Abstract
OBJECTIVE:
To investigate the associations of birth weight, body mass index (BMI) during childhood and youth, and current BMI with adult lung function.
DESIGN:
Population-based longitudinal study of juvenile obese and non-obese men, who were identified at draft board examination (age range: 19–27 y) and who participated in a follow-up examination in 1981–1983 (age range: 25–48 y). Birth weight, childhood weight and height measurements from 7 to 13 y of age were obtained from school health records. Current BMI and lung function were assessed at follow-up.
SETTING:
Copenhagen and adjacent regions, Denmark.
SUBJECTS:
In total, 193 juvenile obese men at draft board examination and 205 randomly selected nonobese controls from the same population.
MAIN OUTCOME MEASURES:
Lung function measured by forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC), adjusted for age and height.
RESULTS:
After adjusting for current BMI, smoking and education, birth weight was positively related to FEV1, although only with borderline statistical significance. BMI at age 7 y was positively associated with both FEV1 and FVC, whereas BMI at later ages in childhood and in youth was not associated with these measures. There was a strong negative linear relation between current BMI and lung function among those currently overweight and obese (BMI 25 kg/m2), whereas no association was seen in the non-obese (BMI <25 kg/m2).
CONCLUSION:
Our findings confirm the detrimental effect of high current BMI on adult lung function, and further suggest that early childhood growth has a protective influence.
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References
Barker DJ, Godfrey KM, Fall C, Osmond C, Winter PD, Shaheen SO . Relation of birth weight and childhood respiratory infection to adult lung function and death from chronic obstructive airways disease. BMJ 1991; 303: 671–675.
Stein CE, Kumaran K, Fall CH, Shaheen SO, Osmond C, Barker DJ . Relation of fetal growth to adult lung function in south India. Thorax 1997; 52: 895–899.
Edwards CA, Osman LM, Godden DJ, Campbell DM, Douglas JG . Relationship between birth weight and adult lung function: controlling for maternal factors. Thorax 2003; 58: 1061–1065.
Shaheen SO, Sterne JA, Tucker JS, Florey CD . Birth weight, childhood lower respiratory tract infection, and adult lung function. Thorax 1998; 53: 549–553.
Lopuhaa CE, Roseboom TJ, Osmond C, Barker DJ, Ravelli AC, Bleker OP, van der Zee JS, van der Meulen JH . Atopy, lung function, and obstructive airways disease after prenatal exposure to famine. Thorax 2000; 55: 555–561.
Pistelli F, Bottai M, Viegi G, Di Pede F, Carrozzi L, Baldacci S, Pedreschi M, Giuntini C . Smooth reference equations for slow vital capacity and flow-volume curve indexes. Am J Respir Crit Care Med 2000; 161: 899–905.
Schoenberg JB, Beck GJ, Bouhuys A . Growth and decay of pulmonary function in healthy blacks and whites. Respir Physiol 1978; 33: 367–393.
Bottai M, Pistelli F, Di Pede F, Carrozzi L, Baldacci S, Matteelli G, Scognamiglio A, Viegi G . Longitudinal changes of body mass index, spirometry and diffusion in a general population. Eur Respir J 2002; 20: 665–673.
Chen Y, Horne SL, Dosman JA . Body weight and weight gain related to pulmonary function decline in adults: a six year follow up study. Thorax 1993; 48: 375–380.
Li AM, Chan D, Wong E, Yin J, Nelson EA, Fok TF . The effects of obesity on pulmonary function. Arch Dis Child 2003; 88: 361–363.
Sonne-Holm S, Sørensen TIA, Jensen G, Schnohr P . Independent effects of weight change and attained body weight on prevalence of arterial hypertension in obese and non-obese men. BMJ 1989; 299: 767–770.
Sørensen TIA, Sonne-Holm S . Risk in childhood of development of severe adult obesity: retrospective, population-based case–cohort study. Am J Epidemiol 1988; 127: 104–113.
Lew EA . New data on underweight and overweight persons. J Am Diet Assoc 1961; 38: 323–327.
Sonne-Holm S, Sørensen TIA . Post-war course of the prevalence of extreme overweight among Danish young men. J Chronic Dis 1977; 30: 351–358.
Teasdale TW . Social class correlations among adoptees and their biological and adoptive parents. Behav Genet 1979; 9: 103–114.
Stata Corporation, Stata Statistical Software (7.0). College Station, Texas, USA; 2002.
