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Objectives: To investigate the effect of birth weight (BW) and maternal pre-pregnancy BMI (mBMI) on blood pressure (BP) in adolescence.

Methods: A Population-based cohort of 11,729 births in Jerusalem during 1974-1976, with archival data on maternal and birth characteristics was performed. Measurements at age 17 were assessed and linear regression models were used to evaluate the associations of birth characteristics with BP outcomes.

Results: BW was inversely associated with both systolic (SBP) and diastolic (DBP) BP at age 17 (SBP: B = - 0.829, p = 0.002; DBP: B = - 0.397, p = 0.033). The interaction term between BW and weight at age 17 was significant for DBP (p = 0.017) and pulse pressure (p = 0.005). mBMI yielded significant positive associations with BP, independent of BW.

Conclusions for Practice: Our findings indicate that there are at least two distinct pathways linking early life characteristics with subsequent BP: Intrauterine growth, as reflected by BW and other genetic or environmental factors, reflected by mBMI and maternal education, contribute to offspring adolescent BP. These results warrant replication in other birth cohorts and underline the need to explore specific mechanisms that account for these associations.

Titel:	Birth Weight and Maternal Body Size as Determinants of Blood Pressure at Age 17: Results from the Jerusalem Perinatal Study Cohort.
Autor/in / Beteiligte Person:	Dior, UP ; Karavani, G ; Bursztyn, M ; Paltiel, O ; Calderon-Margalit, R ; Friedlander, Y ; Youssim, I ; Manor, O ; Hochner, H
Link:	Full Text Finder (Volltext)
Zeitschrift:	Maternal and child health journal, Jg. 25 (2021), Heft 1, S. 162-171
Veröffentlichung:	1999- : New York, NY : Kluwer Academic/Plenum Publishers ; <i>Original Publication</i>: New York : Plenum Press, c1997-, 2021
Medientyp:	academicJournal
ISSN:	1573-6628 (electronic)
DOI:	10.1007/s10995-020-03096-x
Schlagwort:	Adolescent Adult Anthropometry methods Atherosclerosis Body Mass Index Body Size Cohort Studies Female Humans Israel Male Pregnancy Birth Weight Blood Pressure physiology Obesity, Maternal epidemiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Matern Child Health J] 2021 Jan; Vol. 25 (1), pp. 162-171. <i>Date of Electronic Publication: </i>2020 Nov 28. MeSH Terms: Birth Weight* ; Blood Pressure / physiology ; Obesity, Maternal / epidemiology ; Adolescent ; Adult ; Anthropometry / methods ; Atherosclerosis ; Body Mass Index ; Body Size ; Cohort Studies ; Female ; Humans ; Israel ; Male ; Pregnancy References: Adair, L., & Dahly, D. (2005). Developmental determinants of blood pressure in adults. Annual Review of Nutrition, 25, 407–434. (PMID: 16011473) ; Barker, D. J. (1995). Fetal origins of coronary heart disease. BMJ, 311, 171–174. (PMID: 76134322550226) ; Barker, D. J., Hales, C. N., Fall, C. H., Osmond, C., Phipps, K., & Clark, P. M. (1993). Type 2 (non-insulin-dependent) diabetes mellitus, hypertension and hyperlipidaemia (syndrome X): Relation to reduced fetal growth. Diabetologia, 36, 62–67. 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Birth Weight and Maternal Body Size as Determinants of Blood Pressure at Age 17: Results from the Jerusalem Perinatal Study Cohort.