Blood pressure, hypertension and mortality from circulatory disease in men and women who survived the siege of Leningrad

被引:76
作者
Koupil, Ilona [1 ]
Shestov, Dmitri B.
Sparen, Par
Plavinskaja, Svetlana
Parfenova, Nina
Vagero, Denny
机构
[1] Stockholm Univ, Karolinska Inst, Ctr Hlth Equ Studies, S-10691 Stockholm, Sweden
[2] Russian Acad Med Sci, Inst Expt Med, St Petersburg, Russia
[3] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden
[4] Univ Coll S Stockholm Sodertorn, Huddinge, Sweden
关键词
blood pressure; blood lipids; body size; cardiovascular risk factors; circulatory disease; hypertension; mortality; starvation; CORONARY-HEART-DISEASE; DUTCH FAMINE; IN-UTERO; CARDIOVASCULAR-DISEASE; PRENATAL EXPOSURE; RISK-FACTORS; LATER LIFE; GROWTH; MALNUTRITION; RESTRICTION;
D O I
10.1007/s10654-007-9113-6
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The population of Leningrad suffered from severe starvation, cold and psychological stress during the siege in 1941-1944. We investigated long-term effects of the siege on cardiovascular risk factors and mortality in surviving men and women. 3905 men born 1916-1935 and 1729 women born 1910-1940, resident in St Petersburg (formerly Leningrad) between 1975 and 1982, of whom a third experienced the siege as children, adolescents or young adults, were examined for cardiovascular risk factors in 1975-1977 and 1980-1982 respectively and followed till end 2005. Effects of siege exposure on blood pressure, lipids, body size, and mortality were studied in multivariate analysis stratified by gender and period of birth, adjusted for age, smoking, alcohol and social characteristics. Women who were 6-8 years-old and men who were 9-15 years-old at the peak of starvation had higher systolic blood pressure compared to unexposed subjects born during the same period of birth (fully adjusted difference 8.8, 95% CI: 0.1-17.5 mm Hg in women and 2.9, 95% CI: 0.7-5.0 mm Hg in men). Mean height of women who were exposed to siege as children appeared to be greater than that of unexposed women. Higher mortality from ischaemic heart disease and cerebrovascular disease was noted in men exposed at age 6-8 and 9-15, respectively. The experience of severe stress and starvation in childhood and puberty may have long-term effects on systolic blood pressure and circulatory disease in surviving men and women with potential gender differences in the effect of siege experienced at pre-pubertal age.
引用
收藏
页码:223 / 234
页数:12
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