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The impact of birth weight on pulse pressure during adolescence
Empar Lurbe1, Isabel Torró, Vicente Alvarez
1Pediatric Nephrology Unit, Department of Paediatrics, General Hospital, University of Valencia, Spain. empar.lurbe@uv.es
Insights
Lower birth weight is linked to higher ambulatory pulse pressure in children, suggesting a potential cardiovascular risk factor. This study highlights the importance of birth weight in long-term cardiovascular health monitoring.
Area of Science:
- Pediatrics
- Cardiovascular Health
- Public Health
Background:
- Birth weight is a critical early-life factor influencing later health outcomes.
- Understanding the relationship between birth weight and cardiovascular parameters is essential for preventative health strategies.
Purpose of the Study:
- To investigate the impact of birth weight on both office and ambulatory pulse pressure in children.
- To explore potential associations between birth weight and cardiovascular risk markers.
Main Methods:
- Included 300 healthy children (aged 10-18 years) categorized by birth weight.
- Performed office and 24-hour ambulatory blood pressure monitoring.
- Utilized multiple linear regression analysis to identify independent factors influencing pulse pressure.
Main Results:
- Significant differences in 24-hour ambulatory systolic blood pressure and pulse pressure (PP) were observed across birth weight groups.
- Office pulse pressure was primarily influenced by sex, not birth weight, after controlling for covariates.
- Ambulatory pulse pressure showed a significant inverse relationship with birth weight, independent of current weight, sex, age, and height.
Conclusions:
- A clear association exists between lower birth weight and increased ambulatory pulse pressure.
- This finding contributes to understanding the long-term cardiovascular implications of birth weight.
- Birth weight may serve as an important indicator for assessing future cardiovascular risk.
Background:
The objective was to study the influence of birth weight on office and ambulatory pulse pressure.
Methods And Results:
Three hundred healthy children (176 girls), aged 10-18 years, born at term after a normotensive pregnancy were included. The subjects were divided according to birth weight: 2.000-2.500 kg, 2.501-3.000 kg, 3.001-3.500 kg and >3.500 kg. For each subject, office and 24-h ambulatory blood pressure monitoring were performed according to the protocol designed. There were significant differences among groups in 24-h ambulatory systolic blood pressure, and pulse pressure (PP). No differences were observed in terms of sex, current age, weight and height. Using a multiple linear regression analysis, sex, but not birth weight was the only independent factor related to office PP after controlling for current age, weight and height. Twenty-four hour pulse pressure was significantly related not only to current weight but also inversely to birth weight after controlling for sex, current age, and height.
Conclusions:
The results disclose a relationship between birth weight and ambulatory pulse pressure while seeking to advance knowledge about the possible associations between birth weight and cardiovascular risk.
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