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International Journal of Epidemiology
Article . 2009 . Peer-reviewed
Data sources: Crossref
HKU Scholars Hub
Article . 2012
Data sources: HKU Scholars Hub
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Adult height and the risks of cardiovascular disease and major causes of death in the Asia-Pacific region: 21 000 deaths in 510 000 men and women

Authors: Ho, SC; Hong, Z; Huang, MS; Zhou, B; Fuh, JL; Ueshima, H; Kita, Y; +85 Authors

Adult height and the risks of cardiovascular disease and major causes of death in the Asia-Pacific region: 21 000 deaths in 510 000 men and women

Abstract

In Caucasian populations, adult height is inversely associated with cardiovascular disease (CVD) risk and positively related to some cancers. However, there are few data from Asian populations and from women. We sought to determine the sex- and region-specific associations between height and cardiovascular outcomes, and deaths due to cancer, respiratory and injury in populations from the Asia-Pacific region.Thirty-nine studies from the Asia Pacific Cohort Studies Collaboration database were included. We used Cox proportional hazard regression models to estimate the associations between height and pre-specified outcomes.A total of 510,800 participants with 21,623 deaths were included. Amongst men, inverse linear associations were observed between height and coronary heart disease (CHD), stroke, CVD, injury and total mortality. The hazard ratios [95% confidence intervals, (CI)] for a 1-SD (= 6 cm) increment in height ranged from 0.85 (0.80-0.91) for injury to 0.97 (0.95-0.98) for total mortality. Similar trends were found between height and CHD, haemorrhagic stroke and CVD in women. A positive linear association was observed between height and cancer mortality. For each standard deviation greater height, the risk of cancer was increased by 5% (2-8%) and 9% (5-14%) in men and women, respectively. No regional difference was observed between Asian and Australasian cohorts. Adjusting for markers of education did not alter the results.The opposing relationships of height with CVD and cancer suggest that care is required in setting national policies on childhood nutrition lest they have unintended consequences on the incidence of major non-communicable diseases.

Keywords

Adult, Male, Wounds and Injuries/mortality, Asia - Epidemiology, Asia, injury, Australia/epidemiology, Australia - Epidemiology, 610, Neoplasms - Mortality, Injury, Wounds And Injuries - Mortality, Cardiovascular Diseases - Epidemiology, cardiovascular disease, Neoplasms, cancer, Humans, Mortality, Respiratory disease, Body Height/physiology*, Cancer, Aged, Asia/epidemiology, Respiration Disorders/mortality, Age Factors, Australia, Cardiovascular Diseases/epidemiology*, Middle Aged, Cardiovascular disease, Respiration Disorders, respiratory disease, mortality, Body Height, Body height, Cardiovascular Diseases, Body Height - Physiology, Wounds and Injuries, Female, Neoplasms/mortality, Respiration Disorders - Mortality, Epidemiologic Methods

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
74
Top 10%
Top 10%
Top 10%
Green
bronze