Enhanced post-natal growth is associated with elevated blood pressure in young Senegalese adults
| Autor: | Amandine Cournil, Aldiouma Diallo, Aminata Ndiaye Coly, Kirsten B. Simondon |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Epidemiology growth Physiology Hemodynamics Growth Elevated blood Young Adult Child Development Reference Values cohort study Humans Medicine Young adult Child infant body size Fetal Growth Retardation Anthropometry business.industry Infant Newborn Infant Mean age developing countries General Medicine Senegal Early life Blood pressure Child Preschool Hypertension Female business Cohort study |
| Zdroj: | International Journal of Epidemiology. 38:1401-1410 |
| ISSN: | 1464-3685 0300-5771 |
| DOI: | 10.1093/ije/dyp255 |
| Popis: | Background Evidence suggests that intrauterine growth restriction followed by rapid post-natal growth is associated with high blood pressure. We assessed the effect of early size and post-natal growth on blood pressure in a population from West Africa, where fetal growth retardation and childhood malnutrition are common. Methods A total of 1288 Senegalese subjects were followed from infancy to young adulthood (mean age 17.9 years). Adult systolic blood pressure (SBP) was regressed on infant and adult anthropometric characteristics. Results In unadjusted analyses, infant size was positively associated with adult SBP (1.1 +/- 03; P = 0.001 for weight; 0.7 +/- 0.3; P = 0.04 for length). With adjustment for current size, the regression coefficients for infant size were reversed (-0.2 +/- 0.3; P = 0.51 for weight; -0.3 +/- 0.3; P = 0.35 for length). SBP increased by 4.1 and 2.9 mmHg for 1 standard deviation (SD) increase in current weight or height, respectively. No interaction between infant size and current size was found in the overall models (P = 0.11 for weight, P = 0.95 for height), but this term interacted with sex for weight effect. A negative interaction was found in males (-0.9 +/- 0.4; P = 0.02) but not in females (0.3 +/- 0.4; P = 0.46). The association of current weight with SBP was stronger in lighter weight male infants. Conclusions These findings support the hypothesis that subjects who were small in early life and experienced enhanced post-natal growth have higher levels of SBP, even in low-income settings. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|