BMJ 1996;312:1479 (8 June)

Letters

Raised adult blood pressure linked to failure to achieve growth potential in utero

EDITOR,--In their study of men in Uppsala, David A Leon and colleagues found that the highest blood pressures were in men who had been small babies but grew to be tall adults.1 They argue that these babies failed to achieve their growth potential in utero. We replicated their analysis in three studies of men born in England (in Hertfordshire (in 1920-30, n = 841), Preston (1935-43, n = 239), and Sheffield (1939-41, n = 170)). Their blood pressures were measured at ages 59-70, 46-54, and 50-53 respectively. Details of the methods have been published.2 3 4

Table 1 shows the results for the men living in Hertfordshire, with the groups as defined by Leon and colleagues. As in Uppsala, the inverse relation between blood pressure and birth weight was stronger in men who were taller than 176 cm (the median height in Uppsala) and the highest pressures were in men who had . . . [Full text of this article]


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