The relationship of childhood to adult blood pressure

Klumbienė, Jūratė; Šileikienė, Lolita; Milašauskienė, Žemyna; Zaborskis, Apolinaras; Shatchkute, Aushra

doi:10.1097/00004872-200018050-00004

Cited by 48 publications

(26 citation statements)

References 32 publications

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“…The current study showed that both observed and model-estimated levels of BP during the childhood age period of 4–19 years were significantly, positively associated with adult hypertension in race-gender groups. These observations are consistent with previous longitudinal studies regarding the association between childhood BP levels and adult hypertension (18–21,29,30). We also found that model-estimated linear rates of increase in BP during the puberty age period (11–19 years) were significantly and positively associated with the risk of developing hypertension later in life after adjusting for BP levels at these age points.…”

Section: Discussionsupporting

confidence: 93%

“…The theory of developmental origins of hypertension is supported by evidence from a large number of longitudinal epidemiological studies showing that childhood BP levels are significantly and positively associated with adult BP levels (18–21). Our previous study also demonstrated that BP variability was associated with adult hypertension and BP variability even adjusting for BP levels (22).…”

Section: Discussionmentioning

confidence: 99%

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Race and Sex Differences of Long-Term Blood Pressure Profiles From Childhood and Adult Hypertension

et al. 2017

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This study aims to characterize longitudinal blood pressure (BP) trajectories from childhood in black-white and gender groups and examine the association between childhood level-independent trajectories of BP and adult hypertension. The longitudinal cohort consisted of 2,732 adults who had body mass index and BP measured 4–15 times from childhood (4–19 years) to adulthood (20–51 years). Model-estimated levels and linear slopes of BP and BMI at childhood age points were calculated at one-year intervals using the growth curve parameters and their first derivatives, respectively. Linear and nonlinear curve parameters differed significantly between race-gender groups; BP levels showed race and gender differences from age 15 years onwards. Hypertensives had higher long-term BP levels than normotensives in race-gender groups. Although linear and nonlinear slope parameters of BP were race- and gender-specific, they differed consistently, significantly between hypertension and normotension groups. BP trajectories during young adulthood (20–35 years) were significantly greater in hypertensives than in normotensives; however, the trajectories during middle-aged adulthood (36–51 years) were significantly smaller in hypertensives than in normotensives. Level-independent linear slopes of systolic BP showed significantly negative associations (odds ratio=0.50~0.76, p<0.001) during pre-puberty period (4–11 years) but significantly positive associations (odd ratio=1.44~2.80, p<0.001) during the puberty period (13–19 years) with adult hypertension, adjusting for covariates. These associations were consistent across race-gender groups. These observations indicate that adult hypertension originates in childhood, with different longitudinal BP trajectory profiles during young and middle-aged adulthood in black-white and gender groups. Puberty is a crucial period for the development of hypertension in later life.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Race and Sex Differences of Long-Term Blood Pressure Profiles From Childhood and Adult Hypertension

et al. 2017

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“…This illustrates that adiposity, measured using BMI, has a significant affect on blood pressure tracking from youth to adulthood. Dekkers et al [77] , Klumbiene et al [71] , Lauer et al [78] and Macedo et al [79] had similar findings in relation to BMI change. Yong et al [72] , Macedo et al [79] , Lauer et al [78] and Lambrechtsen et al [80] also demonstrated an association between weight change and blood pressure trajectory change from youth to adulthood.…”

Section: Pathobiological Mechanisms Of Obesity and Elevated Bp In Youthmentioning

confidence: 64%

“…However, both papers included results from tracking studies within youth. Overall, these two reviews and several studies [66][67][68][69][70][71] concluded that the strength of tracking merits population-based prevention aimed at decreasing elevated blood pressure in children, and regular blood pressure screening in an attempt to identify those youth at risk of developing elevated levels in adulthood and whom may benefit from early detection. However, some did not agree with these recommendations [72][73][74] .…”

Section: Tracking Of Blood Pressure From Youth To Adulthoodmentioning

confidence: 99%

“…However, there are a number of other modifiable factors that are likely to influence blood pressure tracking. These include; diet, physical activity, muscular fitness, smoking, alcohol Juhola et al [59] i3C Consortium Finland, Australia, United States 4210 Adiposity (BMI) Dekkers et al [77] Not specified United States 745 Adiposity (BMI) Klumbiene et al [71] The Longitudinal Study of Juvenile Hypertension in Lithuania Lithuania 505 Adiposity (BMI, weight)…”

Section: Pathobiological Mechanisms Of Obesity and Elevated Bp In Youthmentioning

confidence: 99%

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Epidemiology of elevated blood pressure in youth and its utility for predicting adulthood outcomes: A review

Kelly¹,

Magnussen

2014

WJH

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Elevated blood pressure has been demonstrated to track from youth to adulthood and some have demonstrated an association between early-life blood pressure and subsequent atherosclerosis and cardiovascular disease. In addition, reports regarding the strength of tracking are inconsistent and the modifiable risk factors that affect the trajectory of blood pressure from youth to adulthood remain unclear. This paper comprehensively evaluated the existing classifications of youth hypertension and the current trends of youth hypertension. Further, evidence for the consequences of hypertension in youth has been comprehensively evaluated. Importantly, a review of the studies examining tracking from youth to adulthood has been performed and a number of studies investigating the factors affecting tracking has also been investigated. The overall consideration of this body of literature highlights the vital importance of identifying hypertension in youth to prevent complications in adulthood. Adiposity is regarded to be a factor affecting the progression of hypertension from youth to adulthood yet there is little evidence available for other modifiable factors. It is apparent that further research is necessary within this field in order to create effective preventative strategies to target youth hypertension.© 2014 Baishideng Publishing Group Inc. All rights reserved.Key words: Pediatric; Children; Blood pressure; Hypertension; Epidemiology; Atherosclerosis Core tip: Elevated blood pressure in youth predicts adult hypertension and end-stage organ damage but most youth with elevated blood pressure are left undiagnosed. In this review, we examine current classifications of youth blood pressure, recent trends in youth blood pressure, the adult consequences of elevated youth blood pressure, and lifestyle factors associated with improved blood pressure status from youth to adulthood. We show that identification of youth with elevated blood pressure may prove effective in preventing associated adult complications and that youth with elevated blood pressure may benefit most from interventions aimed at improvements to adiposity between youth and adulthood.Kelly RK, Magnussen CG. Epidemiology of elevated blood pressure in youth and its utility for predicting adulthood outcomes: A review. World J Hypertens 2014; 4(4): 29-36 Available from:

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Epidemiology of Hypertension

Awazu¹

2009

Pediatric Nephrology

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The relationship of childhood to adult blood pressure

Abstract: Childhood blood pressure is related to adult levels and, together with changes in body mass index, is a significant predictor of adult blood pressure.

Cited by 48 publications

References 32 publications

Race and Sex Differences of Long-Term Blood Pressure Profiles From Childhood and Adult Hypertension

Race and Sex Differences of Long-Term Blood Pressure Profiles From Childhood and Adult Hypertension

Epidemiology of elevated blood pressure in youth and its utility for predicting adulthood outcomes: A review

Epidemiology of Hypertension

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