| Systematic review and meta-analysis of preterm birth and later systolic blood pressure. | |
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MedLine Citation:
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PMID: 22158643 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Lower 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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Authors:
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Femke de Jong; Michael C Monuteaux; Ruurd M van Elburg; Matthew W Gillman; Mandy B Belfort |
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Publication Detail:
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Type: Journal Article; Meta-Analysis; Research Support, N.I.H., Extramural; Review Date: 2011-12-12 |
Journal Detail:
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Title: Hypertension Volume: 59 ISSN: 1524-4563 ISO Abbreviation: Hypertension Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-01-25 Completed Date: 2012-04-20 Revised Date: 2013-05-22 |
Medline Journal Info:
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Nlm Unique ID: 7906255 Medline TA: Hypertension Country: United States |
Other Details:
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Languages: eng Pagination: 226-34 Citation Subset: IM |
Affiliation:
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Division of Neonatology, Department of Pediatrics, VU University Medical Center, Amsterdam, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Blood Pressure / physiology* Child Female Humans Hypertension / epidemiology*, physiopathology Infant, Low Birth Weight / physiology Infant, Newborn Predictive Value of Tests Pregnancy Premature Birth / physiopathology* Risk Factors Systole / physiology Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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K23 DK083817/DK/NIDDK NIH HHS; K23 DK083817-01A1/DK/NIDDK NIH HHS; K23 DK83817/DK/NIDDK NIH HHS; K24 HL068041/HL/NHLBI NIH HHS |
| Comments/Corrections | |
Comment In:
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Hypertension. 2012 Feb;59(2):189-90
[PMID:
22158644
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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