese during childhood but were nonobese as adults had risks of the outcomes that were similar to those of persons who had a normal BMI consistently from childhood to adulthood (P>0.20 for all comparisons). CONCLUSIONS Overweight or obese children who were obese as adults had increased risks of type 2 diabetes, hypertension, dyslipidemia, and carotid-artery atherosclerosis. The risks of these outcomes among overweight or obese children who became nonobese by adulthood were similar to those among persons who were never obese. (Funded by the Academy of Finland and others.).

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0028-4793
A02 01      @0 NEJMAG
A03   1    @0 N. Engl. j. med.
A05       @2 365
A06       @2 20
A08 01  1  ENG  @1 Childhood Adiposity, Adult Adiposity, and Cardiovascular Risk Factors
A11 01  1    @1 JUONALA (Markus Juonala)
A11 02  1    @1 MAGNUSSEN (Costan G.)
A11 03  1    @1 BERENSON (Gerald S.)
A11 04  1    @1 VENN (Alison)
A11 05  1    @1 BURNS (Trudy L.)
A11 06  1    @1 SABIN (Matthew A.)
A11 07  1    @1 SRINIVASAN (Sathanur R.)
A11 08  1    @1 DANIELS (Stephen R.)
A11 09  1    @1 DAVIS (Patricia H.)
A11 10  1    @1 WEI CHEN
A11 11  1    @1 CONG SUN
A11 12  1    @1 CHEUNG (Michael)
A11 13  1    @1 VIIKARI (Jorma S. A.)
A11 14  1    @1 DWYER (Terence)
A11 15  1    @1 RAITAKARI (Olli T.)
A14 01      @1 Research Center of Applied and Preventive Cardiovascular Medicine, University of Turku and Turku University Hospital @2 Turku @3 FIN @Z 1 aut. @Z 2 aut. @Z 15 aut.
A14 02      @1 Department of Medicine, University of Turku and Turku University Hospital @2 Turku @3 FIN @Z 1 aut. @Z 13 aut.
A14 03      @1 Department of Clinical Physiology, University of Turku and Turku University Hospital @2 Turku @3 FIN @Z 15 aut.
A14 04      @1 Menzies Research Institute, University of Tasmania @2 Hobart, TAS @3 USA @Z 2 aut. @Z 4 aut.
A14 05      @1 Murdoch Childrens Research Institute and the University of Melbourne @3 AUS @Z 2 aut. @Z 6 aut. @Z 11 aut. @Z 12 aut. @Z 14 aut.
A14 06      @1 Department of Paediatrics at the Royal Children's Hospital @2 Melbourne @3 AUS @Z 6 aut. @Z 11 aut. @Z 12 aut.
A14 07      @1 Tulane Center for Cardiovascular Health, Tulane University @2 New Orleans @3 FRA @Z 3 aut. @Z 7 aut. @Z 10 aut.
A14 08      @1 Department of Epidemiology, College of Public Health, University of Iowa, Iowa City @3 CAN @Z 5 aut.
A14 09      @1 Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City @3 CAN @Z 9 aut.
A14 10      @1 Department of Pediatrics, University of Colorado Denver and Health Science Center @2 Aurora @3 USA @Z 8 aut.
A20       @1 1876-1885
A21       @1 2011
A23 01      @0 ENG
A43 01      @1 INIST @2 6013 @5 354000507304160050
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 30 ref.
