Body mass index trajectories in childhood and incidence rates of type 2 diabetes and coronary heart disease in adulthood: A cohort study
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Body mass index trajectories in childhood and incidence rates of type 2 diabetes and coronary heart disease in adulthood : A cohort study. / Blond, Kim; Vistisen, Dorte; Aarestrup, Julie; Bjerregaard, Lise G.; Hudda, Mohammed T.; Tjønneland, Anne; Allin, Kristine H.; Jørgensen, Marit E.; Jensen, Britt W.; Baker, Jennifer L.
In: Diabetes Research and Clinical Practice, Vol. 191, 110055, 2022.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Body mass index trajectories in childhood and incidence rates of type 2 diabetes and coronary heart disease in adulthood
T2 - A cohort study
AU - Blond, Kim
AU - Vistisen, Dorte
AU - Aarestrup, Julie
AU - Bjerregaard, Lise G.
AU - Hudda, Mohammed T.
AU - Tjønneland, Anne
AU - Allin, Kristine H.
AU - Jørgensen, Marit E.
AU - Jensen, Britt W.
AU - Baker, Jennifer L.
N1 - Publisher Copyright: © 2022 The Authors
PY - 2022
Y1 - 2022
N2 - Aims: We examined associations between five body mass index (BMI) trajectories from ages 6–15 years and register-based adult-onset type 2 diabetes mellitus (T2D) and coronary heart disease (CHD) with and without adjustment for adult BMI. Methods: Child and adult BMI came from two Danish cohorts and 13,205 and 13,438 individuals were included in T2D and CHD analyses, respectively. Trajectories were estimated by latent class modelling. Incidence rate ratios (IRRs) were estimated with Poisson regression. Results: In models without adult BMI, compared to the lowest trajectory, among men the T2D IRRs were 0.92 (95 %CI:0.77–1.09) for the second lowest trajectory and 1.51 (95 %CI:0.71–3.20) for the highest trajectory. The corresponding IRRs in women were 0.92 (95 %CI:0.74–1.16) and 3.58 (95 %CI:2.30–5.57). In models including adult BMI, compared to the lowest trajectory, T2D IRRs in men were 0.57 (95 %CI:0.47–0.68) for the second lowest trajectory and 0.26 (95 %CI:0.12–0.56) for the highest trajectory. The corresponding IRRs in women were 0.60 (95 %CI:0.48–0.75) and 0.59 (95 %CI:0.36–0.96). The associations were similar in direction, but not statistically significant, for CHD. Conclusions: Incidence rates of adult-onset T2D were greater for a high child BMI trajectory than a low child BMI trajectory, but not in models that included adult BMI.
AB - Aims: We examined associations between five body mass index (BMI) trajectories from ages 6–15 years and register-based adult-onset type 2 diabetes mellitus (T2D) and coronary heart disease (CHD) with and without adjustment for adult BMI. Methods: Child and adult BMI came from two Danish cohorts and 13,205 and 13,438 individuals were included in T2D and CHD analyses, respectively. Trajectories were estimated by latent class modelling. Incidence rate ratios (IRRs) were estimated with Poisson regression. Results: In models without adult BMI, compared to the lowest trajectory, among men the T2D IRRs were 0.92 (95 %CI:0.77–1.09) for the second lowest trajectory and 1.51 (95 %CI:0.71–3.20) for the highest trajectory. The corresponding IRRs in women were 0.92 (95 %CI:0.74–1.16) and 3.58 (95 %CI:2.30–5.57). In models including adult BMI, compared to the lowest trajectory, T2D IRRs in men were 0.57 (95 %CI:0.47–0.68) for the second lowest trajectory and 0.26 (95 %CI:0.12–0.56) for the highest trajectory. The corresponding IRRs in women were 0.60 (95 %CI:0.48–0.75) and 0.59 (95 %CI:0.36–0.96). The associations were similar in direction, but not statistically significant, for CHD. Conclusions: Incidence rates of adult-onset T2D were greater for a high child BMI trajectory than a low child BMI trajectory, but not in models that included adult BMI.
KW - Body mass index
KW - Cardiovascular diseases
KW - Diabetes mellitus
KW - Type 2
U2 - 10.1016/j.diabres.2022.110055
DO - 10.1016/j.diabres.2022.110055
M3 - Journal article
C2 - 36041552
AN - SCOPUS:85137276134
VL - 191
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
SN - 0168-8227
M1 - 110055
ER -
ID: 320654031