Firstborn men not as healthy as younger brothers, study finds

Small study found older men weighed more and were less sensitive to insulin

PUBLISHED : Friday, 07 February, 2014, 11:07pm
UPDATED : Saturday, 08 February, 2014, 5:46am


Warning: being a firstborn may be hazardous to your health.

So suggests a small study of middle-age men in New Zealand. Compared with their younger brothers, the firstborns weighed more and were less sensitive to insulin.

Researchers had recruited the men to be part of clinical trials testing whether olive leaf extract or krill oil could improve their metabolic health. All of the volunteers were between the ages of 35 and 55, and all were overweight, with a body mass index between 25 and 30.

To study the effects of birth order, they pulled out data from trial participants who were either the first or second child born in their family. Men were excluded if they had diabetes, high blood pressure or high cholesterol, or if they were on any medications that might affect these conditions. Smokers and other tobacco users were also dropped from the analysis.

Though men in both groups were about the same height - on average 178cm for the older brothers and 175cm for the younger - there were significant differences in weight. The average weight for the older brothers was just over 90kg, while the younger brothers averaged 84kg.

These differences arose despite the fact that men in both groups had similar amounts of body fat. The older brothers averaged 32.2 per cent body fat, compared with 29.9 per cent for the younger. The difference wasn't statistically significant.

However, there was a real difference in insulin sensitivity, which was 33 per cent lower in the firstborn men than the younger brothers. When the body doesn't respond properly to insulin, it can lead to problems such as diabetes, heart disease and obesity. This difference was seen even after researchers controlled the amount of exercise the men got, their fat mass and some other factors.

The researchers at the University of Auckland speculated that something had happened in the womb that made the firstborns more vulnerable to these metabolic problems.

One possibility they mentioned was placental blood flow. A first pregnancy causes permanent changes in certain arteries in the uterus. That means firstborns don't get the benefit of these changes from the moment of conception, but second children do.

The results were published on Thursday in the journal Scientific Reports, a Nature publication.


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