A47 01  1    @0 12-0004569
A60       @1 P
A61       @0 A
A64 01  1    @0 The New England journal of medicine
A66 01      @0 USA
C01 01    ENG  @0 BACKGROUND Obesity in childhood is associated with increased cardiovascular risk. It is uncertain whether this risk is attenuated in persons who are overweight or obese as children but not obese as adults. METHODS We analyzed data from four prospective cohort studies that measured childhood and adult body-mass index (BMI, the weight in kilograms divided by the square of the height in meters). The mean length of follow-up was 23 years. To define high adiposity status, international age-specific and sex-specific BMI cutoff points for overweight and obesity were used for children, and a BMI cutoff point of 30 was used for adults. RESULTS Data were available for 6328 subjects. Subjects with consistently high adiposity status from childhood to adulthood, as compared with persons who had a normal BMI as children and were nonobese as adults, had an increased risk of type 2 diabetes (relative risk, 5.4; 95% confidence interval [CI], 3.4 to 8.5), hypertension (relative risk, 2.7; 95% CI, 2.2 to 3.3), elevated low-density lipoprotein cholesterol levels (relative risk, 1.8; 95% CI, 1.4 to 2.3), reduced high-density lipoprotein cholesterol levels (relative risk, 2.1; 95% CI, 1.8 to 2.5), elevated triglyceride levels (relative risk, 3.0; 95% CI, 2.4 to 3.8), and carotid-artery atherosclerosis (increased intima-media thickness of the carotid artery) (relative risk, 1.7; 95% CI, 1.4 to 2.2) (P≤0.002 for all comparisons). Persons who were overweight or obese during childhood but were nonobese as adults had risks of the outcomes that were similar to those of persons who had a normal BMI consistently from childhood to adulthood (P>0.20 for all comparisons). CONCLUSIONS Overweight or obese children who were obese as adults had increased risks of type 2 diabetes, hypertension, dyslipidemia, and carotid-artery atherosclerosis. The risks of these outcomes among overweight or obese children who became nonobese by adulthood were similar to those among persons who were never obese. (Funded by the Academy of Finland and others.).
C02 01  X    @0 002B01
C02 02  X    @0 002B30A01A
C03 01  X  FRE  @0 Pathologie de l'appareil circulatoire @5 01
C03 01  X  ENG  @0 Cardiovascular disease @5 01
C03 01  X  SPA  @0 Aparato circulatorio patología @5 01
C03 02  X  FRE  @0 Enfant @5 02
C03 02  X  ENG  @0 Child @5 02
C03 02  X  SPA  @0 Niño @5 02
C03 03  X  FRE  @0 Adiposité @5 03
C03 03  X  ENG  @0 Adiposity @5 03
C03 03  X  SPA  @0 Adiposidad @5 03
C03 04  X  FRE  @0 Tissu adipeux @5 05
C03 04  X  ENG  @0 Adipose tissue @5 05
C03 04  X  SPA  @0 Tejido adiposo @5 05
C03 05  X  FRE  @0 Adulte @5 06
C03 05  X  ENG  @0 Adult @5 06
C03 05  X  SPA  @0 Adulto @5 06
C03 06  X  FRE  @0 Facteur risque @5 08
C03 06  X  ENG  @0 Risk factor @5 08
C03 06  X  SPA  @0 Factor riesgo @5 08
C03 07  X  FRE  @0 Risque cardiovasculaire @5 09
C03 07  X  ENG  @0 Cardiovascular risk @5 09
C03 07  X  SPA  @0 Riesgo cardiovascular @5 09
C03 08  X  FRE  @0 Epidémiologie @5 11
C03 08  X  ENG  @0 Epidemiology @5 11
C03 08  X  SPA  @0 Epidemiología @5 11
C03 09  X  FRE  @0 Médecine @5 12
C03 09  X  ENG  @0 Medicine @5 12
C03 09  X  SPA  @0 Medicina @5 12
C03 10  X  FRE  @0 Enfance @4 INC @5 86
C07 01  X  FRE  @0 Homme
C07 01  X  ENG  @0 Human
C07 01  X  SPA  @0 Hombre
N21       @1 002
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 12-0004569 INIST
ET : Childhood Adiposity, Adult Adiposity, and Cardiovascular Risk Factors
AU : JUONALA (Markus Juonala); MAGNUSSEN (Costan G.); BERENSON (Gerald S.); VENN (Alison); BURNS (Trudy L.); SABIN (Matthew A.); SRINIVASAN (Sathanur R.); DANIELS (Stephen R.); DAVIS (Patricia H.); WEI CHEN; CONG SUN; CHEUNG (Michael); VIIKARI (Jorma S. A.); DWYER (Terence); RAITAKARI (Olli T.)
