Height and risk of death among men and women: aetiological implications of associations with cardiorespiratory disease and cancer mortality

OBJECTIVES: Height is inversely associated with cardiovascular disease mortality risk and has shown variable associations with cancer incidence and mortality. The interpretation of findings from previous studies has been constrained by data limitations. Associations between height and specific causes of death were investigated in a large general population cohort of men and women from the West of Scotland. DESIGN: Prospective observational study. SETTING: Renfrew and Paisley, in the West of Scotland. SUBJECTS: 7052 men and 8354 women aged 45-64 were recruited into a study in Renfrew and Paisley, in the West of Scotland, between 1972 and 1976. Detailed assessments of cardiovascular disease risk factors, morbidity and socioeconomic circumstances were made at baseline. MAIN OUTCOME MEASURES: Deaths during 20 years of follow up classified into specific causes. RESULTS: Over the follow up period 3347 men and 2638 women died. Height is inversely associated with all cause, coronary heart disease, stroke, and respiratory disease mortality among men and women. Adjustment for socioeconomic position and cardiovascular risk factors had little influence on these associations. Height is strongly associated with forced expiratory volume in one second (FEV1) and adjustment for FEV1 considerably attenuated the association between height and cardiorespiratory mortality. Smoking related cancer mortality is not associated with height. The risk of deaths from cancer unrelated to smoking tended to increase with height, particularly for haematopoietic, colorectal and prostate cancers. Stomach cancer mortality was inversely associated with height. Adjustment for socioeconomic position had little influence on these associations. CONCLUSION: Height serves partly as an indicator of socioeconomic circumstances and nutritional status in childhood and this may underlie the inverse associations between height and adulthood cardiorespiratory mortality. Much of the association between height and cardiorespiratory mortality was accounted for by lung function, which is also partly determined by exposures acting in childhood. The inverse association between height and stomach cancer mortality probably reflects Helicobacter pylori infection in childhood resulting inor being associated withshorter height. The positive associations between height and several cancers unrelated to smoking could reflect the influence of calorie intake during childhood on the risk of these cancers

Anticoagulation practices in total pancreatectomy with autologous islet cell transplant patients: an international survey of clinical programs

Diabetes mellitus: pathophysiological changes and therap

Biodiversity hotspots and conservation priorities in the Campo-Ma'an rain forests, Cameroon

Until recently, patterns of species richness and endemism were based on an intuitive interpretation of distribution maps with very limited numerical analyses. Such maps based solely on taxonomic collections tend to concentrate on collecting efforts more than biodiversity hotspots, since often the highest diversity is found in well-collected areas. During the last decades, there has been an overwhelming concern about the loss of tropical forest biological diversity, and an emphasis on the identification of biodiversity hotspots in an attempt to optimise conservation strategies. Furthermore, the concept of sites of high diversity, or hotspots, has attracted the attention of conservationists as a tool for conservation priority settings. With the development of GIS tools, geostatistics, phytosociological and multivariate analysis software packages, more rigorous numerical analyses of distributional and inventory data can be used for assessing conservation priorities. In the Campo-Ma¿9an rain forest, inventory data from 147 plots of 0.1 ha each and 7137 taxonomic collections were used to examine the distribution and convergence patterns of strict and narrow endemic species. We analysed the trends in endemic and rare species recorded, using quantitative conservation indices such as Genetic Heat Index (GHI) and Pioneer Index (PI), together with geostatistic techniques that help to evaluate and identify potential areas of high conservation priority. The results showed that the Campo-Ma¿9an area is characterised by a rich and diverse flora with 114 endemic plant species, of which 29 are restricted to the area, 29 also occur in southwestern Cameroon, and 56 others that are also found in other parts of Cameroon. Although most of the forest types rich in strict and narrow endemic species occur in the National Park, there are other biodiversity hotspots in the coastal zone and in areas such as Mont d¿9Eléphant and Massif des Mamelles that are located outside the National Park. Unfortunately, these areas, supporting 17 strict endemic species that are not found in the park, are under serious threat and do not have any conservation status for the moment. Taking into consideration that with the growing human population density, pressure on these hotspots will increase in the near future, it is suggested that priority be given to the conservation of these areas and that a separate management strategy be developed to ensure their protectio