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Controversy still surrounds the hypothesis that circumstances in utero
can affect the risk of cardiovascular disease in adult life. On
page 241 Leon et al present the results of a large Swedish cohort study
that avoids the shortcomings of previous studies. They show that among
men the risk of death from ischaemic heart disease declines as birth
weight increases. It is fetal growth rate rather than size at birth
that is the important determinant of risk. How far maternal nutritional
status underlies this is unclear.
Israeli students are refusing to perform intimate examinations on anaesthetised women without their informed consent.