Life‐course trajectories of body mass index and cardiovascular disease risks and health outcomes in adulthood: Systematic review and meta‐analysis

Summary Objective This systematic review aimed to assess the effect of life course body mass index (BMI) trajectories (childhood to adulthood) on cardiovascular disease (CVD) risk factors and outcomes. Methods Prospective or retrospective cohort studies were identified that assessed the association...

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Veröffentlicht in:Obesity reviews 2024-04, Vol.25 (4), p.e13695-n/a
Hauptverfasser: Kibret, Kelemu Tilahun, Strugnell, Claudia, Backholer, Kathryn, Peeters, Anna, Tegegne, Teketo Kassaw, Nichols, Melanie
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container_issue 4
container_start_page e13695
container_title Obesity reviews
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creator Kibret, Kelemu Tilahun
Strugnell, Claudia
Backholer, Kathryn
Peeters, Anna
Tegegne, Teketo Kassaw
Nichols, Melanie
description Summary Objective This systematic review aimed to assess the effect of life course body mass index (BMI) trajectories (childhood to adulthood) on cardiovascular disease (CVD) risk factors and outcomes. Methods Prospective or retrospective cohort studies were identified that assessed the association of BMI trajectories with CVD risks and outcomes from databases published in English. The pooled effect sizes were estimated using a random‐effects model. Findings Seventeen eligible studies were included in this systematic review. The results revealed that a persistently overweight trajectory from childhood to adulthood was associated with a higher risk of hypertension (RR: 2.49; 95% CI: 1.9, 3.28) and type 2 diabetes (RR: 4.62; 95% CI: 2.36, 9.04) compared with a trajectory characterized by a normal BMI throughout both childhood and adulthood. Similarly, the risk of hypertension (RR: 2.38; 95% CI: 1.70, 3.33) and type 2 diabetes (RR: 3.66; 95% CI: 2.57, 5.19) was higher in those with normal‐to‐overweight trajectory compared with participants with a stable normal weight trajectory. Conclusion The findings suggest that lifetime BMI trajectories may be influential on health outcomes, and preventive strategies should be designed accordingly. Implementing appropriate preventive strategies at all life stages may reduce CVD risks and adverse outcomes later in life.
doi_str_mv 10.1111/obr.13695
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Methods Prospective or retrospective cohort studies were identified that assessed the association of BMI trajectories with CVD risks and outcomes from databases published in English. The pooled effect sizes were estimated using a random‐effects model. Findings Seventeen eligible studies were included in this systematic review. The results revealed that a persistently overweight trajectory from childhood to adulthood was associated with a higher risk of hypertension (RR: 2.49; 95% CI: 1.9, 3.28) and type 2 diabetes (RR: 4.62; 95% CI: 2.36, 9.04) compared with a trajectory characterized by a normal BMI throughout both childhood and adulthood. Similarly, the risk of hypertension (RR: 2.38; 95% CI: 1.70, 3.33) and type 2 diabetes (RR: 3.66; 95% CI: 2.57, 5.19) was higher in those with normal‐to‐overweight trajectory compared with participants with a stable normal weight trajectory. Conclusion The findings suggest that lifetime BMI trajectories may be influential on health outcomes, and preventive strategies should be designed accordingly. 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Obesity Reviews published by John Wiley &amp; Sons Ltd on behalf of World Obesity Federation.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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subjects Adolescent
Adult
adulthood
Body Mass Index
body mass index trajectory
Body size
Body weight
Cardiovascular disease
cardiovascular disease risk
Cardiovascular diseases
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - etiology
Child
childhood
Children
Diabetes
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - epidemiology
Health risks
Heart Disease Risk Factors
Heart diseases
Humans
Hypertension
Hypertension - epidemiology
life course
Meta-analysis
Overweight
Reviews
Risk Factors
Systematic review
title Life‐course trajectories of body mass index and cardiovascular disease risks and health outcomes in adulthood: Systematic review and meta‐analysis
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