AF : Research Center of Applied and Preventive Cardiovascular Medicine, University of Turku and Turku University Hospital/Turku/Finlande (1 aut., 2 aut., 15 aut.); Department of Medicine, University of Turku and Turku University Hospital/Turku/Finlande (1 aut., 13 aut.); Department of Clinical Physiology, University of Turku and Turku University Hospital/Turku/Finlande (15 aut.); Menzies Research Institute, University of Tasmania/Hobart, TAS/Etats-Unis (2 aut., 4 aut.); Murdoch Childrens Research Institute and the University of Melbourne/Australie (2 aut., 6 aut., 11 aut., 12 aut., 14 aut.); Department of Paediatrics at the Royal Children's Hospital/Melbourne/Australie (6 aut., 11 aut., 12 aut.); Tulane Center for Cardiovascular Health, Tulane University/New Orleans/France (3 aut., 7 aut., 10 aut.); Department of Epidemiology, College of Public Health, University of Iowa, Iowa City/Canada (5 aut.); Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City/Canada (9 aut.); Department of Pediatrics, University of Colorado Denver and Health Science Center/Aurora/Etats-Unis (8 aut.)
DT : Publication en série; Niveau analytique
SO : The New England journal of medicine; ISSN 0028-4793; Coden NEJMAG; Etats-Unis; Da. 2011; Vol. 365; No. 20; Pp. 1876-1885; Bibl. 30 ref.
LA : Anglais
EA : BACKGROUND Obesity in childhood is associated with increased cardiovascular risk. It is uncertain whether this risk is attenuated in persons who are overweight or obese as children but not obese as adults. METHODS We analyzed data from four prospective cohort studies that measured childhood and adult body-mass index (BMI, the weight in kilograms divided by the square of the height in meters). The mean length of follow-up was 23 years. To define high adiposity status, international age-specific and sex-specific BMI cutoff points for overweight and obesity were used for children, and a BMI cutoff point of 30 was used for adults. RESULTS Data were available for 6328 subjects. Subjects with consistently high adiposity status from childhood to adulthood, as compared with persons who had a normal BMI as children and were nonobese as adults, had an increased risk of type 2 diabetes (relative risk, 5.4; 95% confidence interval [CI], 3.4 to 8.5), hypertension (relative risk, 2.7; 95% CI, 2.2 to 3.3), elevated low-density lipoprotein cholesterol levels (relative risk, 1.8; 95% CI, 1.4 to 2.3), reduced high-density lipoprotein cholesterol levels (relative risk, 2.1; 95% CI, 1.8 to 2.5), elevated triglyceride levels (relative risk, 3.0; 95% CI, 2.4 to 3.8), and carotid-artery atherosclerosis (increased intima-media thickness of the carotid artery) (relative risk, 1.7; 95% CI, 1.4 to 2.2) (P≤0.002 for all comparisons). Persons who were overweight or obese during childhood but were nonobese as adults had risks of the outcomes that were similar to those of persons who had a normal BMI consistently from childhood to adulthood (P>0.20 for all comparisons). CONCLUSIONS Overweight or obese children who were obese as adults had increased risks of type 2 diabetes, hypertension, dyslipidemia, and carotid-artery atherosclerosis. The risks of these outcomes among overweight or obese children who became nonobese by adulthood were similar to those among persons who were never obese. (Funded by the Academy of Finland and others.).
