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Effect of preterm birth on growth and blood pressure in adulthood in the Pelotas 1993 cohort.

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dc.contributor.author Lapidaire, Winok
dc.contributor.author Proaño, Alvaro
dc.contributor.author Blumenberg, Cauane
dc.contributor.author Loret de Mola, Christian
dc.contributor.author Delgado, Carlos A.
dc.contributor.author Del Castillo Fernandez, Darwin
dc.contributor.author Wehrmeister, Fernando C.
dc.contributor.author Gonçalves, Helen
dc.contributor.author Gilman, Robert H.
dc.contributor.author Oberhelman, Richard A.
dc.contributor.author Lewandowski, Adam J.
dc.contributor.author Wells, Jonathan C. K.
dc.contributor.author Miranda, J. Jaime
dc.date.accessioned 2023-07-18T16:18:55Z
dc.date.available 2023-07-18T16:18:55Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13917
dc.description.abstract BACKGROUND: Preterm birth has been associated with increased risk of hypertension and cardiovascular disease later in adulthood, attributed to cardiovascular and metabolic alterations in early life. However, there is paucity of evidence from low- and middle-income countries (LMICs). METHODS: We investigated the differences between preterm (<37 weeks gestational age) and term-born individuals in birth length and weight as well as adult (18 and 20 years) height, weight and blood pressure in the Brazilian 1993 Pelotas birth cohort using linear regressions. Analyses were adjusted for the maternal weight at the beginning of pregnancy and maternal education and family income at childbirth. Additional models were adjusted for body mass index (BMI) and birthweight. Separate analyses were run for males and females. The complete sample was analysed with an interaction term for sex. RESULTS: Of the 3585 babies included at birth, 3010 were followed up in adulthood at 22 years. Preterm participants had lower length and weight at birth. This difference remained for male participants in adulthood, but female participants were no shorter than their term counterparts by 18 years of age. At 22 years, females born preterm had lower blood pressures (systolic blood pressure -1.00 mmHg, 95%CI -2.7, 0.7 mmHg; diastolic blood pressure -1.1 mmHg, 95%CI -2.4, 0.3 mmHg) than females born at term. These differences were not found in male participants. CONCLUSIONS: In this Brazilian cohort we found contrasting results regarding the association of preterm birth with blood pressure in young adulthood, which may be unique to an LMIC. en_US
dc.language.iso eng
dc.publisher Oxford University Press
dc.relation.ispartofseries International Journal of Epidemiology
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Preterm birth en_US
dc.subject Blood pressure en_US
dc.subject Low- and middle-income countries en_US
dc.subject Growth en_US
dc.subject.mesh Nacimiento Prematuro
dc.subject.mesh Presión Sanguínea
dc.subject.mesh Países en Desarrollo
dc.subject.mesh Crecimiento
dc.title Effect of preterm birth on growth and blood pressure in adulthood in the Pelotas 1993 cohort. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1093/ije/dyad084
dc.relation.issn 1464-3685


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