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Prenatal and childhood growth and physical performance in old age—findings from the Helsinki Birth Cohort Study 1934–1944

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Abstract

Health in adulthood is in part a consequence of development and growth taking place during sensitive periods in early life. It has not been explored previously whether early growth is associated with physical performance in old age from a life course perspective taking into account health-related behavior, biological risk factors, and early life experiences. At a mean age of 71 years, physical performance was assessed using the Senior Fitness Test (SFT) in 1078 individuals belonging to the Helsinki Birth Cohort Study. We used multiple linear regression analysis to assess the association between the SFT physical fitness scores and individual life course measurements. Several adult characteristics were associated with physical performance including socioeconomic status, lifestyle factors, and adult anthropometry. Higher birth weight and length were associated with better physical performance, even after adjusting for potential confounders (all p values <0.05). The strongest individual association between life course measurements and physical performance in old age was found for adult body fat percentage. However, prenatal growth was independently associated with physical performance seven decades later. These findings suggest that physical performance in old age is at least partly programmed in early life.

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References

  • Barker DJP, Winter PD, Osmond C, Margetts B, Simmonds SJ (1989) Weight in infancy and death from ischaemic heart disease. Lancet 2:577–580

    Article  PubMed  CAS  Google Scholar 

  • Barker DJ, Hales CN, Fall CH, Osmond C, Phipps K, Clark PM (1993) Type 2 (non-insulin-dependent) diabetes mellitus, hypertension and hyperlipidaemia (syndrome X): relation to reduced fetal growth. Diabetologia 36:62–67

    Article  PubMed  CAS  Google Scholar 

  • Barker DJ, Osmond C, Forsén TJ, Kajantie E, Eriksson JG (2005) Trajectories of growth among children who have coronary events as adults. N Engl J Med 353:1802–1809

    Article  PubMed  CAS  Google Scholar 

  • Bedogni G, Malavolti M, Severi S et al (2002) Accuracy of an eight-point tactile-electrode impedance method in the assessment of total body water. Eur J Clin Nutr 56:1143–1148

    Article  PubMed  CAS  Google Scholar 

  • Ben-Shlomo Y, Kuh D (2002) A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. Int J Epidemiol 31:285–293

    Article  PubMed  Google Scholar 

  • Bray GA (2004) Medical consequences of obesity. J Clin Endocrinol Metab 89:2583–2589

    Article  PubMed  CAS  Google Scholar 

  • Buchan DS, Thomas NE, Baker JS (2012) Novel risk factors of cardiovascular disease and their associations between obesity, physical activity and physical fitness. J Public Health Res 1:59–66

    PubMed  PubMed Central  Google Scholar 

  • Cooper R, Kuh D, Hardy R, Cooper R, Kuh D, Hardy R, Mortality Review Group (2010) Objectively measured physical capability levels and mortality: systematic review and meta-analysis. BMJ 341:c4467

    Article  PubMed  PubMed Central  Google Scholar 

  • Dodds R, Denison HJ, Ntani G, Cooper R, Cooper C, Sayer AA, Baird J (2012) Birth weight and muscle strength: a systematic review and metaanalysis. J Nutr Health Aging 16(7):609–615

  • Eriksson JG, Osmond C, Kajantie E, Forsén TJ, Barker DJ (2006) Patterns of growth among children who later develop type 2 diabetes or its risk factors. Diabetologia 49:2853–2858

    Article  PubMed  CAS  Google Scholar 

  • Guralnik JM, Ferrucci L, Simonsick EM et al (1995) Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med 332:556–561

    Article  PubMed  CAS  Google Scholar 

  • Guralnik JM, Fried LP, Salive ME (1996) Disability as a public health outcome in the aging population. Annu Rev Public Health 17:25–46

    Article  PubMed  CAS  Google Scholar 

  • Hanson MA, Gluckman PD (2014) Early developmental conditioning of later health and disease: physiology or pathophysiology? Physiol Rev 94:1027–1076

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Kuh D, Hardy R, Butterworth S, Okell L, Richards M, Wadsworth M, Cooper C, Sayer AA (2006) Developmental origins of midlife physical performance: evidence from a British birth cohort. Am J Epidemiol 164:110–121

    Article  PubMed  Google Scholar 

  • Legrand D, Vaes B, Matheï C, Adriaensen W, Van Pottelbergh G, Degryse JM (2014) Muscle strength and physical performance as predictors of mortality, hospitalization, and disability in the oldest old. J Am Geriatr Soc 62:1030–1038

    Article  PubMed  Google Scholar 

  • Osmond C, Kajantie E, Forsén TJ, Eriksson JG, Barker DJ (2007) Infant growth and stroke in adult life: the Helsinki birth cohort study. Stroke 38:264–270

    Article  PubMed  Google Scholar 

  • Power C, Kuh D, Morton S (2013) From developmental origins of adult disease to life course research on adult disease and aging: insights from birth cohort studies. Annu Rev Public Health 34:7–28