CC : 002B01; 002B30A01A
FD : Pathologie de l'appareil circulatoire; Enfant; Adiposité; Tissu adipeux; Adulte; Facteur risque; Risque cardiovasculaire; Epidémiologie; Médecine; Enfance
FG : Homme
ED : Cardiovascular disease; Child; Adiposity; Adipose tissue; Adult; Risk factor; Cardiovascular risk; Epidemiology; Medicine
EG : Human
SD : Aparato circulatorio patología; Niño; Adiposidad; Tejido adiposo; Adulto; Factor riesgo; Riesgo cardiovascular; Epidemiología; Medicina
LO : INIST-6013.354000507304160050
ID : 12-0004569

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Pascal:12-0004569

Le document en format XML

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<name sortKey="Raitakari, Olli T" sort="Raitakari, Olli T" uniqKey="Raitakari O" first="Olli T." last="Raitakari">Olli T. Raitakari</name>
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<s1>Department of Clinical Physiology, University of Turku and Turku University Hospital</s1>
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<title level="j" type="main">The New England journal of medicine</title>
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<term>Adipose tissue</term>
<term>Adiposity</term>
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<term>Cardiovascular disease</term>
<term>Cardiovascular risk</term>
<term>Child</term>
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<term>Pathologie de l'appareil circulatoire</term>
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<term>Adiposité</term>
<term>Tissu adipeux</term>
<term>Adulte</term>
<term>Facteur risque</term>
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<div type="abstract" xml:lang="en">BACKGROUND Obesity in childhood is associated with increased cardiovascular risk. It is uncertain whether this risk is attenuated in persons who are overweight or obese as children but not obese as adults. METHODS We analyzed data from four prospective cohort studies that measured childhood and adult body-mass index (BMI, the weight in kilograms divided by the square of the height in meters). The mean length of follow-up was 23 years. To define high adiposity status, international age-specific and sex-specific BMI cutoff points for overweight and obesity were used for children, and a BMI cutoff point of 30 was used for adults. RESULTS Data were available for 6328 subjects. Subjects with consistently high adiposity status from childhood to adulthood, as compared with persons who had a normal BMI as children and were nonobese as adults, had an increased risk of type 2 diabetes (relative risk, 5.4; 95% confidence interval [CI], 3.4 to 8.5), hypertension (relative risk, 2.7; 95% CI, 2.2 to 3.3), elevated low-density lipoprotein cholesterol levels (relative risk, 1.8; 95% CI, 1.4 to 2.3), reduced high-density lipoprotein cholesterol levels (relative risk, 2.1; 95% CI, 1.8 to 2.5), elevated triglyceride levels (relative risk, 3.0; 95% CI, 2.4 to 3.8), and carotid-artery atherosclerosis (increased intima-media thickness of the carotid artery) (relative risk, 1.7; 95% CI, 1.4 to 2.2) (P≤0.002 for all comparisons). Persons who were overweight or obese during childhood but were nonobese as adults had risks of the outcomes that were similar to those of persons who had a normal BMI consistently from childhood to adulthood (P>0.20 for all comparisons). CONCLUSIONS Overweight or obese children who were obese as adults had increased risks of type 2 diabetes, hypertension, dyslipidemia, and carotid-artery atherosclerosis. The risks of these outcomes among overweight or obese children who became nonobese by adulthood were similar to those among persons who were never obese. (Funded by the Academy of Finland and others.).</div>
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<ET>Childhood Adiposity, Adult Adiposity, and Cardiovascular Risk Factors</ET>
<AU>JUONALA (Markus Juonala); MAGNUSSEN (Costan G.); BERENSON (Gerald S.); VENN (Alison); BURNS (Trudy L.); SABIN (Matthew A.); SRINIVASAN (Sathanur R.); DANIELS (Stephen R.); DAVIS (Patricia H.); WEI CHEN; CONG SUN; CHEUNG (Michael); VIIKARI (Jorma S. A.); DWYER (Terence); RAITAKARI (Olli T.)</AU>
