Preterm Birth and Risk of Heart Failure Up to Early Adulthood
Abstract Background In small clinical studies, preterm birth was associated with altered cardiac structure and increased cardiovascular mortality in the young. Objectives The goal of this study was to determine the association between preterm birth and risk of incident heart failure (HF) in children...
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| Veröffentlicht in: | Journal of the American College of Cardiology 2017-05, Vol.69 (21), p.2634-2642 |
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| creator | Carr, Hanna, BS Cnattingius, Sven, MD, PhD Granath, Fredrik, PhD Ludvigsson, Jonas F., MD, PhD Edstedt Bonamy, Anna-Karin, MD, PhD |
| description | Abstract Background In small clinical studies, preterm birth was associated with altered cardiac structure and increased cardiovascular mortality in the young. Objectives The goal of this study was to determine the association between preterm birth and risk of incident heart failure (HF) in children and young adults. Methods This register-based cohort study included 2,665,542 individuals born in Sweden from 1987 to 2012 who were followed up from 1 year of age to December 31, 2013. The main study outcome was diagnosis of HF in the National Patient Register or the Cause of Death Register. The association between preterm birth and risk of incident HF was analyzed by using a Poisson regression model. Estimates were adjusted for maternal and pregnancy characteristics, socioeconomic status, and maternal and paternal cardiovascular disease. Results During 34.8 million person-years of follow-up (median 13.1 years), there were 501 cases of HF. After exclusion of 52,512 individuals with malformations (n = 196 cases), 305 cases of HF remained (0.88 per 100,000 person-years). Gestational age was inversely associated with the risk of HF. Compared with individuals born at term (≥37 weeks’ gestation), adjusted incidence relative risks for HF were 17.0 (95% confidence interval [CI]: 7.96 to 36.3) after extremely preterm birth ( |
| doi_str_mv | 10.1016/j.jacc.2017.03.572 |
| format | Article |
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Objectives The goal of this study was to determine the association between preterm birth and risk of incident heart failure (HF) in children and young adults. Methods This register-based cohort study included 2,665,542 individuals born in Sweden from 1987 to 2012 who were followed up from 1 year of age to December 31, 2013. The main study outcome was diagnosis of HF in the National Patient Register or the Cause of Death Register. The association between preterm birth and risk of incident HF was analyzed by using a Poisson regression model. Estimates were adjusted for maternal and pregnancy characteristics, socioeconomic status, and maternal and paternal cardiovascular disease. Results During 34.8 million person-years of follow-up (median 13.1 years), there were 501 cases of HF. After exclusion of 52,512 individuals with malformations (n = 196 cases), 305 cases of HF remained (0.88 per 100,000 person-years). Gestational age was inversely associated with the risk of HF. Compared with individuals born at term (≥37 weeks’ gestation), adjusted incidence relative risks for HF were 17.0 (95% confidence interval [CI]: 7.96 to 36.3) after extremely preterm birth (<28 weeks) and 3.58 (95% CI: 1.57 to 8.14) after very preterm birth (28 to 31 weeks). There was no risk increase after moderately preterm birth (32 to 36 weeks) (relative risk: 1.36; 95% CI: 0.87 to 2.13). Conclusions There was a strong association between preterm birth before 32 weeks of gestation and HF in childhood and young adulthood. Although the absolute risk of HF is low in young age, our findings indicate that preterm birth may be a previously unknown risk factor for HF.