American Journal of Epidemiology, Vol 152, Issue 7 597-604, Copyright © 2000 by Oxford University Press
DA Leon, M Johansson and F Rasmussen
The objective of this study was to identify specific components of fetal
growth that may underlie the observed association between birth weight and
later blood pressure. A record linkage was made between the Swedish Medical
Birth Registry, the Military Conscription Register, and censuses. For
165,136 men born in Sweden between 1973 and 1976 and conscripted from 1990
to 1996, systolic blood pressure was measured at age 18 years. Systolic
pressure was independently inversely associated with birth weight for
gestational age and with gestational age itself but not with birth length
for gestational age. The difference in systolic pressure between the top
and the bottom quintiles of birth weight for gestational age was -1.61 mmHg
(95% confidence interval: - 1.82 to -1.40) after adjustment for birth
length for gestational age, height, and weight. The change in systolic
pressure was -0.25 mmHg (- 0.29 to -0.22) for a 1-week increase in
gestational age. How far the inverse association of systolic pressure with
length of gestation represents an independent effect of maturation is
unclear. These findings help to refine the fetal origins hypothesis and
provide further criteria against which potential biological mechanisms that
link circumstances in utero to later blood pressure can be assessed.
ARTICLES
Gestational age and growth rate of fetal mass are inversely associated with systolic blood pressure in young adults: an epidemiologic study of 165,136 Swedish men aged 18 years
Department of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, United Kingdom.
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