Cited by 1,728Birth, Development, and HealthPregnancy and preeclampsia studiesBlood Pressure and Hypertension Studies

Fetal and placental size and risk of hypertension in adult life.

Open access
Barker, D J, Bull, A R, Osmond, C, Simmonds, S J·1990·BMJ

Abstract

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.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1136/bmj.301.6746.259

Cites

23 of 23 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • 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.”
  • 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”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Barker, D. J., Bull, A. R., Osmond, C., & Simmonds, S. J.
Affiliations
Southampton General Hospital (GB)
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
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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review