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Familial Aggregation of Blood Pressure and the Heritability of Hypertension

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Pediatric Hypertension

Abstract

Within industrialized, high-income nations, it is evident that a pediatric obesity epidemic has taken place. Part of the transition to an increasing number of children and youth with obesity is elevated blood pressure (BP) (hypertension) during childhood and youth. Hypertension is a well-recognized risk factor for chronic kidney and cardiovascular diseases. Childhood hypertension, which is associated with adulthood hypertension and lifelong cardiovascular events, has been increasing over the past two decades. The tracking of BP from childhood to adulthood has led to a renewed focus on etiology, identification, prevention, diagnosis, and management. Within this emerging public health challenge, it is also acknowledged that genetic factors play an important role in a person’s propensity to develop hypertension. This chapter reviews the history and evolution of the field through the exploration of the familial aggregation of childhood BP. We will consider the genetic factors related to the familial aggregation of childhood BP as well as maternal factors, birth weight, obesity, health behavior influences, and socio-economic features. We conclude the chapter with a brief discussion of promising future research directions for assessing the genetic risk of BP in childhood.

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References

  • Amin RS, Carroll JL, Jeffries JL, Grone C, Bean JA, Chini B, Bokulic R, Daniels SR (2004) Twenty-four–hour ambulatory blood pressure in children with sleep-disordered breathing. Am J Respir Crit Care Med 169:950–956

    Article  PubMed  Google Scholar 

  • Bao W, Threefoot SA, Srinivasan SR, Berenson GS (1995) Essential hypertension predicted by tracking of elevated blood pressure from childhood to adulthood: the Bogalusa heart study. Am J Hypertens 8(7):657–665

    Article  CAS  PubMed  Google Scholar 

  • Berenson GS, Srinivasan SR, Bao W, Newman WP, Tracy RE, Wattigney WA (1998) Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. N Engl J Med 338(23):1650–1656

    Article  CAS  PubMed  Google Scholar 

  • Bonamy AK, Kallen K, Norman M (2012) High blood pressure in 2.5-year-old children born extremely preterm. Pediatrics 129(5):e1199–e1204

    Article  PubMed  Google Scholar 

  • Breton CV, Yao J, Millstein J et al (2016) Prenatal air pollution exposures, DNA methyl transferase genotypes, and associations with newborn LINE1 and Alu methylation and childhood blood pressure and carotid intima-media thickness in the Children’s health study. Environ Health Perspect 124:1905–1912

    Google Scholar 

  • Buendia JR, Bradlee ML, Daniels SR, Singer MR, Moore LL (2015) Longitudinal effects of dietary sodium and potassium on blood pressure in adolescent girls. JAMA Pediatr 169:560–568

    Article  PubMed  Google Scholar 

  • Chen X, Wang Y (2008) Tracking of blood pressure from childhood to adulthood: a systematic review and meta–regression analysis. Circulation 117(25):3171–3180

    Article  PubMed  PubMed Central  Google Scholar 

  • Clausson B, Lichtenstein P, Cnattingius S (2000) Genetic influence on birthweight and gestational length determined by studies in offspring of twins. BJOG 107(3):375–381

    Article  CAS  PubMed  Google Scholar 

  • de Las Fuentes L, Sung YJ, Noordam R, Winkler T, Feitosa MF, Schwander K, Bentley AR, Brown MR, Guo X, Manning A, Chasman DI (2021) Gene-educational attainment interactions in a multi-ancestry genome-wide meta-analysis identify novel blood pressure loci. Mol Psychiatry 26(6):2111–2125

    Article  PubMed  CAS  Google Scholar 

  • Din-Dzietham R, Liu Y, Bielo MV, Shamsa F (2007) High blood pressure trends in children and adolescents in national surveys, 1963–2002. Circulation 116(13):1488–1496

    Article  PubMed  Google Scholar 

  • Dubois L, Girard M, Girard A, Tremblay R, Boivin M, PĂ©russe D (2007) Genetic and environmental influences on body size in early childhood: a twin birth-cohort study. Twin Res Hum Genet 10(3):479–485

