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Firstborn
Children at Higher
Risk of Heart Disease
NEW YORK (Reuters Health) - Italian researchers report that firstborn
children have a higher risk of heart disease and a higher risk
of cardiovascular death than their siblings.
Dr. Maurizio Ferratini of the Fondazione Don Carlo Gnocchi in Milan
presented his team's findings Wednesday at the American Heart Association's
Asia Pacific Scientific Forum in Honolulu, Hawaii. In the study
of 348 coronary heart disease patients admitted to their institution
during a 30-month period, nearly half (46.7%) of the patients were
firstborn, Ferratini reported. In contrast, about 29.3% of the population
of Italy in general are firstborn, as opposed to being somewhere
else in the sibling lineup.
There was no difference between the firstborn and other siblings
with regard to cardiovascular risk factors, such as age, gender,
family history of coronary heart disease, cigarette smoking, diabetes
and high blood pressure. In fact, Ferratini noted, the firstborn
had a lower incidence of smoking than their siblings.
Being firstborn carried a 27% increase in risk of cardiovascular
death compared with other children in the birth order, Ferratini
told Reuters Health.
"We know that firstborns are different from their siblings in
health, behavior, psychology, school achievement and personality,"
Ferratini said. "These differences may influence other health
factors.... For example, more firstborn have type A personalities...this
may influence risk of heart disease."
He pointed out that this personality trait has been linked to
coronary heart disease and an increased risk of cardiovascular
death.
Reference
Source 89
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