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Adipose and Height Growth Through Childhood and Blood Pressure Status in a Large Prospective Cohort Study
Open accessAbstract
Raised blood pressure (BP) is the world's leading mortality risk factor. Childhood BP substantially predicts adult levels, and although both prenatal and postnatal growth influence it, their relative importance is debated. In a longitudinal study (Avon Longitudinal Study of Parents and Children) of 12 962 healthy children, we aimed to assess the relative contribution of different growth periods and of standardized measures of height versus weight-for-height (an adiposity marker) to BP at age 10 years. Conditional growth modeling was used in the 3230 boys and 3346 girls with BP measurements. Systolic BP was inversely associated with birth weight and weight-for-height but not length (−0.33, −0.27, and −0.12 mm Hg · SD −1 ; P =0.003, 0.035, and 0.35, respectively). In infancy, weight, weight-for-height, and height gains were all positively associated with systolic BP (0.90, 0.41, and 0.82 mm Hg · SD −1 , respectively; all P <0.001). After infancy, all of the growth modalities were positively associated with systolic BP (weight, 1.91; weight-for-height, 1.56; height, 1.20 mm Hg · SD −1 ; all P <0.001). Similar but weaker associations were found with diastolic BP. Although BP at 10 years was associated with both prenatal and early postnatal growth, their influence was small compared with that of later growth. Because BP ranking relative to the population is substantially determined in the first decade of life, a focus on strategies to reduce the development of adiposity from infancy onward, rather than an emphasis on the nutrition and weight of mothers and infants, should bring greater reductions in population BP.
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The worldwide epidemic of excess body weight, including overweight and obesity, is associated with increased prevalence of cardiovascular risks comprising hypertension.
“The worldwide epidemic of excess body weight, including overweight and obesity, is associated with increased prevalence of cardiovascular risks comprising hypertension – a condition that promote stroke, heart disease and end-stage organ damage which are major causes of death and disability (1;2).”
From Obesity-Associated Hypertension: Recent Progress in Deciphering the Pathogenesis (2014) · cites this paper as [1]
Excess adiposity is the strongest known risk factor for hypertension in male and female subjects of different ages and races.
“The close relationship between excess adipose mass and hypertension is well documented, with population-based studies showing excess adiposity as the strongest known risk factor for hypertension in male and female subjects of different ages and races (1–5).”
From Obesity-Associated Hypertension: Recent Progress in Deciphering the Pathogenesis (2014) · cites this paper as [1]
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Early growth and changes in blood pressure during adult life
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Evidence for the Association Between Early Childhood Stunting and Metabolic Syndrome
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Zinab, B., Ali, R., Megersa, B. S., Belachew, T., Kedir, E., Girma, T., Abdisa, A., Berhane, M., Admasu, B., Friis, H., et al. (2023) · American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2023.09.014 · Cited by 2
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Awazu, M. (2014) · Springer eBooks · doi:10.1007/978-3-642-27843-3_54-1 · Cited by 1
Understanding the relationship between lung function and cardiovascular phenotypes in the young
Masi, S., & Taddei, S. (2017) · Journal of Hypertension · doi:10.1097/hjh.0000000000001541 · Cited by 1
Self-citationEarly Life Origins of Severe Personality Disorders: The Helsinki Birth Cohort Study
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Jones, A., & Deanfield, J. E. (2012) · Hypertension · doi:10.1161/hypertensionaha.112.198010
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Etaiwi, A., Etaiwi, S. T., Alsultan, A., Asali, D., Abuhaimed, A., Alotaibi, Y., Alamoudi, M., Alghamdi, M., Edrees, M., Alftni, A., et al. (2016) · International Journal of Advanced Research · doi:10.21474/ijar01/2286
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Neonatal and Infant Hypertension
Dionne, J. M. (2016) · Springer eBooks · doi:10.1007/978-3-319-31420-4_26-1
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Additional file 1 of Childhood growth and development and DNA methylation age in mid-life
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Metadata
- Authors
- Jones, A., Charakida, M., Falaschetti, E., Hingorani, A. D., Finer, N., Masi, S., Donald, A. E., Lawlor, D. A., Davey Smith, G., & Deanfield, J. E.
- Affiliations
- British Heart Foundation (GB)
- From the Vascular Physiology Unit (A.J., M.C., E.F., N.F., S.M., A.E.D., J.E.D.), University College London Institute of Cardiovascular Science, London, United Kingdom; Genetic Epidemiology Group (A.D.H.), Department of Epidemiology and Public Health, University College London, London, United Kingdom; Department of Medicine (A.D.H.), Centre for Clinical Pharmacology, British Heart Foundation Laboratories, University College London, London, United Kingdom; Medical Research Council Centre for Causal...
- ORCID
- Venue
- Hypertension
- Published
- 2012-05
- Volume
- 59
- Issue
- 5
- Pages
- 919-925
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- PMC
- PMC3428923
- OpenAlex
- W2114822892
- Cited by
- 93
- References
- 27
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 6 · 2022: 1 · 2021: 6 · 2020: 4 · 2019: 7 · 2018: 9 · 2017: 8 · 2016: 13 · 2015: 10 · 2014: 11 · 2013: 7 · 2012: 5
- FWCI
- 9.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Bristol Research (University of Bristol) (submittedVersion)
- Funders
- Wellcome Trust (092731)
- National Institute for Health and Care Research
- British Heart Foundation (RG/10/004/28240, FS05/125)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- childhood blood pressure, systolic blood pressure, diastolic blood pressure, birth weight, weight-for-height, height-for-age, infant growth, child growth, adiposity, fetal growth, postnatal growth, hypertension risk, Avon Longitudinal Study of Parents and Children
- MeSH terms
- Birth Weight, Blood Pressure Determination, Body Height, Body Weight, Child, Child Development, Child, Preschool, Female, United Kingdom, Humans, Hypertension, Infant, Infant, Newborn, Longitudinal Studies, Male, Obesity, Predictive Value of Tests, Prospective Studies, Sensitivity and Specificity, Cohort Studies, Multivariate Analysis, Linear Models, Age Distribution, Sex Distribution, Risk Assessment, Adiposity
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