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Published online before print March 31, 2008
Psychosom Med 2008, doi:10.1097/PSY.0b013e3181651638
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© 2008 by American Psychosomatic Society

Original Article


Received March 2, 2007
Returned for revision October 23, 2007

Infant Growth and Hostility in Adult Life

Katri Räikkönen , PhD, Anu-Katriina Pesonen , PhD, Kati Heinonen , PhD, Jari Lahti , MA, Eero Kajantie , MD, PhD, Tom Forsén , MD, PhD, Clive Osmond , PhD, David J.P. Barker , FRS, Johan G. Eriksson , MD, PhD


Address correspondence and reprint requests to: Katri Räikkönen, PhD, E-mail: katri.raikkonen{at}helsinki.fi.


   Abstract

Objective: Hostility may confer a risk of cardiovascular disease and all-cause mortality, but why is uncertain. A common origin in suboptimal fetal and early postnatal life may lie beneath. This study tested whether prenatal and postnatal growth predicts hostility in adult life. Methods: Women (n = 939) and men (n = 740) born in Helsinki, Finland, from 1934 through 1944 filled out the Cook-Medley Hostility Scale at an average age of 63.4 years. Growth was estimated from birth, child welfare clinic, and school records. Adult body size was measured in a clinic. Results: Men and women who had higher levels of hostility in adulthood were born lighter and thinner, showed slower weight gain from birth to 6 months of age, were lighter throughout childhood (standardized regression coefficients ({beta}) <-0.05; 95% confidence intervals (95% CI), -0.14 to -0.00; p values <.05), but were heavier in adulthood ({beta} values > 0.06; 95% CIs, 0.02–0.14; p values <.01). They were also shorter from 6 months until the age of 1 year ({beta} values <-0.09; 95% CIs, -0.14 to -0.03; p values <.003), and tended to be shorter in adulthood ({beta} = -0.05; 95% CI, -0.09 to 0.00; p = .06). The latter effects were largely attributable to slower growth in stature from birth to 6 months ({beta} = -0.08; 95% CI, -0.14 to -0.02; p = .005). The associations were not explained by major confounders. Conclusions: Our study suggests that slow prenatal and infant growth is linked with hostility in adult life.

Key Words: cardiovascular, growth, hostility, infancy, prenatal, programming







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Copyright © 2008 by the American Psychosomatic Society