</description><identifier>ISSN: 0735-1097</identifier><identifier>ISSN: 1558-3597</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2017.03.572</identifier><identifier>PMID: 28545637</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adolescents ; Adults ; Age ; Animal models ; Birth weight ; Blood circulation ; Blood pressure ; Cardiac muscle ; Cardiology ; Cardiomyocytes ; Cardiomyopathy ; Cardiovascular ; Cardiovascular disease ; Cardiovascular diseases ; Cause of Death - trends ; Cell cycle ; Child ; Child, Preschool ; Childbirth & labor ; Children ; Classification ; Congestive heart failure ; Coronary artery disease ; Crosslinking ; Dating ; Death ; Diabetes ; Diabetes mellitus ; Diagnosis ; Disease prevention ; Documents ; Education ; Emigration ; epidemiology ; Exposure ; Female ; Fetuses ; Follow-Up Studies ; Gestational Age ; Health risk assessment ; Heart ; Heart failure ; Heart Failure - epidemiology ; Heart Failure - etiology ; Humans ; Hypertension ; Incidence ; Infant ; Infant, Newborn ; Infants ; Information dissemination ; Internal Medicine ; Male ; Medicine ; Mortality ; neonatology ; Newborn babies ; pediatrics ; Population studies ; Pregnancy ; Premature Birth ; Retrospective Studies ; Risk Assessment - methods ; risk factor ; Risk Factors ; Socioeconomic Factors ; Statistical analysis ; Statistics ; Stroke ; Survival ; Sweden - epidemiology ; Time Factors ; Ultrasonic imaging ; Ultrasound ; Ventricle ; Young Adult ; Young adults</subject><ispartof>Journal of the American College of Cardiology, 2017-05, Vol.69 (21), p.2634-2642</ispartof><rights>American College of Cardiology Foundation</rights><rights>2017 American College of Cardiology Foundation</rights><rights>Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited May 30, 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-1902ad8d0c10014bc487f12bd8b2d8010c978fef52ec1f5ad490119255365fcc3</citedby><cites>FETCH-LOGICAL-c514t-1902ad8d0c10014bc487f12bd8b2d8010c978fef52ec1f5ad490119255365fcc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735109717368468$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28545637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-57907$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:135854884$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Carr, Hanna, BS</creatorcontrib><creatorcontrib>Cnattingius, Sven, MD, PhD</creatorcontrib><creatorcontrib>Granath, Fredrik, PhD</creatorcontrib><creatorcontrib>Ludvigsson, Jonas F., MD, PhD</creatorcontrib><creatorcontrib>Edstedt Bonamy, Anna-Karin, MD, PhD</creatorcontrib><title>Preterm Birth and Risk of Heart Failure Up to Early Adulthood</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>Abstract Background In small clinical studies, preterm birth was associated with altered cardiac structure and increased cardiovascular mortality in the young. Objectives The goal of this study was to determine the association between preterm birth and risk of incident heart failure (HF) in children and young adults. Methods This register-based cohort study included 2,665,542 individuals born in Sweden from 1987 to 2012 who were followed up from 1 year of age to December 31, 2013. The main study outcome was diagnosis of HF in the National Patient Register or the Cause of Death Register. The association between preterm birth and risk of incident HF was analyzed by using a Poisson regression model. Estimates were adjusted for maternal and pregnancy characteristics, socioeconomic status, and maternal and paternal cardiovascular disease. Results During 34.8 million person-years of follow-up (median 13.1 years), there were 501 cases of HF. After exclusion of 52,512 individuals with malformations (n = 196 cases), 305 cases of HF remained (0.88 per 100,000 person-years). Gestational age was inversely associated with the risk of HF. Compared with individuals born at term (≥37 weeks’ gestation), adjusted incidence relative risks for HF were 17.0 (95% confidence interval [CI]: 7.96 to 36.3) after extremely preterm birth (<28 weeks) and 3.58 (95% CI: 1.57 to 8.14) after very preterm birth (28 to 31 weeks). There was no risk increase after moderately preterm birth (32 to 36 weeks) (relative risk: 1.36; 95% CI: 0.87 to 2.13). Conclusions There was a strong association between preterm birth before 32 weeks of gestation and HF in childhood and young adulthood. Although the absolute risk of HF is low in young age, our findings indicate that preterm birth may be a previously unknown risk factor for HF.