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Heart 95:1600-1606 doi:10.1136/hrt.2009.168716
  • Original article
  • Epidemiology

Childhood dairy and calcium intake and cardiovascular mortality in adulthood: 65-year follow-up of the Boyd Orr cohort

  1. J C van der Pols1,
  2. D Gunnell2,
  3. G M Williams3,
  4. J M P Holly4,
  5. C Bain3,
  6. R M Martin2
  1. 1
    Cancer and Population Studies Group, Queensland Institute of Medical Research, Brisbane, Australia
  2. 2
    Department of Social Medicine, University of Bristol, Bristol, UK
  3. 3
    The University of Queensland, School of Population Health, Brisbane, Australia
  4. 4
    Department of Clinical Sciences at North Bristol, University of Bristol, Bristol, UK
  1. Correspondence to Dr J C van der Pols, Cancer and Population Studies Group, Queensland Institute of Medical Research, 300 Herston Road, Brisbane, Australia, QLD 4006, Australia; jolieke.vanderpols{at}qimr.edu.au
  • Accepted 19 May 2009
  • Published Online First 29 July 2009

Abstract

Background: Dairy consumption in childhood may have long-term effects on cardiovascular mortality through influencing the development of risk factors or programming effects.

Objective: To investigate whether dairy and calcium consumption in childhood is associated with adult mortality due to coronary heart disease (CHD), stroke and all causes.

Methods: In 1937–9, 4999 children in England and Scotland participated in a study of family food consumption, assessed from 7-day household food inventories. Cause of death was ascertained between 1948 and 2005 in 4374 traced cohort members with complete data. Per capita household intake estimates for dairy products and calcium were used as proxies for individual intake.

Results: No strong evidence that a family diet in childhood high in dairy products was associated with CHD or stroke mortality was found. However, childhood calcium intake was inversely associated with stroke mortality (multivariable adjusted hazard ratio (HR) for highest versus lowest calcium group: 0.41; 95% confidence interval (CI) 0.16 to 1.05; p for trend = 0.04), but not CHD mortality. All-cause mortality was lowest in those with the highest family dairy (HR = 0.77; 95% CI 0.61 to 0.98; p for trend = 0.04) and calcium intake (HR = 0.77, 95% CI 0.60 to 0.98; p for trend = 0.05).

Conclusions: Children whose family diet in the 1930s was high in calcium were at reduced risk of death from stroke. Furthermore, childhood diets rich in dairy or calcium were associated with lower all-cause mortality in adulthood. Replication in other study populations is needed to determine whether residual confounding explains part of these findings.

Footnotes

  • Funding World Cancer Research Fund (follow-up of the Boyd Orr cohort).

  • Competing interests None.

  • Ethics approval Approval from United Bristol Healthcare Trust Local Research Ethics Committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.