BMJ 1999;318:943 ( 3 April )

Letters

Inherited predisposition to hypertension confounds the effect of low birthweight

The first 150 words of the full text of this article appear below.

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 They do not cite a study showing that, although there is no relation between maternal blood pressure measured in the clinic during pregnancy and subsequent birthweight of the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 . . . [Full text of this article]


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Relevant Article

Contribution of parental blood pressures to association between low birth weight and adult high blood pressure: cross sectional study
Brian R Walker, Alex McConnachie, Joseph P Noon, David J Webb, and Graham C M Watt
BMJ 1998 316: 834-837. [Abstract] [Full Text] [PDF]

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