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Systematic review and meta-analysis of preterm birth and later systolic blood pressure

Lower birth weight because of fetal growth restriction is associated with higher blood pressure later in life, but the extent to which preterm birth (

Journal Title: Hypertension (Dallas Tex. 1979), 2012, Vol.59 (2), p.226-234
Main Author: de Jong, Femke
Other Authors: Monuteaux, Michael C , van Elburg, Ruurd M , Gillman, Matthew W , Belfort, Mandy B
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Hagerstown, MD: American Heart Association, Inc
ID: ISSN: 0194-911X
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3266458
title: Systematic review and meta-analysis of preterm birth and later systolic blood pressure
format: Article
creator:
  • de Jong, Femke
  • Monuteaux, Michael C
  • van Elburg, Ruurd M
  • Gillman, Matthew W
  • Belfort, Mandy B
subjects:
  • Adolescent
  • Adult
  • Arterial hypertension. Arterial hypotension
  • Article
  • Biological and medical sciences
  • Blood and lymphatic vessels
  • Blood pressure
  • Blood Pressure - physiology
  • Cardiology. Vascular system
  • Child
  • Clinical manifestations. Epidemiology. Investigative techniques. Etiology
  • Female
  • Humans
  • Hypertension - epidemiology
  • Hypertension - physiopathology
  • Infant, Low Birth Weight - physiology
  • Infant, Newborn
  • Medical sciences
  • meta-analysis
  • Predictive Value of Tests
  • Pregnancy
  • Premature Birth - physiopathology
  • preterm birth
  • Risk Factors
  • systematic review
  • Systole - physiology
  • very low birth weight
  • Young Adult
ispartof: Hypertension (Dallas, Tex. 1979), 2012, Vol.59 (2), p.226-234
description: Lower birth weight because of fetal growth restriction is associated with higher blood pressure later in life, but the extent to which preterm birth (
language: eng
source:
identifier: ISSN: 0194-911X
fulltext: no_fulltext
issn:
  • 0194-911X
  • 1524-4563
url: Link


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creatorde Jong, Femke ; Monuteaux, Michael C ; van Elburg, Ruurd M ; Gillman, Matthew W ; Belfort, Mandy B
creatorcontribde Jong, Femke ; Monuteaux, Michael C ; van Elburg, Ruurd M ; Gillman, Matthew W ; Belfort, Mandy B
descriptionLower birth weight because of fetal growth restriction is associated with higher blood pressure later in life, but the extent to which preterm birth ( <37 completed weeks' gestation) or very low birth weight ( <1500 g) predicts higher blood pressure is less clear. We performed a systematic review of 27 observational studies that compared the resting or ambulatory systolic blood pressure or diagnosis of hypertension among children, adolescents, and adults born preterm or very low birth weight with those born at term. We performed a meta-analysis with the subset of 10 studies that reported the resting systolic blood pressure difference in millimeters of mercury with 95% CIs or SEs. We assessed methodologic quality with a modified Newcastle-Ottawa Scale. The 10 studies were composed of 1342 preterm or very low birth weight and 1738 term participants from 8 countries. The mean gestational age at birth of the preterm participants was 30.2 weeks (range: 28.8-34.1 weeks), birth weight was 1280 g (range: 1098-1958 g), and age at systolic blood pressure measurement was 17.8 years (range: 6.3-22.4 years). Former preterm or very low birth weight infants had higher systolic blood pressure than term infants (pooled estimate: 2.5 mm Hg [95% CI: 1.7-3.3 mm Hg]). For the 5 highest quality studies, the systolic blood pressure difference was slightly greater, at 3.8 mm Hg (95% CI: 2.6-5.0 mm Hg). We conclude that infants who are born preterm or very low birth weight have modestly higher systolic blood pressure later in life and may be at increased risk for developing hypertension and its sequelae
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subjectAdolescent ; Adult ; Arterial hypertension. Arterial hypotension ; Article ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood pressure ; Blood Pressure - physiology ; Cardiology. Vascular system ; Child ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Female ; Humans ; Hypertension - epidemiology ; Hypertension - physiopathology ; Infant, Low Birth Weight - physiology ; Infant, Newborn ; Medical sciences ; meta-analysis ; Predictive Value of Tests ; Pregnancy ; Premature Birth - physiopathology ; preterm birth ; Risk Factors ; systematic review ; Systole - physiology ; very low birth weight ; Young Adult
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descriptionLower birth weight because of fetal growth restriction is associated with higher blood pressure later in life, but the extent to which preterm birth ( <37 completed weeks' gestation) or very low birth weight ( <1500 g) predicts higher blood pressure is less clear. We performed a systematic review of 27 observational studies that compared the resting or ambulatory systolic blood pressure or diagnosis of hypertension among children, adolescents, and adults born preterm or very low birth weight with those born at term. We performed a meta-analysis with the subset of 10 studies that reported the resting systolic blood pressure difference in millimeters of mercury with 95% CIs or SEs. We assessed methodologic quality with a modified Newcastle-Ottawa Scale. The 10 studies were composed of 1342 preterm or very low birth weight and 1738 term participants from 8 countries. The mean gestational age at birth of the preterm participants was 30.2 weeks (range: 28.8-34.1 weeks), birth weight was 1280 g (range: 1098-1958 g), and age at systolic blood pressure measurement was 17.8 years (range: 6.3-22.4 years). Former preterm or very low birth weight infants had higher systolic blood pressure than term infants (pooled estimate: 2.5 mm Hg [95% CI: 1.7-3.3 mm Hg]). For the 5 highest quality studies, the systolic blood pressure difference was slightly greater, at 3.8 mm Hg (95% CI: 2.6-5.0 mm Hg). We conclude that infants who are born preterm or very low birth weight have modestly higher systolic blood pressure later in life and may be at increased risk for developing hypertension and its sequelae
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19Predictive Value of Tests
20Pregnancy
21Premature Birth - physiopathology
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abstractLower birth weight because of fetal growth restriction is associated with higher blood pressure later in life, but the extent to which preterm birth ( <37 completed weeks' gestation) or very low birth weight ( <1500 g) predicts higher blood pressure is less clear. We performed a systematic review of 27 observational studies that compared the resting or ambulatory systolic blood pressure or diagnosis of hypertension among children, adolescents, and adults born preterm or very low birth weight with those born at term. We performed a meta-analysis with the subset of 10 studies that reported the resting systolic blood pressure difference in millimeters of mercury with 95% CIs or SEs. We assessed methodologic quality with a modified Newcastle-Ottawa Scale. The 10 studies were composed of 1342 preterm or very low birth weight and 1738 term participants from 8 countries. The mean gestational age at birth of the preterm participants was 30.2 weeks (range: 28.8-34.1 weeks), birth weight was 1280 g (range: 1098-1958 g), and age at systolic blood pressure measurement was 17.8 years (range: 6.3-22.4 years). Former preterm or very low birth weight infants had higher systolic blood pressure than term infants (pooled estimate: 2.5 mm Hg [95% CI: 1.7-3.3 mm Hg]). For the 5 highest quality studies, the systolic blood pressure difference was slightly greater, at 3.8 mm Hg (95% CI: 2.6-5.0 mm Hg). We conclude that infants who are born preterm or very low birth weight have modestly higher systolic blood pressure later in life and may be at increased risk for developing hypertension and its sequelae
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