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Preterm birth--an emerging risk factor for adult hypertension?
1Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden. mikael.norman@ki.se
Insights
Preterm birth may lead to adult hypertension, a major risk factor for heart disease and stroke. Early blood pressure monitoring in preterm infants is recommended to prevent long-term health issues.
Area of Science:
- Neonatal Medicine
- Cardiovascular Medicine
- Public Health
Background:
- Hypertension is a significant global risk factor for ischemic heart disease and stroke.
- While genetics and lifestyle contribute, adult hypertension may originate from preterm birth.
- This has critical implications for the growing population of individuals born very preterm.
Purpose of the Study:
- To review the link between preterm birth and adult hypertension.
- To emphasize the need for increased awareness of this perinatal risk factor.
- To recommend early blood pressure monitoring in preterm-born youth.
Main Methods:
- This is a review article, synthesizing existing knowledge.
- No new experimental data were generated.
Main Results:
- Adult hypertension is highlighted as a potential long-term consequence of preterm birth.
- Preterm birth is identified as a perinatal risk factor for developing hypertension later in life.
Conclusions:
- Increased awareness among families and healthcare professionals regarding preterm birth as a risk factor for adult hypertension is crucial.
- Routine blood pressure measurement in children and young people born preterm is recommended for early detection and treatment.
- Proactive management can prevent end-organ damage associated with hypertension in this vulnerable population.
Abstract:
Hypertension is a major risk factor for ischemic heart disease and stroke, which are leading causes of morbidity and death worldwide. Besides the contributions from genes and adult life-style, this review highlights that adult hypertension is likely to be a legacy of preterm birth. This knowledge has important health implications for the new and rapidly growing population of young people born very preterm. Increased awareness among both families and professionals about preterm birth being a perinatal risk factor for adult hypertension is needed. Measurement of blood pressure in children and young people born preterm is also recommended, all to detect and treat hypertension in young people born preterm long before end organ damage occurs.
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