Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

The relationship between birth weight and pulse pressure in children: cross-sectional study

Abstract

This cross-sectional study investigates the relationship between birth weight and pulse pressure in childhood, after adjusting for mean blood pressure values and for potential confounding factors. Blood pressure was measured in 937 schoolchildren, free from cardiovascular disease, aged between 6 and 16 years. Pulse pressure was estimated as the difference between the 24 h mean systolic and diastolic blood pressure values. Linear regression showed a significant negative association between birth weight and log-transformed pulse pressure, which after gender-specific analyses was found to be restricted to the girls in the study (adjusted regression coefficient log mmHg per kg −0.06, 95% CI −0.09 to −0.03). A previous investigation of this cohort reported a significant negative association between birth weight and both systolic and diastolic blood pressure, again restricted to the girls in the cohort. The results of the present study provide limited support for the hypothesis that pulse pressure in childhood is determined in utero, particularly for female subjects. However, as little research has been published in this area, further investigation is required and in particular it would be important to assess whether such gender differences are apparent in other cohorts.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Kannel WB . Blood pressure as a cardiovascular risk factor: prevention and treatment. JAMA 1996; 75: 1571–1576.

    Article  Google Scholar 

  2. 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.

    Article  CAS  PubMed  Google Scholar 

  3. van Trijp MJ, Grobbee DE, Peeters PH, van Der Schouw YT, Bots ML . Average blood pressure and cardiovascular disease-related mortality in middle-aged women. Am J Hypertens 2005; 18: 197–201.

    Article  PubMed  Google Scholar 

  4. Barker DJP . The developmental origins of adult disease. Eur J Epidemiol 2003; 18: 733–736.

    CAS  PubMed  Google Scholar 

  5. Barker DJP, Bull AR, Osmond C, Simmonds SJ . Fetal and placental size and risk of hypertension in adult life. BMJ 1990; 301: 259–262.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Law CM, de Swiet M, Osmond C, Fayers PM, Barker DJ, Cruddas AM et al. The initiation of hypertension in utero and it's amplification throughout life. BMJ 1993; 306: 24–27.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Huxley RR, Shiell AW, Law CM . The role of size at birth and postnatal catch-up growth in determining systolic blood pressure: a systematic review of the literature. J Hypertens 2000; 18: 815–831.

    Article  CAS  PubMed  Google Scholar 

  8. Huxley R, Neil A, Collins R . Unravelling the fetal origins hypothesis: is there really an inverse association between birthweight and subsequent blood pressure? Lancet 2002; 360: 659–665.

    Article  PubMed  Google Scholar 

  9. Tu YK, West R, Ellison GT, Gilthorpe MS . Why evidence for the fetal origins of adult disease might be a statistical artifact: the “reversal paradox” for the relation between birth weight and blood pressure in later life. Am J Epidemiol 2005; 161: 27–32.

    Article  PubMed  Google Scholar 

  10. Nilsson PM, Ostergren PO, Nyberg P, Soderstrom M, Allebeck P . Low birth weight is associated with elevated systolic blood pressure in adolescence: a prospective study of a birth cohort of 149,378 Swedish boys. J Hypertens 1997; 15: 1627–1631.

    Article  CAS  PubMed  Google Scholar 

  11. Lurbe E, Redon J, Alvarez V, Durazo R, Gomez A, Tacons J et al. Relationship between birth weight and awake blood pressure in children and adolescents in absence of intrauterine growth retardation. Am J Hypertens 1996; 9: 787–794.

    Article  CAS  PubMed  Google Scholar 

  12. Lurbe E, Torro I, Rodriguez C, Alvarez V, Redon J . Birth weight influences blood pressure values and variability in children and adolescents. Hypertens 2001; 38: 389–393.

    Article  CAS  Google Scholar 

  13. O'Sullivan J, Wright CM, Pearce MS, Parker L . The influence of age and gender on the relationship between birth weight and blood pressure in childhood: a study using 24-hour and casual blood pressure. Eur J Pediatr 2002; 161: 423–427.

    Article  PubMed  Google Scholar 

  14. Lurbe E, Torro I, Alvarez V, Aguilar F, Redon J . The impact of birth weight on pulse pressure during adolescence. Blood Pressure Monit 2004; 9: 187–192.

    Article  Google Scholar 

  15. Cheung YF, Wong KY, Lam BCC, Tsoi NS . Relation of arterial stiffness with gestational age and birth weight. Arch Dis Child 2004; 89: 217–221.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. O'Sullivan JJ, Derrick G, Griggs P, Foxall R, Aitkin M, Wren C . Ambulatory blood pressure in schoolchildren. Arch Dis Child 1999; 80: 529–532.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Pearce MS, O'Sullivan JJ . Relationship between birth weight and blood pressure variability in children. J Human Hypertens 2003; 117: 677–680.

    Article  Google Scholar 

  18. O'Sullivan JJ, Pearce MS, Parker L . Parental recall of birth weight: how accurate is it? Arch Dis Child 2000; 82: 202–203.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Royston P, Altman DG . Regression using fractional polynomials of continuous covariates: parsimonious parametric modelling. Appl Statist 1994; 43: 429–467.

    Article  Google Scholar 

  20. Lucas A, Fewtrell MS, Cole TJ . Fetal origins of adult disease – the hypothesis revisited. BMJ 1999; 319: 245–249.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Franklin SS . Pulse pressure as a risk factor. Clin Exp Hypertens 2004; 26: 645–652.

    Article  PubMed  Google Scholar 

  22. Lee KW, Blann AD, Lip GY . High pulse pressure and nondipping circadian blood pressure in patients with coronary artery disease: Relationship to thrombogenesis and endothelial damage/dysfunction. Am J Hypertens 2005; 18: 104–115.

    Article  PubMed  Google Scholar 

  23. Fagerudd J, Forsblom C, Pettersson-Fernholm K, Saraheimo M, Waden J, Ronnback M et al. Birth weight is inversely correlated to adult systolic blood pressure and pulse pressure in type 1 diabetes. Hypertension 2004; 44: 832–837.

    Article  CAS  PubMed  Google Scholar 

  24. Gardner DS, Pearce S, Dandrea J, Walker R, Ramsay MM, Stephenson T et al. Peri-implantation undernutrition programs blunted angiotensin II evoked baroreflex responses in young adult sheep. Hypertension 2004; 43: 1290–1296.

    Article  CAS  PubMed  Google Scholar 

  25. Anderson B . Methodological Errors in Medical Research. Blackwell: London, 1990.

    Google Scholar 

  26. Tu YK, Gilthorpe MS, Griffiths GS . Is reduction of pocket probing depth correlated with the baseline value or is it ‘mathematical coupling’? J Dent Res 2002; 81: 722–726.

    Article  PubMed  Google Scholar 

  27. Whincup P, Cook D, Shaper AG . Early influences on blood pressure: a study of children aged 5-7 years. BMJ 1989; 299: 587–591.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Gillman MW, Cook NR . Blood pressure measurement in childhood epidemiological studies. Circulation 1995; 92: 1049–1057.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This study was supported by a Grant from the National Heart Research Fund and by the Ann Coleman legacy. MSP is funded by the Minnie Henderson Trust.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M S Pearce.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pearce, M., O'Sullivan, J. The relationship between birth weight and pulse pressure in children: cross-sectional study. J Hum Hypertens 20, 207–211 (2006). https://doi.org/10.1038/sj.jhh.1001969

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jhh.1001969

Keywords

This article is cited by

Search

Quick links