Fetal and placental size and risk of hypertension in adult life.
Open accessAbstract
OBJECTIVE--To study the effect of intrauterine growth and maternal physique on blood pressure in adult life. DESIGN--A follow up study of infants born 50 years previously whose measurements at birth were recorded in detail. SETTING--Preston, Lancashire. SUBJECTS--449 Men and women born in hospital in Preston during 1935-43 and still living in Lancashire. MAIN OUTCOME MEASURES--Placental weight, birth weight, and blood pressure at age 46 to 54 years. RESULTS--In both sexes systolic and diastolic pressures were strongly related to placental weight and birth weight. Mean systolic pressure rose by 15 mm Hg as placental weight increased from less than or equal to 1 lb (0.45 kg) to greater than 1.5 lb and fell by 11 mm Hg as birth weight increased from less than or equal to 5.5 lb to greater than 7.5 lb. These relations were independent so that the highest blood pressures occurred in people who had been small babies with large placentas. Higher body mass index and alcohol consumption were also associated with higher blood pressure, but the relations of placental weight and birth weight to blood pressure and hypertension were independent of these influences. CONCLUSIONS--These findings show for the first time that the intrauterine environment has an important effect on blood pressure and hypertension in adults. The highest blood pressures occurred in men and women who had been small babies with large placentas. Such discordance between placental and fetal size may lead to circulatory adaptation in the fetus, altered arterial structure in the child, and hypertension in the adult. Prevention of hypertension may depend on improving the nutrition and health of mothers.
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Abnormalities in gross placental development are linked to adverse pregnancy outcomes such as preeclampsia and intrauterine growth restriction.
“Mounting evidence [1,2,3] has linked abnormalities in gross placental development to such outcomes.”
From Fully Automated Placental Volume Quantification From<scp>3D</scp>Ultrasound for Prediction of Small‐for‐Gestational‐Age Infants (2022) · cites this paper as [2]
The risk of cardiovascular disease in adult men in relation to the birth weight to placental weight ratio is U-shaped, with heart-related death rates lowest when placental weight is about 19% of birth weight.
“The risk of cardiovascular disease in adult men in relation to the birth weight to placental weight ratio does not follow a linear fashion as one might expect, but rather a “U” shaped pattern with heart-related death rates being lowest when placental weight is ~19% of birth weight (Figure 5) (25, 217, 361).”
From Placental Origins of Chronic Disease (2016) · cites this paper as [25]
Placental size and shape are significantly associated with perinatal outcomes and fetal programming.
“Researchers have observed that placental size and shape are significantly associated with perinatal outcomes and fetal programming. 1 -3”
From Minimally interactive placenta segmentation from three-dimensional ultrasound images (2020) · cites this paper as [1]
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- Authors
- Barker, D. J., Bull, A. R., Osmond, C., & Simmonds, S. J.
- Affiliations
- Southampton General Hospital (GB)
- ORCID
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1990-08-04
- Volume
- 301
- Issue
- 6746
- Pages
- 259-262
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- OpenAlex
- W2093559962
- Cited by
- 1,728
- References
- 23
- Citations by year
- 2026: 9 · 2025: 23 · 2024: 26 · 2023: 37 · 2022: 36 · 2021: 42 · 2020: 39 · 2019: 50 · 2018: 44 · 2017: 42 · 2016: 49 · 2015: 50 · 2014: 77 · 2013: 52 · 2012: 67
- FWCI
- 61.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- fetal size, placental weight, birth weight, fetal growth, hypertension, blood pressure, adult blood pressure, body mass index, alcohol consumption, prenatal nutrition, arterial structure
- MeSH terms
- Alcohol Drinking, Birth Weight, Blood Pressure, England, Female, Embryonic and Fetal Development, Follow-Up Studies, Humans, Hypertension, Infant, Newborn, Male, Organ Size, Placenta, Pregnancy, Risk Factors, Body Mass Index
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