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Abstract

Hypertension is common though its aetiology is still not clear. Approximately ~20 to 25% of the population above the age of 40 years have elevated blood pressure, detected or undetected1,2. It is estimated that a 2% reduction of mean blood pressure (about 3 mm Hg in diastolic pressure) has the potential to prevent 1.2 million deaths from stroke (which form about 15% of all deaths from stroke) and 0.6 million from CHD (6% of all deaths from CHD) every year by 2020 in the Asia Pacific region alone3. Hitherto, efforts have been concentrated on identifying the aetiological factor(s). But more efforts should be diverted to identify the best ways of enabling people and populations to lower their risk of hypertension and consequent cardiovascular disease. In this context, the relationship between birth weight and development of hypertension in later life looks interesting. It is widely recognised that high blood pressure is multi-factorial in origin and some of these factors include consumption of a western-style diet high in sodium and low in calcium and potassium. Nevertheless, the idea that some perinatal factors can influence blood pressure in later life is not only interesting but, may also throw new light on the aetiopathogenesis of hypertension.

Keywords

Birth Weight Breast Milk Include Blood Pressure Influence Blood Pressure Postnatal Nutrition 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Lang T, de Gaudemaris R, Chatellier G, Hamici L, Diene E; Epidemiology Group of the Societe Francaise d’Hypertension Arterielle and the IHPAF Working Physicians Group. Prevalence and therapeutic control of hypertension in 30,000 subjects in the workplace. Hypertension 2001; 38: 449–454.PubMedCrossRefGoogle Scholar
  2. 2.
    Hyman DJ, Pavlik VN. Characteristics of patients with uncontrolled hypertension in the United States. N Engl J Med 2001; 345: 479–486.PubMedCrossRefGoogle Scholar
  3. 3.
    Beaglehole R. Global cardiovascular disease prevention: time to get serious. Lancet 2001;358:661–663.PubMedCrossRefGoogle Scholar
  4. 4.
    Barker DJP, Bull AR, Osmond C, Simmonds SJ. Fetal and placental size and risk of hypertension in adult life. BMJ 1990; 301: 259–262.PubMedCrossRefGoogle Scholar
  5. 5.
    Taylor SJ, Whincup PH, Cook DG, Papacosta O, Walker M. Size at birth and blood pressure: cross sectional study in 8-11 year old children. BMJ 1997; 314: 475–480.PubMedCrossRefGoogle Scholar
  6. 6.
    Lucas A, Fewtrell MS, Cole TJ. Fetal origins of adult disease-the hypothesis revisited. BMJ 1999; 319: 245–249.PubMedCrossRefGoogle Scholar
  7. 7.
    Rao S, Yajnik CS, Kanade A, et al. Intake of micronutrient-rich foods in rural Indian women mothers is associated with the size of their babies at birth: Pune Maternal Nutrition Study. J Nutr 2001; 131: 1217–1224.PubMedGoogle Scholar
  8. 8.
    Law CM, Egger P, Dada O, et al. Body size at birth and blood pressure among children in developing countries. Int J Epidemiol 2001; 30: 52–57.PubMedCrossRefGoogle Scholar
  9. 9.
    Lurbe E, Torro I, Rodriguez C, Alvarez V, Redon J. Birth weight influences blood pressure values and variability in children and adolescents. Hypertension 2001; 38: 389–393.PubMedCrossRefGoogle Scholar
  10. 10.
    Huxley RR, Shiell AW, Law CM. The role of size at birth and postnatal catch-up growth in determining systolic blood pressure: a systemic review of the literature. J Hypertens 2000; 18: 815–831.PubMedCrossRefGoogle Scholar
  11. 11.
    Singhal A, Cole TJ, Lucas A. Early nutrition in preterm infants and later blood pressure: two cohorts after randomised trials. Lancet 2001; 357: 413–419.PubMedCrossRefGoogle Scholar
  12. 12.
