Cardiovascular disease in a cohort exposed to the 1940–45 Channel Islands occupation
2008

Impact of Food Deprivation on Heart Disease in Channel Islanders

Sample size: 873 publication 10 minutes Evidence: moderate

Author Information

Author(s): Rosemary F Head, Mark S Gilthorpe, Allyson Byrom, George TH Ellison

Primary Institution: St George's, University of London

Hypothesis

What is the relationship between food deprivation during early life and cardiovascular disease in later life?

Conclusion

Postnatal undernutrition during the 1940–45 occupation of the Channel Islands is a more significant factor for cardiovascular disease than prenatal undernutrition.

Supporting Evidence

  • Those exposed to the occupation had more than twice the hazard ratio for CVD hospital admissions.
  • No significant relationship was found between birth weight and CVD.
  • The study included 873 Guernsey islanders with complete birth data.

Takeaway

Kids who didn't get enough food during the German occupation of the Channel Islands are more likely to have heart problems when they grow up.

Methodology

Cox regression models were used to analyze the relationship between birth weight, postnatal exposure to the occupation, and cardiovascular disease.

Potential Biases

Potential residual confounding due to sociodemographic differences between those exposed and unexposed to the occupation.

Limitations

The cohort may not be representative of all births in Guernsey, and there was substantial loss to follow-up.

Participant Demographics

Cohort comprised Guernsey islanders born between 1923 and 1937, with some exposed to food deprivation during the occupation.

Statistical Information

P-Value

0.01

Confidence Interval

95% CI: 1.54 – 4.13

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-8-303

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