Adolescence as possible critical temporal window for blood pressure short term monitoring in boys and girls

Maggisano, Vincenzo; Chiarotti, Flavia; Botunac, Iva; Campanella, Carla; Galietta, Gabriella; Loizzo, Alberto

doi:10.1007/s10654-005-0622-x

Cited by 14 publications

(12 citation statements)

References 24 publications

(24 reference statements)

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“…Previous studies, including the Bogalusa Heart Study, indicated that insulin, lipids, and BP during puberty were found to be mediated by these factors, independent of adiposity (33–35). The findings from this and previous studies suggest that adolescence is a critical temporal window for BP control to reduce the risk of adult hypertension (18–21,28–32,35,36). …”

Section: Discussionsupporting

confidence: 56%

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

Shen

Zhang

et al. 2017

Hypertension

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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: 56%

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

Shen

Zhang

et al. 2017

Hypertension

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“…In these studies, the associations were either more modest 6,30 or not present in females. 29 On the basis of the relative consistency between our results and the previously mentioned studies, 6,29,30 covering diverse populations born throughout the 20th century where environmental factors are likely to have differed markedly, there is reasonable evidence to suggest that early onset of puberty is associated with increased risk of hypertension among males. In contrast to BMI, timing of puberty is not a readily modifiable factor, with estimates suggesting that 70% to 80% of the variation is driven by genetic factors, 31 although environmental factors such as nutrition also play a role.…”

Section: Discussionmentioning

confidence: 73%

“…29 The association was also stable with respect to adult body size, and the observed effect size was similar to our study (5 mm Hg for SBP). Reports from Italy 30 and Sweden 6 focusing on growth around pubertal age in subjects born in the late 1980s have also suggested that early pubertal growth might be associated with increased blood pressure among males. In these studies, the associations were either more modest 6,30 or not present in females.…”

Section: Discussionmentioning

confidence: 99%

“…Reports from Italy 30 and Sweden 6 focusing on growth around pubertal age in subjects born in the late 1980s have also suggested that early pubertal growth might be associated with increased blood pressure among males. In these studies, the associations were either more modest 6,30 or not present in females. 29 On the basis of the relative consistency between our results and the previously mentioned studies, 6,29,30 covering diverse populations born throughout the 20th century where environmental factors are likely to have differed markedly, there is reasonable evidence to suggest that early onset of puberty is associated with increased risk of hypertension among males.…”

Section: Discussionmentioning

confidence: 99%

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Childhood Growth and Adult Hypertension in a Population of High Birth Weight

et al. 2011

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Abstract-Low birth weight has consistently been associated with increased adult blood pressure. The relative importance of childhood growth is, however, less well established. This study examined sex-specific associations between childhood growth and adult blood pressure in 2120 subjects born from 1921 to 1935 in Reykjavik who were recruited into a longitudinal study in 1967-1991. Size at birth and growth at regular intervals between 8 and 13 years were collected from national archives. Hypertensive males did not differ from normotensive males at birth but were increasingly taller and of higher body mass index between 8 and 13 years. No differences in adult height were observed between hypertensive and normotensive males. For boys, growth-velocity (change in growth per year) for body mass index and height between 8 to 13 years was positively associated (PϽ0.05) with adult blood pressure. The association for body mass index-velocity was fully accounted for by concurrent body size, whereas height-velocity was independent of birth weight and concurrent body size. Males in the highest compared with the lowest tertile in the height-velocity distribution had 66% increased risks of hypertension (95% CI: 15% to 139% increased risks of hypertension) corresponding with 5.0 mm Hg increase (95% CI: 1.5 to 8.5 mm Hg increase) and 3.1 mm Hg increase (95% CI: 1.1 to 5.0 mm Hg increase) in systolic and diastolic blood pressures, respectively. Hypertensive females weighed less at birth but did not differ markedly from normotensive girls between 8 and 13 years, and no association was observed for growth-velocity. In conclusion, rapid linear growth between 8 and 13 years predicts elevated adult blood pressure in boys. This association is likely to reflect relatively early onset of puberty among hypertensive males. (Hypertension. 2011;58:8-15.)

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“…CVD is a notable cause of mortality in developing countries [1] and a marked increase is expected over the next few years [1,2] The burden of CVD in developing nations is attributed to increased longevity, urbanization and lifestyles changes [1] Lifestyle related risk factors are associated with CVD mortality. Many of the lifestyle related risk factors for CVD are observed in adolescents [3,4]. Childhood and adolescent behaviors such as dietary habit, smoking and alcohol use typically extend into adulthood [1] .…”

Section: Introductionmentioning

confidence: 99%

Development, initial content validation and reliability of Nigerian Composite Lifestyle CVD risk factors questionnaire for adolescents

Odunaiya¹,

Louw²,

Grimmers-Somers³

2014

Afr H. Sci.

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Background: Cardiovascular disease risk (CVD) factors affect every age category including adolescents in developing nations. Prevention strategies are effective only when there are epidemiological data for the targeted populations. The collection of such data is only made easy with composite lifestyle CVD risk factors measures that are culturally sensitive and acceptable among the target populations. Objective: The objective of the study was to develop a culturally sensitive and friendly composite lifestyle CVD risk factors questionnaire for adolescents in Nigeria Methods: A systematic review was conducted to identify existing, published questionnaires from which items could be selected. Content and face validation were conducted using an expert panel and a sub-sample of the target population. Data was analyzed qualitatively and reliability was assessed using intra-class correlation and Kappa statistic. Results: Based on the comments received from experts, the questions were restructured, simplified, clarified, formatted, some questions were added and expert reached a consensus. Kappa showed fair to moderate agreement in 65% of the questions and perfect agreement in one question. Conclusion:The CVD risk factors questionnaire has acceptable content validity and reliability and should be used to assess CVD risk factors among adolescents in Nigeria

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Adolescence as possible critical temporal window for blood pressure short term monitoring in boys and girls

Cited by 14 publications

References 24 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

Childhood Growth and Adult Hypertension in a Population of High Birth Weight

Development, initial content validation and reliability of Nigerian Composite Lifestyle CVD risk factors questionnaire for adolescents

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