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Risk factors for left ventricular dysfunction in adulthood: role of low birth weight


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Huynh, QL, Venn, AJ ORCID: 0000-0001-7090-1398, Magnussen, CG ORCID: 0000-0002-6238-5730, Yang, H, Dwyer, T and Marwick, TH ORCID: 0000-0001-9065-0899 2021 , 'Risk factors for left ventricular dysfunction in adulthood: role of low birth weight' , ESC Heart Failure , pp. 1-12 , doi: 10.1002/ehf2.13632.

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Aims: This study aimed to determine the relationship of low birth weight (LBW) with adult cardiac structure and function andinvestigate potential causal pathways.Methods and results: A population-based sample of 925 Australians (41.3% male) were followed from childhood (aged7–15 years) to young adulthood (aged 26–36 years) and mid-adulthood (aged 36–50 years). Left ventricular (LV) globallongitudinal strain (GLS, %), LV mass index (LVMi, g/m2.7), LV filling pressure (E/e╯), and left atrial volume index (g/m2) weremeasured by transthoracic echocardiography in mid-adulthood. Birth weight category was self-reported in young adulthoodand classified as low (≤5 lb or ≤2270 g), normal (5–8 lb or 2271–3630 g), and high (>8 lb or >3630 g). Of the 925participants, 7.5% (n = 69) were classified as LBW. Compared with participants with normal birth weight, those with LBWhad 2.01-fold (95% confidence interval: 1.19, 3.41, P = 0.009) higher risks of impaired GLS (GLS > 18%) and 2.63-fold(95% confidence interval: 0.89, 7.81, P = 0.08) higher risks of LV hypertrophy (LVMi > 48 g/m2.7 in men or >44 g/m2.7 inwomen) in adulthood, independent of age, sex, and any socio-economic factors. Participants with LBW significantlyincreased body fat from childhood to adulthood relative to their peers and had greater levels of triglycerides, fastingglucose, and arterial stiffness in adulthood. These risk factors were the strongest mediators and explained 54% of the LBWeffect size on adult GLS and 33% of the LBW effect size on LVMi. The remaining of these associations was independent ofany of the measured risk factors.Conclusions: Low birth weight was associated with impaired cardiac structure and function in mid-adulthood. This association was only partially explained by known risk factors.

Item Type: Article
Authors/Creators:Huynh, QL and Venn, AJ and Magnussen, CG and Yang, H and Dwyer, T and Marwick, TH
Keywords: low birth weight, left ventricle, global longitudinal strain, LV hypertrophy
Journal or Publication Title: ESC Heart Failure
Publisher: John Wiley & Sons Ltd.
ISSN: 2055-5822
DOI / ID Number: 10.1002/ehf2.13632
Copyright Information:

© 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, ( which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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