An inverse relation between blood pressure and birth weight among 5 year old children from Soweto, South Africa.
OBJECTIVE
To examine the relation between birth weight and blood pressure at 5 years in a cohort of South African children.


METHODS
Prospective cohort study.


METHODS
849 five year old children.


METHODS
Soweto, a sprawling urban area close to Johannesburg, South Africa, which was a designated residential area for people classified as "black" under apartheid legislation.


RESULTS
Systolic blood pressure at 5 years was inversely related to birthweight (r = -0.05, p = 0.0007), independent of current weight, height, gestational age, maternal age or socioeconomic status at 5 years. There was no relation between birth weight and diastolic blood pressure. After adjusting for current weight and height, there was a mean decline in systolic blood pressure of 3.4 mm Hg (95% confidence intervals 1.4, 5.3 mm Hg) for every 1000 g increase in birth weight.


CONCLUSIONS
These data from a disadvantaged urbanised community in Southern Africa extend the reported observations of an inverse relation between birth weight and systolic blood pressure. The study adds to the evidence that influences in fetal life and early childhood influence systolic blood pressure. Further research is required to assess whether efforts to reduce the incidence of low birthweight babies will attenuate the prevalence of hypertension in future generations.
Department of Medicine, University of Cape Town, South Africa.
N S
NS
Levitt
K
K
Steyn
T
T
De Wet
C
C
Morrell
R
R
Edwards
G T
GT
Ellison
N
N
Cameron
D001724:Birth Weight; D044383:Black People; D001794:Blood Pressure; D001827:Body Height; D001835:Body Weight; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D005865:Gestational Age; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D008297:Male; D008423:Maternal Age; D011446:Prospective Studies; D012044:Regression Analysis; D013019:South Africa / Q000453:epidemiology; D014505:Urban Population