    Article  PubMed  Google Scholar 

  • Räikkönen K, Pesonen AK, Kajantie E, Heinonen K, Forsén T, Phillips DI, Osmond C, Barker DJ, Eriksson JG (2007) Length of gestation and depressive symptoms at age 60 years. Br J Psychiatry 190:469–474

    Article  PubMed  Google Scholar 

  • Rantanen T, Guralnik JM, Foley D, Masaki K, Leveille S, David Curb J, White L (1999) Mid-life hand grip strength as a predictor of old age disability. JAMA - J Am Med Assoc 286:558–560

    Article  Google Scholar 

  • Rantanen T, Guralnik JM, Ferrucci L, Penninx BWJH, Leveille SG, Sipilä S, Fried LP (2001) Coimpairments as predictors of severe walking disability in older women. J Am Geriatr Soc 49:21–27

    Article  PubMed  CAS  Google Scholar 

  • Rich-Edwards JW, Colditz GA, Stampfer MJ, Willett WC, Gillman MW, Hennekens CH, Speizer FE, Manson JE (1999) Birthweight and the risk for type 2 diabetes mellitus in adult women. Ann Intern Med 130(4 Pt 1):278–284

    Article  PubMed  CAS  Google Scholar 

  • Rikli RE, Jones CJ (1999) Development and validation of a functional fitness test for community-residing older adults. JAPA 6:127–159

    Google Scholar 

  • Rikli RE, Jones CJ (2013) Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. Gerontologist 53:255–267

    Article  PubMed  Google Scholar 

  • Rikli RE, Jones CJ. Senior Fitness Test Manual 2nd ed. 2013 Champaign, IL. Human Kinetics

  • Stewart R, Hardy R, Richards M (2015) Associations between skeletal growth in childhood and cognitive function in mid-life in a 53-year prospective birth cohort study. PLoS One 10(4), e0124163

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M et al (2011) Gait speed and survival in older adults. JAMA 305:50–58

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Tu YK, Tilling K, Sterne JA, Gilthorpe MS (2013) A critical evaluation of statistical approaches to examining the role of growth trajectories in the developmental origins of health and disease. Int J Epidemiol 42:1327–1339

    Article  PubMed  Google Scholar 

  • von Bonsdorff MB, Rantanen T, Laukkanen P et al (2006) Mobility limitations and cognitive deficits as predictors of institutionalization among community-dwelling older people. Gerontology 52:359–365

    Article  Google Scholar 

  • von Bonsdorff MB, Rantanen T, Sipilä S, Salonen MK, Kajantie E, Osmond C, Barker DJ, Eriksson JG (2011) Birth size and childhood growth as determinants of physical functioning in older age: the Helsinki Birth Cohort Study. Am J Epidemiol 174:1336–1344

    Article  Google Scholar 

  • von Bonsdorff MB, Törmäkangas T, Rantanen T, Salonen MK, Osmond C, Kajantie E, Eriksson JG (2015) Early life body mass trajectories and mortality in older age: findings from the Helsinki Birth Cohort Study. Ann Med 47:34–39

    Article  Google Scholar 

  • Wallman T, Wedel H, Johansson S, Rosengren A, Eriksson H, Welin L, Svärdsudd K (2006) The prognosis for individuals on disability retirement. An 18-year mortality follow-up study of 6887 men and women sampled from the general population. BMC Public Health 6:103

    Article  PubMed  PubMed Central  Google Scholar 

  • Wilkin LD, Haddock BL (2010) Health-related variables and functional fitness among older adults. Int J Aging Hum Dev 70(2):107–185

    Article  PubMed  Google Scholar 

  • World Health Organization (2011) Global health and ageing. World Health Organization

  • Ylihärsilä H, Kajantie E, Osmond C, Forsén T, Barker DJ, Eriksson JG (2007) Birth size, adult body composition and muscle strength in later life. Int J Obes 31(9):1392–1399

    Article  Google Scholar 

  • Ylihärsilä H, Kajantie E, Osmond C, Forsén T, Barker DJ, Eriksson JG (2008) Body mass index during childhood and adult body composition in men and women aged 56–70 y. Am J Clin Nutr 87(6):1769–1775

    PubMed  Google Scholar 

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Correspondence to Johan G. Eriksson.

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HBCS has been supported by grants from Finska Läkaresällskapet, the Finnish Special Governmental Subsidy for Health Sciences, Academy of Finland, Samfundet Folkhälsan, Liv och Hälsa, the Signe and Ane Gyllenberg Foundation, and EU FP7 (DORIAN) project number 278603. MBvB was supported by the Academy of Finland grant no. 257239. EU H2020-PHC-2014-DynaHealth, Grant no. 633595.

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Eriksson, J.G., Osmond, C., Perälä, MM. et al. Prenatal and childhood growth and physical performance in old age—findings from the Helsinki Birth Cohort Study 1934–1944. AGE 37, 108 (2015). https://doi.org/10.1007/s11357-015-9846-1

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