Burgner, DP and Sabin, MA and Magnussen, CG and Cheung, M and Kahonen, M and Lehtimaki, T and Hutri-Kahonen, N and Jokinen, E and Laitinen, T and Taittonen, L and Tossavainen, P and Dwyer, T and Viikari, JSA and Raitakari, OT and Juonala, M, Infection-related hospitalization in childhood and adult metabolic outcomes, Pediatrics, 136, (3) pp. e554-e562. ISSN 0031-4005 (2015) [Refereed Article]
Copyright © 2015 American Academy of Pediatrics
Background and Objectives: Identifying childhood determinants of adult cardiometabolic disease would facilitate early-life interventions. There are few longitudinal data on the contribution of childhood infections. Therefore, we investigated whether hospitalization with childhood infection is associated with adult anthropometric and metabolic outcomes in a large, wellphenotyped longitudinal cohort.
Methods: A total of 1376 subjects from the Cardiovascular Risk in Young Finns Study, aged 3 to 9 years at baseline (1980), who had lifetime data from birth onward on infection-related hospitalization (IRH) had repeated assessments through childhood and adolescence and at least once in adulthood (age 30-45 years in 2001-2011). Early childhood (< 5 years), childhood/adolescence (5-18 years), adult (> 18 years), and total lifetime IRHs were related to adiposity, BMI, and metabolic syndrome in adulthood. Analyses were adjusted for childhood and adulthood risk factors and potential confounders.
Results: Early-childhood IRH correlated with adverse adult but not childhood metabolic variables: increased BMI (P = .02) and metabolic syndrome (risk ratio: 1.56; 95% confidence interval: 1.03-2.35; P = .03), adjusted for age, gender, birth weight, childhood BMI and other risk factors, and family income. The age at which differences in adult BMI became persistent was related to age of IRH in childhood. The greatest increase in adult BMI occurred in those with > 1 childhood IRH.
Conclusions: Childhood IRH was independently associated with adverse adult metabolic variables. This finding suggests that infections and/or their treatment in childhood may contribute to causal pathways leading to adult cardiometabolic diseases.
|Item Type:||Refereed Article|
|Research Division:||Health Sciences|
|Research Field:||Epidemiology not elsewhere classified|
|Objective Group:||Clinical health|
|Objective Field:||Clinical health not elsewhere classified|
|UTAS Author:||Magnussen, CG (Associate Professor Costan Magnussen)|
|Web of Science® Times Cited:||16|
|Deposited By:||Menzies Institute for Medical Research|
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