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Loss of height predicts total and cardiovascular mortality: a cohort study of northern European women

Klingberg, Sofia, 1979 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition,Institute of Medicine, School of Public Health and Community Medicine
Mehlig, Kirsten, 1964 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
Dangol, R. (author)
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Björkelund, Cecilia, 1948 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
Heitmann, B. L. (author)
Lissner, Lauren, 1956 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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 (creator_code:org_t)
2021-08-09
2021
English.
In: BMJ Open. - : BMJ. - 2044-6055. ; 11:8
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Objective To examine height changes in middle-aged northern European women in relation to overall and cardiovascular mortality. Design Population-based cohort studies with longitudinally measured heights and register-based mortality. Setting Sweden and Denmark. Participants Population-based samples of 2406 Swedish and Danish women born on selected years in 1908-1952, recruited to baseline examinations at ages 30-60, and re-examined 10-13 years later. Main outcome measure Total and cardiovascular disease (CVD) specific mortality during 17-19 years of follow-up after last height measure. Results For each 1 cm height loss during 10-13 years, the HR (95% CI) for total mortality was 1.14 (1.05 to 1.23) in Swedish women and 1.21 (1.09 to 1.35) in Danish women, independent of key covariates. Low height and high leisure time physical activity at baseline were protective of height loss, independent of age. Considering total mortality, the HR for major height loss, defined as height loss greater than 2 cm, were 1.74 (1.32 to 2.29) in Swedish women and 1.80 (1.27 to 2.54) in Danish women. Pooled analyses indicated that height loss was monotonically associated with an increased mortality, confirming a significant effect above 2 cm height loss. For cause-specific mortality, major height loss was associated with a HR of 2.31 (1.09 to 4.87) for stroke mortality, 2.14 (1.47 to 3.12) for total CVD mortality and 1.71 (1.28 to 2.29) for mortality due to causes other than CVD. Conclusion Height loss is a marker for excess mortality in northern European women. Specifically the hazard of CVD mortality is increased in women with height loss during middle age, and the results suggest that the strongest cause-specific endpoint may be stroke mortality. The present findings suggest attention to height loss in early and mid-adulthood to identify women at high risk of CVD, and that regular physical activity may prevent early onset height loss.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Allmänmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- General Practice (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Keyword

epidemiology
preventive medicine
public health
cardiology
body-mass index
longitudinal data
hip fracture
older women
health
risk
men
frailty
weight
adults
General & Internal Medicine

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ref (subject category)
art (subject category)

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Klingberg, Sofia ...
Mehlig, Kirsten, ...
Dangol, R.
Björkelund, Ceci ...
Heitmann, B. L.
Lissner, Lauren, ...
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and General Practice
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Health Sciences
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BMJ Open
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University of Gothenburg

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