Abstract
This study assesses the association of childhood socioeconomic circumstances, height, and obesity with components of blood pressure. We selected 4009 people representative of the Spanish population aged 60 years and older, and estimated systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse pressure (PP) according to childhood social class, height, and obesity. No association was found between childhood social class and blood pressure. SBP showed an inverse gradient and DBP a direct gradient with height, although an independent association between height and DBP was found only in women. Stature was independently associated with increased DBP in women with central obesity, but there was no association between height and DBP in women without central obesity. Short stature was independently associated with increased PP. Body mass index and waist-to-hip ratio were independently associated with increased DBP in women, and waist-to-hip ratio was independently associated with increased PP in men, while waist circumference was independently associated with increased DBP and increased PP in women. These results do not support the assumed effect of socioeconomic circumstances in early life on blood pressure, which may depend on the context and/or study population. The relations observed between height and blood pressure support the hypothesis that PP could be a mediator of the association between short stature and increased cardiovascular risk. The relationship between obesity measures and components of blood pressure reinforces the recommendation to reduce body weight in order to reduce blood pressure.
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References
Lawlor DA, Ebrahim S, Davey Smith G, Law C . A life course approach to coronary heart disease and stroke. In: Kuh D, Hardy R (eds.), A Life Course Approach to Women's Health. Oxford: Oxford University Press, 2002, pp. 86–120.
Blane D, Hart CL, Davey Smith G, Gillis CR, Hole DJ, Hawthorne VM . Association of cardiovascular disease risk factors with socioeconomic position during childhood and during adulthood. BMJ 1996; 313: 1434–1438.
Goya Wannamethee S, Whincup PH, Shaper G, Walker M . Influence of father's social class on cardiovascular disease in middle-aged men. Lancet 1996; 348: 1259–1263.
Davey Smith G, Hart C, Upton M, Hole D, Gillis C, Watt G et al. Height and risk of death among men and women: aetiological implications of associations with cardiorespiratory disease and cancer mortality. J Epidemiol Commun Health 2000; 54: 97–103.
Lawlor DA, Ebrahim S, Davey Smith G . The association between components of adult height and Type II diabetes and insulin resistance: British Womeńs Heart and Health Study. Diabetologia 2002; 45: 1097–1106.
Hardy R, Kuh D, Langenberg C, Wadsworth MEJ . Birthweight, childhood social class, and change in adult blood pressure in the 1946 British birth cohort. Lancet 2003; 362: 1178–1183.
Leon DA, Koupilova I, Lithell HO, Berglund L, Mohsen R, Vagero D et al. Failure to realise growth potential in utero and adult obesity in relation to blood pressure in 50 year old Swedish men. BMJ 1996; 312: 401–406.
Njolstad I, Arnesen E, Lund-Larsen PG . Body height, cardiovascular risk factors, and risk of stroke in middle-age men and women. A 14 year follow-up of the Finnmark Study. Circulation 1996; 94: 2877–2882.
Wannamethee SG, Shaper AG, Whincup PH, Walker M . Adult height, stroke, and coronary heart disease. Am J Epidemiol 1998; 148: 1069–1076.
Brunner E, Shipley MJ, Blane D, Davey Smith G, Marmot MG . When does cardiovascular risk start? Past and present socioeconomic circumstances and risk factors in adulthood. J Epidemiol Commun Health 1999; 53: 757–764.
Davey Smith G, Greenwood R, Gunnell D, Sweetman P, Yarnell J, Elwood P . Leg length, insulin resistance, and coronary heart disease risk: the Caerphilly Study. J Epidemiol Commun Health 2001; 55: 867–872.
Lawlor DA, Ebrahim S, Davey Smith G . Socioeconomic position in childhood and adulthood and insulin resistance: cross sectional survey using data from British women's heart and health study. BMJ 2002; 325: 805–809.
Montgomery SM, Berney LR, Blane D . Prepubertal stature and blood pressure in early old age. Arch Dis Child 2000; 82: 358–363.
Langenberg C, Hardy R, Kuh D, Wadsworth ME . Influence of height, leg and trunk length on pulse pressure, systolic and diastolic blood pressure. J Hypertens 2003; 21: 537–543.
Franklin SS, Khan SA, Wong ND, Larson MG, Levy D . Is pulse pressure useful in predicting risk for coronary heart disease? The Framingham Heart Study. Circulation 1999; 100: 354–360.
Franklin SS, Larson MG, Khan SA, Wong ND, Leip EP, Kannel WB et al. Does the relation of blood pressure to coronary heart disease risk change with aging? The Framingham Heart Study. Circulation 2001; 103: 1245–1249.
Banegas JR, Rodríguez-Artalejo F, Ruilope LM, Graciani A, Luque M, Cruz JJ et al. Hypertension magnitude and management in the elderly population of Spain. J Hypertens 2002; 20: 2157–2164.
Regidor E, Gutiérrez-Fisac JL, Banegas JR, López-García E, Rodríguez Artalejo F . Obesity and socioeconomic position measured at 3 stages of the life course in the elderly. Eur J Clin Nutr 2004; 58: 488–494.
