BMJ 1999;318:259 ( 23 January )

Letters

Association between birth weight and death from heart disease

    Data do not support association
    Authors' reply

Data do not support association

The first 150 words of the full text of this article appear below.

EDITOR---Leon et al claim that their study is "the most persuasive evidence of a real association between size at birth and mortality from ischaemic heart disease."1 However, the study is open to different interpretations and, in my view, inflicts a serious wound on the birth measurement and adult disease hypothesis.

Their table 3 shows that there was no significant association between birth weight and all cause mortality in either sex. Both sexes showed a positive association between birth weight and death from neoplasms and respiratory disease, though none of these were significant. The negative association between birth weight and deaths from circulatory disease was significant only in men. In women there were no significant associations between birth weight and any cause of death. Subsequently, most of the analysis concentrates on the association of death from ischaemic disease and birth measurements in men.

This study is claimed (probably correctly) to . . . [Full text of this article]


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Relevant Article

Reduced fetal growth rate and increased risk of death from ischaemic heart disease: cohort study of 15 000 Swedish men and women born 1915-29
David A Leon, Hans O Lithell, Denny Vågerö, Ilona Koupilová, Rawya Mohsen, Lars Berglund, Ulla-Britt Lithell, and Paul M McKeigue
BMJ 1998 317: 241-245. [Abstract] [Full Text] [PDF]

Rapid Responses:

Read all Rapid Responses

Non linear effects to be considered
Enid Hennessy
bmj.com, 27 Feb 1999 [Full text]



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