Why the study?
The associations between birth weight, cardiovascular health assessed by Life's Essential 8, and cardiovascular diseases remained unclear.
Do birth weight and cardiovascular health (assessed by Life's Essential 8) independently and jointly affect the risk of incident cardiovascular disease?
Do birth weight and cardiovascular health (assessed by Life's Essential 8) independently and jointly affect the risk of incident cardiovascular disease?
Low birth weight is associated with an increased risk of cardiovascular disease, but maintaining high cardiovascular health significantly reduces this risk regardless of birth weight.
High CVH was associated with lower CVD risk across birth weights; leaves open causal effects and need for interventional confirmation.
Background The associations between birth weight (BW), cardiovascular health (CVH) as assessed by Life’s Essential 8 (LE8) and cardiovascular diseases (CVDs) remain unclear. We aimed to assess the independent and joint associations of BW and CVH with risks of CVDs. Methods This study included 143,910 UK Biobank participants without CVD at baseline (2006–2010). BW was self-reported, and CVH was evaluated using the LE8 score. Cox models were employed to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for incident total CVD and nine cardiovascular conditions. Results During a median 15.1-year follow-up, 24,071 CVD cases occurred. Compared with normal BW (2.5-4.0 kg), low BW was associated with increased risks of total CVD (adjusted HR [aHR]: 1.13, 95% CI [1.08 to 1.17], P<0.001), CVD death (aHR: 1.25 [1.11 to 1.40]), and six other CVDs (aHR ranging from 1.09 to 1.36). High BW was associated with higher risks of aortic aneurysom (aHR: 1.20 [1.03 to 1.39], P=0.02) and dysrhythmias (aHR: 1.08 [1.03 to 1.14], P=0.003), but lower risks of peripheral artery disease (aHR: 0.78 [0.67 to 0.91], P=0.002) and ischemic heart disease (aHR: 0.94 [0.89 to 1.00, P=0.05). Compared with low LE8 score, high LE8 score was associated with 55%-60% lower risk of total CVD in participants with various BW, and no interactions were found. Conclusions Low BW was associated with an increased risk of CVD, whereas high BW showed a neutral association. High CVH, as evaluated by LE8, was associated with a reduced incidence of CVD irrespective of BW.
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Feng et al. (2025) studied this question.
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