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EDITOR
Our study showed that the relation between lower birthweight and
subsequent higher blood pressure in adulthood may be confounded by
parental blood pressure.1 Mothers with higher blood
pressure between 9 and 19 years after delivery had babies with lower
birthweight who subsequently had higher blood pressure as adults.
Taylor et al seem to refute this finding by showing that maternal
blood pressure measured during pregnancy did not confound the relation
between lower birthweight and higher blood pressure in children aged
8-11 years.2 However, they have not acknowledged the
weakness of measurement of maternal blood pressure in pregnancy. They
do not cite a study showing that, although there is no relation between
maternal blood pressure measured in the clinic during pregnancy and
subsequent birthweight of the babies, an inverse relation is present
across the range of normal blood pressures measured by ambulatory
monitoring.3 In addition, although there is an association
between pregnancy