    Law CM, Shiell AW. Is blood pressure inversely related to birth weight? The strength of evidence from a systemic review of the literature. J Hypertens 1996; 14: 935–941.PubMedCrossRefGoogle Scholar
  13. 13.
    Seidam DS, Laor A, Gale R, Stevenson DK, Mashiach S, Danon YL. Birth weight, current body weight, and blood pressure in late adolescence BMJ 1991; 302: 1235–1237.CrossRefGoogle Scholar
  14. 14.
    Laor A, Stevenson DK, Shemer J, Gale R, Seidman DS. Size at birth, maternal nutritional status in pregnancy, and blood pressure at age 17: a population based analysis. BMJ 1997; 315: 449–453.PubMedCrossRefGoogle Scholar
  15. 15.
    Barker DJP, Osmond C, Simmonds SJ, Wield GA. The relation of small head circumference and thinness at birth to death from cardiovascular disease in adult life. BMJ 1993; 306: 422–426.PubMedCrossRefGoogle Scholar
  16. 16.
    Leon DA, Lithell HO, Vagero D, et al. Reduced fetal growth rate and increased risk of death from ischaemic heart disease: cohort study of 15000 Swedish men and women born 1915-1929. BMJ 1998; 317: 241–245.PubMedCrossRefGoogle Scholar
  17. 17.
    Whincup PH, Cook DG, Papacosta O. Do maternal and intrauterine factors influence blood pressure in childhood? Arch Dis Child 1992; 67: 1423–1429.PubMedCrossRefGoogle Scholar
  18. 18.
    Whincup P, Cook D, Papacosta O, Walker M. Birth weight and blood pressure: cross sectional and longitudinal relations in childhood. BMJ 1995, 311: 773–776.PubMedCrossRefGoogle Scholar
  19. 19.
    Johnston CCJ, Miller JZ, Slemenda CW, et al. Calcium supplementation and increases in bone mineral density in children. N Engl J Med 1992; 327: 82–87.PubMedCrossRefGoogle Scholar
  20. 20.
    von Kries R, Koletzko B, Sauerwald T, et al. Breast feeding and obesity: cross sectional study. BMJ 1999; 319: 147–150.CrossRefGoogle Scholar
  21. 21.
    Hoffman DJ, Sawaya AL, Verreschi I, Tucker KL, Roberts SB. Why are nutritionally stunted children at increased risk of obesity? Studies of metabolic rate and fat oxidation in shantytown children from Sao Paulo, Brazil. Am J Clin Nutr 2000; 72: 702–707.PubMedGoogle Scholar
  22. 22.
    Ravelli AC, van der Meulen JH, Osmond C, Barker DJ, Bleker OP. Infant feeding and adult glucose tolerance, lipid profile, blood pressure and obesity. Arch Dis Child 2000; 82: 248–252.PubMedCrossRefGoogle Scholar
  23. 23.
    Lucas A, Morley R, Cole TJ, Lister G, Leeson-Payne C. Breast milk and subsequent intelligence quotient in children born preterm. Lancet 1992; 339: 261–264.PubMedCrossRefGoogle Scholar
  24. 24.
    Anderson JW, Johnstone BM, Remley DT. Breast-feeding and cognitive development: a meta-analysis. Am J Clin Nutr 1999; 70: 525–535.PubMedGoogle Scholar
  25. 25.
    Hurtado EK, Claussen AH, Scott KG. Early childhood anemia and mild or moderate mental retardation. Am J Clin Nutr 1999; 69: 115–119.PubMedGoogle Scholar
  26. 26.
    Das UN. Can perinatal supplementation of long-cham polyunsaturated fatty acids prevent hypertension in adult life? Hypertension 2001; 38: e6–e8.PubMedCrossRefGoogle Scholar
  27. 27.
    Das UN. Nutritional factors in the pathobiology of human essential hypertension. Nutrition 2001; 17: 337–346.PubMedCrossRefGoogle Scholar
  28. 28.
    Chae CU, Lee RT, Rifai N, Ridker PM. Blood pressure and inflammation in apparently healthy men. Hypertension 2001; 38: 399–403.PubMedCrossRefGoogle Scholar
  29. 29.
    Fernandez-Real JM, Vayreda M, Richart C, et al. Circulating mterleukm-6 levels, blood pressure, and insulin sensitivity m apparently healthy men and women. J Clin Endocrinol Metab 2001; 86: 1154–1159.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Undurti N. Das
    • 1
  1. 1.EFA Sciences LLCNorwoodUSA

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