ABSTRACT
Objective To investigate the association between famine exposure in different life cycles and the risk of central obesity. Methods A total of 2234 spermanent residents were recruited to participate in the China Multi-Ethnic Cohort (CMEC) Study ,they were grouped into four birth cohorts of fetal-exposed (born between January 1,1959, and December 31,1961,95 cases), childhood-exposed (born between January 11,949, and December 31,1958,533 cases), adolescence/adult-exposed (born between January 1,1931, and December 31,1948,256 cases),unexposed cohorts（born after January 1, 1975，871 cases).we used logistic regression model to assess the effect of famine exposure on central obesity in adulthood. Results After adjusting for confounding factors, females in the fetal/infant exposure group（OR=3.283,95%CI：1.472～7.321,P＜0.001）、childhood- exposed group (OR=3.557,95%CI：2.374～5.313,P＜0.001) and adolescence/adult-exposed group (OR=5.785，95%CI：3.536～9.492，P＜0.001) had a higher risk of adult central obesity than the control group.After excluding the subjects with coronary heart disease、cancer、diabetes、stroke or obesity, sensitivity analysis was carried out. The risk of central obesity increased in the female / fetal、childhood、adolescent / adult exposure group,which was unfound in males. Conclusion Severe famine exposure in fetal/infant、childhood and adolescence/adulthood can increase the risk of central obesity in adulthood in females. Therefore, the prevention and control of central obesity in female should start from the early life.
ABSTRACT
Objective:To analyze the relationship between early-life famine exposure and the risk of metabolic syndrome in Chinese population.Methods:Relevant literature on the relationship between early-life famine exposure and the risk of metabolic syndrome in the Chinese population was retrieved from databases such as CNKI, Wanfang, VIP, CBM, Web of Science, and PubMed. The search was conducted from the inception of the databases up to October 2022. Two researchers independently extracted and systematically evaluated the data from the literature, and meta-analysis was performed using Stata 16.0 software. Results:A total of 12 publications met the inclusion criteria, including 71 470 study subjects. Meta-analysis results showed that early-life famine exposure increased the risk of metabolic syndrome in the Chinese population( OR=1.28, 95% CI 1.16-1.40). Subgroup analysis showed that both fetal famine exposure( OR=1.25, 95% CI 1.03-1.52) and childhood famine exposure( OR=1.29, 95% CI 1.15-1.45) increased the risk of developing metabolic syndrome compared to the non-exposed group, and this significant association was only found in the female population. Conclusion:Early-life exposure to famine may increase the risk of developing metabolic syndrome in adulthood in the Chinese population, particularly among females.
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Objective To study the relations between famine exposure and the risk of chronic diseases as diabetes mellitus,obesity,hypertension,coronary heart disease and stroke in the population of Harbin.Methods Our data was collected from the baseline survey-the China Kadoorie Biobank project (CKB) in Harbin.Retrospective cohort study design was used.Related risks on chronic diseases including diabetes mellitus,obesity,hypertension,coronary heart disease and stroke,were compared among the famine exposed or non-exposed people,respectively by logistic analysis method.Results After adjusted for factors as age,sex,physical activity,smoking,alcohol intake,diet,family history of diseases,it appeared that the factor ‘ famine exposure'had increased the risks of diseases as obesity (OR=1.204,95％CI:1.104-1.313,P＜0.01),hypertension (OR=1.315,95％CI:1.210-1.429,P＜0.01) and coronary heart disease (OR=1.495,95％CI:1.369-1.632,P＜0.01).The lower the age of population being exposed to famine,the greater the risk of the development of all kinds of chronic diseases.Conclusions Famine exposure appeared a risk factor for obesity,hypertension,and coronary heart disease.It is of great significance to ensure the life-long nutrition of the people,especially in the early and adolescent stages,to prevent obesity,hypertension,and coronary heart disease in their later lives.
ABSTRACT
Objective To study the relations between famine exposure and the risk of chronic diseases as diabetes mellitus,obesity,hypertension,coronary heart disease and stroke in the population of Harbin.Methods Our data was collected from the baseline survey-the China Kadoorie Biobank project (CKB) in Harbin.Retrospective cohort study design was used.Related risks on chronic diseases including diabetes mellitus,obesity,hypertension,coronary heart disease and stroke,were compared among the famine exposed or non-exposed people,respectively by logistic analysis method.Results After adjusted for factors as age,sex,physical activity,smoking,alcohol intake,diet,family history of diseases,it appeared that the factor ‘ famine exposure'had increased the risks of diseases as obesity (OR=1.204,95％CI:1.104-1.313,P＜0.01),hypertension (OR=1.315,95％CI:1.210-1.429,P＜0.01) and coronary heart disease (OR=1.495,95％CI:1.369-1.632,P＜0.01).The lower the age of population being exposed to famine,the greater the risk of the development of all kinds of chronic diseases.Conclusions Famine exposure appeared a risk factor for obesity,hypertension,and coronary heart disease.It is of great significance to ensure the life-long nutrition of the people,especially in the early and adolescent stages,to prevent obesity,hypertension,and coronary heart disease in their later lives.