Abstract

BackgroundOur previous study showed that height is inversely associated with the risk of stroke in middle-aged Japanese men, particularly in those with a low body mass index (BMI). Since height is regarded as a surrogate maker of childhood social and physical condition, while BMI may reflect primarily on the current physical condition, a detailed analysis of those with a lower BMI may elucidate the effects of childhood conditions. On the other hand, dyslipidemia is recognized as a prominent risk factor for cardiovascular disease. However, no studies have reported on the association between height and dyslipidemia accounting for BMI status.MethodsWe conducted a hospital-based general population cross-sectional study of 3016 Japanese men aged 30–59 years. Dyslipidemia is defined by the Japan Atherosclerosis Society (JAS) Guidelines as follows: triglycerides (TG) ≥ 150 mg/dL and/or low-density lipoprotein-cholesterol (LDL) ≥ 140 mg/dL, and/or high-density lipoprotein-cholesterol (HDL) < 40 mg/dL, and/or lipid lowering medication use.ResultsIndependent of classical cardiovascular risk factors, height was found to be inversely associated with dyslipidemia in subjects with a BMI <25 kg/m2 but not in subjects with a BMI ≥25 kg/m2. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of dyslipidemia for an increment of one standard deviation (SD) in height (5.7 cm) were 0.90 (0.82–0.99) for subjects with a BMI < 25 kg/m2 and 1.02 (0.89–1.17) for subjects with a BMI ≥ 25 kg/m2.ConclusionHeight is inversely associated with dyslipidemia in those with a BMI < 25 kg/m2 but not with a BMI ≥ 25 kg/m2.

Highlights

  • Height is an measured variable and is thought to be determined during childhood and adolescence by genetic predisposition, nutrition, physical, and social environments, as well as other factors [1,2,3]

  • We hypothesized that height is inversely associated with dyslipidemia in subjects with a body mass index (BMI) < 25 kg/m2 but not in subjects with a BMI ≥ 25 kg/m2

  • Written consent forms were available in Japanese to ensure comprehensive understanding of the study objectives, and informed consent was provided by the participants

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Summary

Introduction

Height is an measured variable and is thought to be determined during childhood and adolescence by genetic predisposition, nutrition, physical, and social environments, as well as other factors [1,2,3]. We reported an inverse association between height and risk of stroke in middle-aged Japanese subjects with a low we hypothesized that height is inversely associated with dyslipidemia in subjects with a BMI < 25 kg/m2 but not in subjects with a BMI ≥ 25 kg/m2. To investigate this association, we conducted a hospital-based general population cross-sectional study of Japanese men who participated in a general medical check-up between April 2013 and March 2014. Our previous study showed that height is inversely associated with the risk of stroke in middle-aged Japanese men, in those with a low body mass index (BMI). No studies have reported on the association between height and dyslipidemia accounting for BMI status

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