SummaryThis study uses data from the German National Cohort (NAKO) to investigate whether adult height, as an integrated marker of early-life growth, nutrition, and healthcare access (including preventive care and vaccination), is associated with reproductive, cardiovascular, and ageing-related outcomes in adulthood. We further aim to evaluate how access to healthcare services and reproductive healthcare, including contraception availability and use, shape these associations in Germany. By leveraging the rich longitudinal and multi-dimensional data of the NAKO Gesundheitsstudie, including biomedical, and health service utilization information, this study seeks to disentangle the relative contributions of early-life developmental conditions and adult healthcare access in shaping long-term reproductive and cardiometabolic health as well as ageing trajectories. Analyses will be done both sex-specific and for the population at large.

Keywords body-height determinants sex social

InstitutionsUniversitätsklinikum Heidelberg, Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke, Heidelberg Institute of Global Health