BMJ 1997;315:449-453 (23 August)
Papers
Size at birth, maternal nutritional status in pregnancy, and blood pressure at age 17: population based analysis
Arie Laor,
lecturer,a
David K Stevenson,
professor,b
Jeoshua Shemer,
senior
lecturer,c
Rena Gale,
associate
professor,d
Daniel S Seidman,
senior
physician ea Department of Internal Medicine, Carmel Hospital, Haifa, Israel,
b Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA,
c Department of Internal Medicine, Sheba Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Hashomer, Israel,
d Department of Neonatology, Bikur Cholim Hospital, Jerusalem, Israel,
e Department of Obstetrics and Gynecology, Sheba Medical Center
Correspondence to: Dr Seidman
Objective: To assess the effect of size at birth,
maternal
nutrition, and body mass index on blood pressure in late adolescence.
Design: Population based analysis of birth weight
corrected for gestational age, mother's weight before pregnancy and weight gain in
pregnancy, obtained from the Jerusalem perinatal study, and blood pressure and body mass index
at age 17, available from military draft records.
Setting: Jerusalem, Israel.
Subjects: 10 883 subjects (6684 men and 4199
women) born in Jerusalem during 1974-6 and subsequently drafted to the army.
Main outcome measures: Systolic and diastolic
blood
pressures measured at age 17 and their correlation with birth weight, size at birth,
mother's
body mass index and weight gain during pregnancy, and height and weight at age 17.
Results: Systolic and diastolic blood pressures were
significantly and positively correlated with body weight, height, body mass index at age 17, and
with
mother's body weight and body mass index before pregnancy, but not with birth weight
or
mother's weight gain in pregnancy.
Conclusion: Variables reflecting poor intrauterine
nutrition, including low maternal body mass index before pregnancy, poor maternal weight gain
in
pregnancy, and being born small for gestational age, were not associated with a higher blood
pressure in late adolescence.
|
Key messages
- Several studies have shown a significant inverse relation between blood pressure and birth
weight, though the finding is not consistent
- In 10 883 Israelis blood pressure measured at age 17 was related to their birth weight
adjusted for gestational age, their current body mass index, and their mother's weight
before
pregnancy and weight gain during pregnancy
- Blood pressure was significantly and positively correlated with body mass index at age
17
and with mother's weight before pregnancy but not with birth weight or mother's
weight gain during pregnancy
- Variables reflecting poor intrauterine nutrition were therefore not associated with higher
blood pressures in late adolescence
|

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