Gennser G, Rymark P, Isberg P E
Department of Obstetrics and Gynaecology, University of Lund, Malmö General Hospital, Sweden.
Br Med J (Clin Res Ed). 1988 May 28;296(6635):1498-500. doi: 10.1136/bmj.296.6635.1498.
Hospital birth records were sought for 104 men from a pool of male army conscripts with "normal" or "high" blood pressure when measured at 28 years of age. Of 77 men whose birth weight and date of the mother's last menstrual period before the pregnancy could be found, 25 had a resting diastolic blood pressure of greater than or equal to 90 mm Hg. In 11 of these compared with nine of the 52 men with normal diastolic pressures their birth weights in relation to gestational age had been below the mean and 1 SD of a comparable Swedish population. The risk of increased diastolic blood pressure in early adult life was significantly higher among men who had been growth retarded at birth than among those whose birth weight had been appropriate for gestational age (odds ratio 3.63; 95% confidence interval 1.14 to 12.57). Being born small for gestational age may be a predictor of raised blood pressure in early adult life.
在一组28岁时测量血压“正常”或“偏高”的男性应征入伍者中,查找了104名男性的医院出生记录。在77名能够找到其出生体重以及母亲怀孕前末次月经日期的男性中,有25人的静息舒张压大于或等于90毫米汞柱。在这些人中,与52名舒张压正常的男性中的9人相比,有11人的出生体重与胎龄的关系低于瑞典可比人群的均值及1个标准差。出生时生长发育迟缓的男性在成年早期舒张压升高的风险显著高于出生体重与胎龄相称的男性(优势比3.63;95%置信区间1.14至12.57)。出生时小于胎龄可能是成年早期血压升高的一个预测指标。