Table 2

Summary of the main associations between birth weight and other growth measures and heart disease

Exposure Type of association Outcome
• Birth weightInverse linear; in some studies inverse J shapedCHD mortality and morbidity; in particular among men, weaker in women
Inverse (linear), J shaped or U shapedFasting glucose, insulin, insulin resistance, impaired glucose tolerance, type 2 diabetes, metabolic syndrome
Inverse linear, but not consistentlyBlood pressure

• Birth lengthInverseCHD particularly in women, LDL cholesterol
Positive or negative (placental weight acts as effect modifier), effect marginal

Blood pressure
• Head circumferenceInverseCVD mortality in men, impaired glucose tolerance

• Ponderal indexInverse, inverse U shapedCHD (CVD) mortality, impaired glucose tolerance, insulin resistance, type 2 diabetes

• Abdominal circumferenceU shapedCHD morbidity
InverseLDL cholesterol, plasma fibrinogen

• Catch up growth in particular if thin at birth

PositiveCHD mortality, blood pressure
• Weight at 1 yearInverseCHD mortality among men; type 2 diabetes mellitus, plasma fibrinogen, factor VII
  • CHD, coronary heart disease; CVD, cardiovascular disease; LDL, low density lipoprotein.