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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The relationship between birth weight and blood pressure in childhood: a population-based study
Sandra D Steinthorsdottir1, Sigridur B Eliasdottir, Olafur S Indridason
1Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Insights
Low birth weight did not correlate with absolute blood pressure (BP) in children. However, a significant negative correlation was found between birth weight and BP percentiles, suggesting further research into this association.
Area of Science:
- Pediatric Health
- Cardiovascular Epidemiology
- Growth and Development
Background:
- Low birth weight is a known risk factor for later-life hypertension.
- Understanding early life factors influencing blood pressure is crucial for preventative health strategies.
Purpose of the Study:
- To investigate the relationship between birth weight and blood pressure (BP) in healthy 9- to 10-year-old children.
- To determine if birth weight is associated with absolute BP values or BP percentiles.
Main Methods:
- Four seated BP measurements were taken for each child, with BP percentile calculated from the mean.
- Birth weight data was obtained from the Icelandic Birth Registry.
- Multivariable linear regression analyzed the association between birth measures and BP/BP percentiles.
Main Results:
- No correlation was observed between birth weight and absolute BP values in the 857 children studied.
- A statistically significant negative correlation was found between birth weight and both systolic and diastolic BP percentiles.
- Gestational age did not show a correlation with BP.
Conclusions:
- Contrary to some prior research, absolute BP in children was not associated with birth weight.
- A significant negative correlation exists between birth weight and BP percentiles, highlighting the importance of percentile-based analysis.
- Standardization of BP measurement methods may be key to resolving conflicting findings in pediatric studies.
Background:
Low birth weight has been associated with increased risk of hypertension later in life. The aim of this study was to evaluate the association between birth weight and blood pressure (BP) in healthy 9- to 10-year-old Icelandic children.
Methods:
Each child underwent 4 seated BP measurements, and the BP percentile was calculated from the mean of the 4 measurements. Height and weight were measured and birth weight retrieved from the Icelandic Birth Registry. Birth measures and anthropometric data were correlated with BP and BP percentiles. Multivariable linear regression was employed to examine the association between BP and birth measures.
Results:
Of 857 children with complete data, 445 were female (51.9%). The mean BP was 112/64 mm Hg in males and 111/63 mm Hg in females. The mean birth weight was 3714 ± 620 g. No correlation was found between birth weight and absolute BP values. A significant negative correlation between birth weight and both systolic (r = -0.09, P = 0.005) and diastolic (r = -0.08, P = 0.014) BP percentiles was observed. Gestational age did not correlate with BP.
Conclusion:
In contrast to many previous studies, we found no association between birth weight and absolute BP in children. However, we observed a statistically significant negative correlation between birth weight and BP percentiles. The lack of standardized BP values may partly explain the conflicting results of previous studies in children, and we suggest that BP percentiles be examined more thoroughly in association with birth weight.
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