Lucas A, Fewtrell MS, Cole TJ . Fetal origins of adult disease—the hypothesis revisited. BMJ 1999; 319: 245–249.
Leon DA, Koupilova I, Lithell HO, Berglund L, Mohsen R, Vagero D, Lithell UB, McKeigue PM . Failure to realise growth potential in utero and adult obesity in relation to blood pressure in 50 year old Swedish men. BMJ 1996; 312: 401–406.
Leon DA, Koupilova I . Birth weight, blood pressure, and hypertension. In: Barker DJP (ed). Fetal Origins of Cardiovascular and Lung Disease. Marcel Dekker Inc: New York; 2000.
Mead J . Dysanapsis in normal lungs assessed by the relationship between maximal flow, static recoil, and vital capacity. Am Rev Respir Dis 1980; 121: 339–342.
Merkus PJ . Effects of childhood respiratory diseases on the anatomical and functional development of the respiratory system. Paediatr Respir Rev 2003; 4: 28–39.
Eriksson JG, Forsen T, Tuomilehto J, Osmond C, Barker DJ . Early growth and coronary heart disease in later life: longitudinal study. BMJ 2001; 322: 949–953.
Lawlor DA, Ebrahim S, Davey Smith G . Association between self-reported childhood socioeconomic position and adult lung function: findings from the British Women's Heart and Health Study. Thorax 2004; 59: 199–203.
Dietz WH, Bellizzi MC . Introduction: the use of body mass index to assess obesity in children. Am J Clin Nutr 1999; 70: 123S–125S.
Harik-Khan RI, Wise RA, Fleg JL . The effect of gender on the relationship between body fat distribution and lung function. J Clin Epidemiol 2001; 54: 399–406.
Tomeo CA, Rich-Edwards JW, Michels KB, Berkey CS, Hunter DJ, Frazier AL, Willett WC, Buka SL . Reproducibility and validity of maternal recall of pregnancy-related events. Epidemiology 1999; 10: 774–777.
Gofin R, Neumark YD, Adler B . Birthweight recall by mothers of Israeli children. Public Health 2000; 114: 161–163.
Becklake MR . Concepts of normality applied to the measurement of lung function. Am J Med 1986; 80: 1158–1164.
Rona RJ, Gulliford MC, Chinn S . Effects of prematurity and intrauterine growth on respiratory health and lung function in childhood. BMJ 1993; 306: 817–820.
Stocks J, Dezateux C . The effect of parental smoking on lung function and development during infancy. Respirology 2003; 8: 266–285.
Osler M . Smoking habits in Denmark from 1953 to 1991: a comparative analysis of results from three nationwide health surveys among adult Danes in 1953–1954, 1986–1987 and 1990–1991. Int J Epidemiol 1992; 21: 862–871.
Romieu I, Trenga C . Diet and obstructive lung diseases. Epidemiol Rev 2001; 23: 268–287.
Lawlor D, Davey Smith G, Kundu D, Bruckdorfer KR, Ebrahim S . Those confounded vitamin: what can we learn from the differences between observational vs randomised trial evidence? Lancet 2004; 363: 1724–1727.
Bak H, Petersen L, Sorensen TIA . Physical activity in relation to the development and maintenance of obesity in men with and without juvenile onset obesity. Int J Obes Relat Metab Disord 2004; 28: 99–104.
Petersen L, Schnohr P, Sørensen TIA . Longitudinal study of the long-term relation between physical activity and obesity. Int J Obes Relat Metab Disord 2004; 28: 105–112.
Sonne-Holm S, Sørensen TIA, Jensen G, Schnohr P . Influence of fatness, intelligence, education and sociodemographic factors on response rate in a health survey. J Epidemiol Community Health 1989; 43: 369–374.
Lange P . Development and prognosis of chronic obstructive pulmonary disease with special reference to the role of tobacco smoking. An epidermiologic study. Doctoral Thesis, Københavans Universiter, 1991.
Acknowledgements
This study was financially supported by the Danish Heart Association, the Danish National Science Foundation and the Danish Medical Research Council. We thank the staff of the Copenhagen City Heart Study for the invaluable assistance in the follow-up examination.
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Bua, J., Prescott, E., Schack-Nielsen, L. et al. Weight history from birth through childhood and youth in relation to adult lung function, in Danish juvenile obese and non-obese men. Int J Obes 29, 1055–1062 (2005). https://doi.org/10.1038/sj.ijo.0802998
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DOI: https://doi.org/10.1038/sj.ijo.0802998
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