Trajectory of Systemic Blood Pressure in Early Life: A Cohort Study

Norrara Scarlytt de Oliveira Holanda1, Maria Clara Lima da Cruz2, Cynthia Cibelle Dos Santos Xavier1

  • 1Federal University of Rio Grande do Norte, Natal, Brazil.

Global Pediatric Health
|October 16, 2023
PubMed

Insights

Blood pressure (BP) in healthy infants increases during the first year of life. This infant BP trajectory is not affected by gender or delivery method, according to a Brazilian cohort study.

Area of Science:

  • Pediatrics
  • Cardiovascular Health
  • Neonatal Research

Background:

  • Tracking blood pressure (BP) in infants is crucial for understanding cardiovascular development.
  • Limited data exists on infant BP trajectories in the first year of life, particularly in diverse populations.

Purpose of the Study:

  • To monitor the blood pressure (BP) trajectory in healthy infants during their first year of life.
  • To investigate the influence of gender and delivery type on infant BP changes.

Main Methods:

  • A cohort study design was employed in Northeast Brazil.
  • Blood pressure (BP) was measured using oscillometry at 24 hours and 12 months of age.

Main Results:

  • Both systolic blood pressure (SBP) and diastolic blood pressure (DBP) significantly increased with age (P < .001).
  • No significant influence of gender on SBP (P = .178) or DBP (P = .623) was observed.
  • Delivery type did not significantly impact SBP (P = .827) or DBP (P = .106).

Conclusions:

  • This study provides valuable insights into the normal BP trajectory during an infant's first year.
  • Infant BP development in the first year is independent of gender and mode of delivery.

Related Concept Videos

Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
576
Measurement of Blood Pressure01:17

Measurement of Blood Pressure

Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
976
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
3.2K
Special considerations while measuring blood pressure01:28

Special considerations while measuring blood pressure

When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
731
Neural Regulation of Blood Pressure01:18

Neural Regulation of Blood Pressure

The neural regulation of blood pressure involves intricate interactions between the autonomic nervous system (ANS) and cardiovascular system, ensuring adequate perfusion of tissues. This regulation primarily occurs through baroreceptor and chemoreceptor reflexes, involving both short-term and long-term mechanisms.
Baroreceptor Reflex
Baroreceptors, located in the carotid sinuses and aortic arch, detect changes in blood pressure. When blood pressure rises, these stretch-sensitive receptors...
2.9K
Assessment of blood pressure in brachial artery(two-step method)01:23

Assessment of blood pressure in brachial artery(two-step method)

Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
730