Document Detail

Determinants of blood pressure in preschool children: the role of parental smoking.
MedLine Citation:
PMID:  21220729     Owner:  NLM     Status:  In-Data-Review    
Background- Hypertension is the leading risk factor for cardiovascular disease. Although accumulating evidence suggests tracking of blood pressure from childhood into adult life, there is little information regarding the relative contributions of genetic, prenatal, biological, behavioral, environmental, and social determinants to childhood blood pressure. Methods and Results- Blood pressure and an array of potential anthropometric, prenatal, environmental, and familial risk factors for high blood pressure, including parental smoking habits, were determined as part of a screening project in 4236 preschool children (age 5.7±0.4 years). Smoking was reported by 28.5% of fathers and 20.7% of mothers, and by both parents 11.9%. In addition to classic risk factors such as body mass index, prematurity, low birth weight, and parental hypertension, both systolic (+1.0 [95% confidence interval, +0.5 to +1.5] mm Hg; P=0.0001) and diastolic blood pressure (+0.5 [+0.03 to +0.9] mm Hg; P=0.03) were higher in children of smoking parents. Parental smoking independently affected systolic blood pressure (P=0.001) even after correction for other risk factors, such as body mass index, parental hypertension, or birth weight, increasing the likelihood of having a systolic blood pressure in the top 15% of the population by 21% (2% to 44%; P=0.02). Conclusions- In healthy preschool children, parental smoking is an independent risk factor for higher blood pressure, adding to other familial and environmental risk factors. Implementing smoke-free environments at home and in public places may provide a long-term cardiovascular benefit even to young children.
Giacomo D Simonetti; Rainer Schwertz; Martin Klett; Georg F Hoffmann; Franz Schaefer; Elke Wühl
Related Documents :
2947739 - Blood pressure and echocardiographic measures in children: the bogalusa heart study.
3581809 - Computer analysis of cardiovascular parameters.
8090539 - Changes induced by nicardipine slow release in forearm and myocardial hemodynamics of s...
9524899 - Systolic pressure variation predicts the response to acute blood loss.
17938849 - Are maximum p wave duration and p wave dispersion a marker of target organ damage in th...
6449209 - Cardiac performance in hypertension re-evaluated through a combined haemodynamic ultras...
24210779 - Percutaneous renal denervation in patients with treatment-resistant hypertension: final...
6684639 - Involvement of the baroreceptor reflexes in the changes in blood pressure with sleep an...
23585649 - A review of the use of angiotensin receptor blockers for the prevention of cardiovascul...
Publication Detail:
Type:  Journal Article     Date:  2011-01-10
Journal Detail:
Title:  Circulation     Volume:  123     ISSN:  1524-4539     ISO Abbreviation:  Circulation     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  292-8     Citation Subset:  AIM; IM    
Division of Pediatric Nephrology, Department of Pediatrics, University Children's Hospital Bern, Inselspital, Bern University Hospital and University of Bern, 3010 Bern, Switzerland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Rethinking the thinking cap: ethics of neural enhancement using noninvasive brain stimulation.
Next Document:  Strut Coverage and Late Malapposition With Paclitaxel-Eluting Stents Compared With Bare Metal Stents...