Williams S, St George I M, Silva P A
Preventive and Social Medicine Department, Otago Medical School, Dunedin, New Zealand.
J Clin Epidemiol. 1992 Nov;45(11):1257-63. doi: 10.1016/0895-4356(92)90167-l.
The association between intrauterine growth retardation and blood pressure in middle childhood and early adulthood was examined. At age 7, after adjusting for sex and weight, the differences between normal children and those who had experienced intrauterine growth delay were 0.9 mmHg (95% CI -0.1 to 2.2) for systolic and 0 mmHg (-1.7 to 2.0) for diastolic blood pressure respectively. The differences between the blood pressures of intrauterine growth retarded infants with an appropriate ponderal index and those with a low ponderal index were 4.4 mmHg (-0.9 to 7.9) for systolic, and 3.8 mmHg (0.2 to 7.3) for diastolic blood pressure respectively. At age 18 the differences were much less pronounced. The association between blood pressure and the placental weight was also examined. The evidence from this sample lends weak support to the findings of other studies which suggest that there is an association between factors occurring before or around the time of birth and blood pressure in later life.
研究了宫内生长迟缓与童年中期和成年早期血压之间的关联。在7岁时,在对性别和体重进行校正后,正常儿童与经历过宫内生长延迟的儿童之间的收缩压差异为0.9 mmHg(95%可信区间为-0.1至2.2),舒张压差异为0 mmHg(-1.7至2.0)。出生体重指数正常的宫内生长迟缓婴儿与出生体重指数低的婴儿之间的收缩压差异为4.4 mmHg(-0.9至7.9),舒张压差异为3.8 mmHg(0.2至7.3)。在18岁时,差异不太明显。还研究了血压与胎盘重量之间的关联。该样本的证据对其他研究结果的支持力度较弱,其他研究表明出生前或出生时左右出现的因素与晚年血压之间存在关联。