Rikkönen Katri, Pesonen Anu-Katriina, Heinonen Kati, Lahti Jari, Kajantie Eero, Forsén Tom, Osmond Clive, Barker David J P, Eriksson Johan G
Department of Psychology, University of Helsinki, P.O. Box 9 (Siltavuorenpenger 20 D), 00014 University of Helsinki, Finland.
Psychosom Med. 2008 Apr;70(3):306-13. doi: 10.1097/PSY.0b013e3181651638. Epub 2008 Mar 31.
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.
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.
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.
Our study suggests that slow prenatal and infant growth is linked with hostility in adult life.
敌意可能会增加心血管疾病风险和全因死亡率,但其原因尚不确定。可能存在一个共同的根源,即胎儿期和出生后早期生活环境欠佳。本研究检验了产前和产后生长情况是否能预测成年后的敌意。
1934年至1944年在芬兰赫尔辛基出生的939名女性和740名男性,平均年龄63.4岁时填写了库克-梅德利敌意量表。根据出生记录、儿童福利诊所记录和学校记录估算生长情况。在诊所测量成年后的身体尺寸。
成年后敌意水平较高的男性和女性出生时体重较轻、身材较瘦,出生至6个月时体重增加较慢,整个童年期体重都较轻(标准化回归系数(β)<-0.05;95%置信区间(95%CI),-0.14至-0.00;p值<.05),但成年后体重较重(β值>0.06;95%CI,0.02 - 0.14;p值<.01)。他们在6个月至1岁时身高也较矮(β值<-0.09;95%CI,-0.14至-0.03;p值<.003),成年后往往也较矮(β = -0.05;95%CI,-0.09至0.00;p = .06)。后者的影响主要归因于出生至6个月时身高增长较慢(β = -0.08;95%CI,-0.14至-0.02;p = .005)。这些关联无法用主要混杂因素来解释。
我们的研究表明,产前和婴儿期生长缓慢与成年后的敌意有关。