<AF>Research Center of Applied and Preventive Cardiovascular Medicine, University of Turku and Turku University Hospital/Turku/Finlande (1 aut., 2 aut., 15 aut.); Department of Medicine, University of Turku and Turku University Hospital/Turku/Finlande (1 aut., 13 aut.); Department of Clinical Physiology, University of Turku and Turku University Hospital/Turku/Finlande (15 aut.); Menzies Research Institute, University of Tasmania/Hobart, TAS/Etats-Unis (2 aut., 4 aut.); Murdoch Childrens Research Institute and the University of Melbourne/Australie (2 aut., 6 aut., 11 aut., 12 aut., 14 aut.); Department of Paediatrics at the Royal Children's Hospital/Melbourne/Australie (6 aut., 11 aut., 12 aut.); Tulane Center for Cardiovascular Health, Tulane University/New Orleans/France (3 aut., 7 aut., 10 aut.); Department of Epidemiology, College of Public Health, University of Iowa, Iowa City/Canada (5 aut.); Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City/Canada (9 aut.); Department of Pediatrics, University of Colorado Denver and Health Science Center/Aurora/Etats-Unis (8 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The New England journal of medicine; ISSN 0028-4793; Coden NEJMAG; Etats-Unis; Da. 2011; Vol. 365; No. 20; Pp. 1876-1885; Bibl. 30 ref.</SO>
<LA>Anglais</LA>
<EA>BACKGROUND Obesity in childhood is associated with increased cardiovascular risk. It is uncertain whether this risk is attenuated in persons who are overweight or obese as children but not obese as adults. METHODS We analyzed data from four prospective cohort studies that measured childhood and adult body-mass index (BMI, the weight in kilograms divided by the square of the height in meters). The mean length of follow-up was 23 years. To define high adiposity status, international age-specific and sex-specific BMI cutoff points for overweight and obesity were used for children, and a BMI cutoff point of 30 was used for adults. RESULTS Data were available for 6328 subjects. Subjects with consistently high adiposity status from childhood to adulthood, as compared with persons who had a normal BMI as children and were nonobese as adults, had an increased risk of type 2 diabetes (relative risk, 5.4; 95% confidence interval [CI], 3.4 to 8.5), hypertension (relative risk, 2.7; 95% CI, 2.2 to 3.3), elevated low-density lipoprotein cholesterol levels (relative risk, 1.8; 95% CI, 1.4 to 2.3), reduced high-density lipoprotein cholesterol levels (relative risk, 2.1; 95% CI, 1.8 to 2.5), elevated triglyceride levels (relative risk, 3.0; 95% CI, 2.4 to 3.8), and carotid-artery atherosclerosis (increased intima-media thickness of the carotid artery) (relative risk, 1.7; 95% CI, 1.4 to 2.2) (P≤0.002 for all comparisons). Persons who were overweight or obese during childhood but were nonobese as adults had risks of the outcomes that were similar to those of persons who had a normal BMI consistently from childhood to adulthood (P>0.20 for all comparisons). CONCLUSIONS Overweight or obese children who were obese as adults had increased risks of type 2 diabetes, hypertension, dyslipidemia, and carotid-artery atherosclerosis. The risks of these outcomes among overweight or obese children who became nonobese by adulthood were similar to those among persons who were never obese. (Funded by the Academy of Finland and others.).</EA>
<CC>002B01; 002B30A01A</CC>
<FD>Pathologie de l'appareil circulatoire; Enfant; Adiposité; Tissu adipeux; Adulte; Facteur risque; Risque cardiovasculaire; Epidémiologie; Médecine; Enfance</FD>
<FG>Homme</FG>
<ED>Cardiovascular disease; Child; Adiposity; Adipose tissue; Adult; Risk factor; Cardiovascular risk; Epidemiology; Medicine</ED>
<EG>Human</EG>
<SD>Aparato circulatorio patología; Niño; Adiposidad; Tejido adiposo; Adulto; Factor riesgo; Riesgo cardiovascular; Epidemiología; Medicina</SD>
<LO>INIST-6013.354000507304160050</LO>
<ID>12-0004569</ID>
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