The effects of birth weight and postnatal linear growth retardation on blood pressure at age 11-12 years
J Epidemiol Community Health
; 55(6): 394-8, Jun. 2001. tab
Artigo
em Inglês
| MedCarib
| ID: med-114
Biblioteca responsável:
JM3.1
Localização: JM3.1; RA413.A1B7
ABSTRACT
STUDY OBJECTIVE:
To determine the effects of birth weight and linear growth retardation (stunting) in early childhood on blood pressure at age 11-12 years.DESIGN:
Prospective cohort study.SETTING:
Kingston, Jamaica.Participants:
112 stunted children (height for age < -2 SD of the NCHS references) and 189 non-stunted children (height for age > -1 SD), identified at age 9-24 months by a survey of poor neighbourhoods in Kingston. MAINRESULTS:
Current weight was the strongest predictor of systolic blood pressure (beta= 4.90 mm Hg/SD weight 95 percent CI 3.97, 5.83). Birth weight predicted systolic blood pressure (beta= -1.28 mm Hg/SD change in birth weight, 95 percent CI -2.17, -0.38) after adjustment for current weight. There was a significant negative interaction between stunting in early childhood and current weight indicating a larger effect of increased current weight in children who experienced linear growth retardation in early childhood. There was no interaction between birth weight and current weight. The increase in blood pressure from age 7 to age 11-12 was greater in children with higher weigth at age 11-12 and less in children with higher birth weight and weight at age 7.CONCLUSIONS:
Birth weight predicted systolic blood pressure in Jamaican children aged 11-12. Postnatal growth retardation may potentiate the relation between current weight and blood pressure. Greater weight gain between ages 7 and 11 was associated with a greater increase in systolic blood pressure. The relation between growth and later blood pressure is complex and has prenatal and postnatal components. (AU)
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Coleções:
Bases de dados internacionais
Base de dados:
MedCarib
Assunto principal:
Peso ao Nascer
/
Pressão Arterial
/
Transtornos do Crescimento
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Criança
/
Feminino
/
Humanos
/
Masculino
/
Recém-Nascido
País/Região como assunto:
Caribe Inglês
/
Jamaica
Idioma:
Inglês
Revista:
J Epidemiol Community Health
Ano de publicação:
2001
Tipo de documento:
Artigo