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adults</subject><subject>Age</subject><subject>Animal models</subject><subject>Birth weight</subject><subject>Blood circulation</subject><subject>Blood pressure</subject><subject>Cardiac muscle</subject><subject>Cardiology</subject><subject>Cardiomyocytes</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cause of Death - trends</subject><subject>Cell cycle</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Childbirth & labor</subject><subject>Children</subject><subject>Classification</subject><subject>Congestive heart failure</subject><subject>Coronary artery disease</subject><subject>Crosslinking</subject><subject>Dating</subject><subject>Death</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diagnosis</subject><subject>Disease prevention</subject><subject>Documents</subject><subject>Education</subject><subject>Emigration</subject><subject>epidemiology</subject><subject>Exposure</subject><subject>Female</subject><subject>Fetuses</subject><subject>Follow-Up Studies</subject><subject>Gestational Age</subject><subject>Health risk assessment</subject><subject>Heart</subject><subject>Heart failure</subject><subject>Heart Failure - epidemiology</subject><subject>Heart Failure - etiology</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Information dissemination</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Mortality</subject><subject>neonatology</subject><subject>Newborn babies</subject><subject>pediatrics</subject><subject>Population studies</subject><subject>Pregnancy</subject><subject>Premature Birth</subject><subject>Retrospective Studies</subject><subject>Risk Assessment - methods</subject><subject>risk factor</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Statistical analysis</subject><subject>Statistics</subject><subject>Stroke</subject><subject>Survival</subject><subject>Sweden - epidemiology</subject><subject>Time Factors</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Ventricle</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>0735-1097</issn><issn>1558-3597</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kt-K1DAUxoMo7uzoC3ghBW-8sDV_mqYBWRjXXVdYUNT1NqTJqZtOpxmTdmXexmfxyUydcYUFvQgJ4fd9nHO-g9ATgguCSfWyKzptTEExEQVmBRf0HloQzuuccSnuowUWjOcES3GEjmPsMMZVTeRDdERrXvKKiQU6-RBghLDJXrswXmd6sNlHF9eZb7ML0GHMzrXrpwDZ1fbnj9FnZzr0u2xlp3689t4-Qg9a3Ud4fLiX6Or87PPpRX75_u2709Vlbjgpx5xITLWtLTYEY1I2pqxFS2hj64baGhNspKhbaDkFQ1qubSkxIZJyzireGsOWKN_7xu-wnRq1DW6jw0557dTha51eoEpZ8apO_It_8m_cl5Xy4Ws6k-JCpikt0fM9vg3-2wRxVBsXDfS9HsBPUaX6GamkZDyhz-6gnZ_CkJqfKVr-hhJF95QJPsYA7W0FBKs5PNWpOTw1h6cwS3XQJHp6sJ6aDdhbyZ-0EvBqD0Aa9Y2DoKJxMBiwLoAZlfXu__4nd-Smd4Mzul_DDuLfPlSkCqtP8_rM20MEq-oyTfUX5MC-TQ</recordid><startdate>20170530</startdate><enddate>20170530</enddate><creator>Carr, Hanna, BS</creator><creator>Cnattingius, Sven, MD, PhD</creator><creator>Granath, Fredrik, PhD</creator><creator>Ludvigsson, Jonas F., MD, PhD</creator><creator>Edstedt Bonamy, Anna-Karin, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D91</scope></search><sort><creationdate>20170530</creationdate><title>Preterm Birth and Risk of Heart Failure Up to Early Adulthood</title><author>Carr, Hanna, BS ; Cnattingius, Sven, MD, PhD ; Granath, Fredrik, PhD ; Ludvigsson, Jonas F., MD, PhD ; Edstedt Bonamy, Anna-Karin, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-1902ad8d0c10014bc487f12bd8b2d8010c978fef52ec1f5ad490119255365fcc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adults</topic><topic>Age</topic><topic>Animal models</topic><topic>Birth weight</topic><topic>Blood circulation</topic><topic>Blood pressure</topic><topic>Cardiac muscle</topic><topic>Cardiology</topic><topic>Cardiomyocytes</topic><topic>Cardiomyopathy</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cause of Death - trends</topic><topic>Cell cycle</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Childbirth & labor</topic><topic>Children</topic><topic>Classification</topic><topic>Congestive heart failure</topic><topic>Coronary artery disease</topic><topic>Crosslinking</topic><topic>Dating</topic><topic>Death</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diagnosis</topic><topic>Disease prevention</topic><topic>Documents</topic><topic>Education</topic><topic>Emigration</topic><topic>epidemiology</topic><topic>Exposure</topic><topic>Female</topic><topic>Fetuses</topic><topic>Follow-Up Studies</topic><topic>Gestational Age</topic><topic>Health risk assessment</topic><topic>Heart</topic><topic>Heart failure</topic><topic>Heart Failure - epidemiology</topic><topic>Heart Failure - etiology</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Information dissemination</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Mortality</topic><topic>neonatology</topic><topic>Newborn babies</topic><topic>pediatrics</topic><topic>Population studies</topic><topic>Pregnancy</topic><topic>Premature Birth</topic><topic>Retrospective Studies</topic><topic>Risk Assessment - methods</topic><topic>risk factor</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Statistical analysis</topic><topic>Statistics</topic><topic>Stroke</topic><topic>Survival</topic><topic>Sweden - epidemiology</topic><topic>Time Factors</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Ventricle</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carr, Hanna, BS</creatorcontrib><creatorcontrib>Cnattingius, Sven, MD, PhD</creatorcontrib><creatorcontrib>Granath, Fredrik, PhD</creatorcontrib><creatorcontrib>Ludvigsson, Jonas F., MD, PhD</creatorcontrib><creatorcontrib>Edstedt Bonamy, Anna-Karin, MD, PhD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Örebro universitet</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carr, Hanna, BS</au><au>Cnattingius, Sven, MD, PhD</au><au>Granath, Fredrik, PhD</au><au>Ludvigsson, Jonas F., MD, PhD</au><au>Edstedt Bonamy, Anna-Karin, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preterm Birth and Risk of Heart Failure Up to Early Adulthood</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2017-05-30</date><risdate>2017</risdate><volume>69</volume><issue>21</issue><spage>2634</spage><epage>2642</epage><pages>2634-2642</pages><issn>0735-1097</issn><issn>1558-3597</issn><eissn>1558-3597</eissn><abstract>Abstract Background In small clinical studies, preterm birth was associated with altered cardiac structure and increased cardiovascular mortality in the young. Objectives The goal of this study was to determine the association between preterm birth and risk of incident heart failure (HF) in children and young adults. Methods This register-based cohort study included 2,665,542 individuals born in Sweden from 1987 to 2012 who were followed up from 1 year of age to December 31, 2013. The main study outcome was diagnosis of HF in the National Patient Register or the Cause of Death Register. The association between preterm birth and risk of incident HF was analyzed by using a Poisson regression model. Estimates were adjusted for maternal and pregnancy characteristics, socioeconomic status, and maternal and paternal cardiovascular disease. Results During 34.8 million person-years of follow-up (median 13.1 years), there were 501 cases of HF. After exclusion of 52,512 individuals with malformations (n = 196 cases), 305 cases of HF remained (0.88 per 100,000 person-years). Gestational age was inversely associated with the risk of HF. Compared with individuals born at term (≥37 weeks’ gestation), adjusted incidence relative risks for HF were 17.0 (95% confidence interval [CI]: 7.96 to 36.3) after extremely preterm birth (<28 weeks) and 3.58 (95% CI: 1.57 to 8.14) after very preterm birth (28 to 31 weeks). There was no risk increase after moderately preterm birth (32 to 36 weeks) (relative risk: 1.36; 95% CI: 0.87 to 2.13). Conclusions There was a strong association between preterm birth before 32 weeks of gestation and HF in childhood and young adulthood. Although the absolute risk of HF is low in young age, our findings indicate that preterm birth may be a previously unknown risk factor for HF.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28545637</pmid><doi>10.1016/j.jacc.2017.03.572</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescents Adults Age Animal models Birth weight Blood circulation Blood pressure Cardiac muscle Cardiology Cardiomyocytes Cardiomyopathy Cardiovascular Cardiovascular disease Cardiovascular diseases Cause of Death - trends Cell cycle Child Child, Preschool Childbirth & labor Children Classification Congestive heart failure Coronary artery disease Crosslinking Dating Death Diabetes Diabetes mellitus Diagnosis Disease prevention Documents Education Emigration epidemiology Exposure Female Fetuses Follow-Up Studies Gestational Age Health risk assessment Heart Heart failure Heart Failure - epidemiology Heart Failure - etiology Humans Hypertension Incidence Infant Infant, Newborn Infants Information dissemination Internal Medicine Male Medicine Mortality neonatology Newborn babies pediatrics Population studies Pregnancy Premature Birth Retrospective Studies Risk Assessment - methods risk factor Risk Factors Socioeconomic Factors Statistical analysis Statistics Stroke Survival Sweden - epidemiology Time Factors Ultrasonic imaging Ultrasound Ventricle Young Adult Young adults |
| title | Preterm Birth and Risk of Heart Failure Up to Early Adulthood |
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