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The Association of Self-Reported Birthweight with Lung Function and Respiratory Diseases: Results from a Multi-Centre, Multi-Case Control Study in Italy. | LitMetric

AI Article Synopsis

  • * In a study involving 2,287 participants, 6.4% reported low birthweight, with a higher prevalence among women, and those with low BW were generally shorter than their normal BW counterparts.
  • * Despite reduced lung function (FEV1 and FVC) in low BW individuals, the lack of an adult respiratory disease link was noted; however, low BW was linked to higher risks of early lung disease hospitalization, severe respiratory infections, and hypertension, while showing a reduced risk for arrhythmia.

Article Abstract

Early life conditions are associated with lung function and the development of respiratory and non-respiratory illnesses. The relationship with birthweight (BW), however, is conflicting. We examined associations of self-reported BW with lung function and the development of respiratory and also non-respiratory diseases within the GEIRD (Gene-Environment Interaction in Respiratory Diseases) project, an Italian multi-centre, multi-case control study involving cases of COPD, asthma, allergic rhinitis and controls. Multinomial logistic regression was performed with case/control status as response variable; BW as main determinant; and adjusting for sex, age and smoking status. Of the 2287 participants reporting BW, 6.4% (n = 147) had low BW (<2500 g), and this proportion was greater in women than men (7.8% vs. 5.1%; = 0.006). Both men and women with low BW were shorter than those with normal BW (mean ± SD: 160.2 ± 5.5 vs. 162.6 ± 6.5 cm in women, = 0.009; 172.4 ± 6.1 vs. 174.8 ± 7.2 cm in men, < 0.001). Although FEV1 and FVC were reduced in individuals with low BW, this was explained by associations with sex and height. In multivariable analysis, BW was not associated with respiratory diseases in adulthood. However, those with low BW had a higher risk of self-reported hospitalisation for lung disease before the age of two (10.3% vs. 4.1%; < 0.001), severe respiratory infection before the age of five (16.9% vs. 8.8%; = 0.001) and hypertension in adulthood (29.9% vs. 23.7%; = 0.001); however, they had a lower risk of arrhythmia (2.7% vs. 5.8%; = 0.027).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690666PMC
http://dx.doi.org/10.3390/ijerph192215062DOI Listing

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