Leon DA, Davey Smith G, Shipley M, Strachan D . Adult height and mortality in London: early life, socioeconomic confounding or shrinkage? J Epidemiol Commun Health 1995; 49: 5–9.
Huxley RR, Shiell AW, Law CM . The role of size at birth and postnatal catch-up growth in determining systolic blood pressure: systematic review of the literature. J Hypertens 2000; 18: 815–831.
Lawlor DA, Davey Smith G, Ebrahim S . Life course influences on insulin resistance. Findings form the British Women's Heart and Health Study. Diabetes Care 2003; 26: 97–103.
Huxley R, Neil A, Collins R . Unravelling the ‘fetal origins’ hypothesis: is there really an inverse association between birth weight and future blood pressure? Lancet 2002; 360: 650–665.
Wadsworth MEJ, Hardy RJ, Paul AA, Marshall SF, Cole TJ . Leg and trunk length at 43 years in relation to childhood health, diet and family circumstances; evidence from the 1946 national birth cohort. Int J Epidemiol 2002; 31: 383–390.
Gunnell D . Commentary: Can adult anthropometry be used as a ‘biomarker’ for prenatal and childhood exposures? Int J Epidemiol 2002; 31: 390–394.
Nyström Peck M, Lundberg O . Short stature as an effect of economic and social conditions in childhood. Soc Sci Med 1995; 41: 733–738.
Blane D, White I, Morris J . Education, social circumstances and mortality. In: Blane D, Brunner E, Wilkinson R (eds.), Health and social organization. London: Routledge, 1996, pp. 171–187.
Brunner E, Marmot M . Social organizations, stress, and health. In: Marmot M, Wilkinson RG (eds.), Social determinants of health. Oxford: Oxford University Press, 1999, pp. 17–43.
Rodin J . Aging and health: effects of the sense of control. Science 1986; 233: 1271–1276.
Gunnell D, Whitley E, Upton MN, McConnachie A, Davey Smith G, Watt GCM . Associations of height, leg length, and lung function with cardiovascular risk factors in the Midspan Family Study. J Epidemiol Commun Health 2003; 57: 141–146.
Son Y-M, Davey Smith G, Sung J . Adult height and cause-specific mortality: a large prospective study of South Korean men. Am J Epidemiol 2003; 158: 479–485.
Luo ZC, Karlberg J . Critical growth phases for adult shortness. Am J Epidemiol 2000; 152: 125–131.
Smulyan H, Asmar RG, Rudnicki A, London GM, Safar ME . Comparative effects of aging in men and women on properties of the arterial tree. J Am Coll Cardiol 2001; 37: 1374–1380.
Smulyan H, Marchais SJ, Pannier B, Guerin AP, Safar ME, Lonson GM . Influence of body height on pulsatile arterial hemodynamic data. J Am Coll Cardiol 1998; 31: 1103–1109.
Tchernof A, Poehlman ET, Despres JP . Body fat distribution, the menopause transition, and hormone replacement therapy. Diabetes Metab 2000; 26: 12–20.
Dyer AR, Elliott P . The INTERSALT study: relations of body mass index to blood pressure. INTERSALT Co-operative Research Group. J Hum Hypertens 1989; 3: 299–308.
Han TS, van Leer EM, Seidell JC, Lean MEJ . Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. BMJ 1995; 311: 1401–1405.
Perry AC, Miller PC, Allison MD, Loreto Jackson M, Brooks Applegate E . Clinical predictability of the waist-to-hip ratio in assessment of cardiovascular disease risk factors in overweight, premenopausal women. Am J Clin Nutr 1998; 68: 1022–1027.
Masaki KH, David Curb J, Chiu D, Petrovish H, Rodriguez BL . Association of body mass index with blood pressure in elderly Japanese American Men. Hypertension 1997; 29: 673–677.
Wu CH, Yao WJ, Lu FH, Yang YC, Wu JS, Chang CJ . Sex differences of body fat distribution and cardiovascular dysmetabolic factors in old age. Age Ageing 2001; 30: 331–336.
Wu CH, Yao WJ, Lu FH, Wu JS, Chang CJ . Relationship between glycosylated hemoglobin, blood pressure, serum lipid profiles and body fat distribution in healthy Chinese. Atherosclerosis 1998; 137: 157–165.
Witteman JC, Grobbee DE, Valkenburg HA, van Hermert AM, Stijnen T, Bueger H et al. J-shaped relation between change in diastolic blood pressures and progression of aortic: atherosclerosis. Lancet 1994; 343: 504–507.
Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 1997; 157: 2413–2446.
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This study was partially funded by grant ISCIII (Red RCESP C03/09) and grant ISCIII (Retic G03/065).
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Regidor, E., Banegas, J., Gutiérrez-Fisac, J. et al. Influence of childhood socioeconomic circumstances, height, and obesity on pulse pressure and systolic and diastolic blood pressure in older people. J Hum Hypertens 20, 73–82 (2006). https://doi.org/10.1038/sj.jhh.1001925
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DOI: https://doi.org/10.1038/sj.jhh.1001925
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