De Kort Sandra W K, Van Dijk Marije, Willemsen Ruben H, Ester Wietske A, Viet Lucie, De Rijke Yolanda B, Hokken-Koelega Anita C S
Department of Pediatrics, Erasmus MC-Sophia, Rotterdam, 3015 GJ, The Netherlands.
Pediatr Res. 2008 Jul;64(1):91-6. doi: 10.1203/PDR.0b013e3181732922.
Small for gestational age (SGA) children have a higher prevalence of cardiovascular risk factors at a young age. It is not known whether this increased risk is caused by their size at birth, a familial predisposition for cardiovascular disease or smallness at birth or a combination of these factors. The cardiovascular risk profile of parents of SGA children is unknown. We compared anthropometry, blood pressure, fasting serum lipid, glucose, and insulin levels of 482 parents (mean age 41 y) and 286 short SGA children with age- and sex-matched references. We also investigated whether these parameters correlated between parents and their offspring. Mothers had higher systolic blood pressure, fathers had a higher body mass index and parents had more frequently high fasting glucose levels than age- and sex-matched references. Children had significantly higher systolic and diastolic blood pressure than sex- and height-matched references. Twenty-four percent (mothers) and 10% (fathers) were born SGA but they did not have more cardiovascular risk factors than those born appropriate for gestational age. Cardiovascular risk factors did not correlate between parents and children. In conclusion, parents of short SGA children have a modest increase in some cardiovascular risk factors but risk factors did not correlate between parents and children.
小于胎龄儿(SGA)在幼年时患心血管危险因素的患病率较高。目前尚不清楚这种风险增加是由其出生时的体型、心血管疾病的家族易感性、出生时体型小还是这些因素的综合作用引起的。SGA儿童父母的心血管风险状况尚不清楚。我们比较了482名父母(平均年龄41岁)和286名身材矮小的SGA儿童与年龄和性别匹配的对照者的人体测量学、血压、空腹血脂、血糖和胰岛素水平。我们还研究了这些参数在父母及其后代之间是否相关。与年龄和性别匹配的对照者相比,母亲的收缩压较高,父亲的体重指数较高,父母空腹血糖水平高的情况更常见。与性别和身高匹配的对照者相比,儿童的收缩压和舒张压明显更高。24%(母亲)和10%(父亲)为SGA出生,但他们的心血管危险因素并不比适于胎龄出生者更多。父母和孩子之间的心血管危险因素不相关。总之,身材矮小的SGA儿童的父母某些心血管危险因素略有增加,但父母和孩子之间的危险因素不相关。