    Article  PubMed  Google Scholar 

  • Ehret GB, Munroe PB, Rice KM et al (2011) International consortium for blood pressure genome-wide association S. genetic variants in novel pathways influence blood pressure and cardiovascular disease risk. Nature 478(7367):103–109

    Article  CAS  PubMed  Google Scholar 

  • Evans A, Van Baal GC, McCarron P et al (2003) The genetics of coronary heart disease: the contribution of twin studies. Twin Res 6:432–441

    Article  PubMed  Google Scholar 

  • Fagard RH, Loos RJ, Beunen G, Derom C, Vlietinck R (2003) Influence of chorionicity on the heritability estimates of blood pressure: a study in twins. J Hypertens 21:1313–1318

    Article  CAS  PubMed  Google Scholar 

  • Falkner B, Lurbe E (2020) Primordial prevention of high blood pressure in childhood: an opportunity not to be missed. Hypertension 75(5):1142–1150

    Article  CAS  PubMed  Google Scholar 

  • Falkner B, Lurbe E, Schaefer F (2010) High blood pressure in children: clinical and health policy implications. J Clin Hypertens 12:261–276

    Article  Google Scholar 

  • Flynn J (2013) The changing face of pediatric hypertension in the era of the childhood obesity epidemic. Pediatr Nephrol 28(7):1059–1066

    Article  PubMed  Google Scholar 

  • Ge D, Su S, Zhu H et al (2009) Stress-induced sodium excretion: a new intermediate phenotype to study the early genetic etiology of hypertension? Hypertension 3(2):262–269

    Article  CAS  Google Scholar 

  • Geelhoed JJ, Fraser A, Tilling K et al (2010) Preeclampsia and gestational hypertension are associated with childhood blood pressure independently of family adiposity measures: the Avon longitudinal study of parents and children. Circulation 122:1192–1199

    Article  PubMed  PubMed Central  Google Scholar 

  • Hannon TS, Tu W, Watson SE, Jalou H, Chakravorty S, Arslanian SA (2014) Morning blood pressure is associated with sleep quality in obese adolescents. J Pediatr 164:313–317

    Article  PubMed  Google Scholar 

  • Havlik RJ, Garrison RJ, Feinleib M et al (1979) Blood pressure aggregation in families. Am J Epidemiol 110:304–312

    Article  CAS  PubMed  Google Scholar 

  • He D, Fu M, Miao S, Hotta K, Chandak GR, Xi B (2014) FTO gene variant and risk of hypertension: a metaanalysis of 57,464 hypertensive cases and 41,256 controls. Metabolism 63:633–639

    Article  CAS  PubMed  Google Scholar 

  • Högberg L, Cnattingius S, D’Onofrio BM, Lundholm C, Iliadou AN (2012) Effects of maternal smoking during pregnancy on offspring blood pressure in late adolescence. J Hypertens 30(4):693

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Horikoshi M, Beaumont RN, Day FR et al (2016) Genome-wide associations for birth weight and correlations with adult disease. Nature 538(7624):248–252

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Howe LD, Parmar PG, Paternoster L et al (2013) Genetic influences on trajectories of systolic blood pressure across childhood and adolescence. Circ Cardiovasc Genet 6:608–614

    Article  PubMed  PubMed Central  Google Scholar 

  • Hunt SC, Hasstedt SJ, Kuida H, Stults BM, Hopkins PN, Williams RR (1989) Genetic heritability and common environmental components of resting and stressed blood pressures, lipids, and body mass index in Utah pedigrees and twins. Am J Epidemiol 129:625–38.

    Google Scholar 

  • Iselius L, Morton NE, Rao DC (1983) Family resemblance for blood pressure. Hum Hered 33:277–286

    Article  CAS  PubMed  Google Scholar 

  • Juhola J, Oikonen M, Magnussen CG et al (2012) Childhood physical, environmental, and genetic predictors of adult hypertension: the cardiovascular risk in young Finns study. Circulation 126(4):402–409

    Article  PubMed  Google Scholar 

  • Kho M, Lee JE, Song Y-M et al (2013) Genetic and environmental influences on sodium intake determined by using half-day urine samples: the healthy twin study. Am J Clin Nutr 98(6):1410–1416

    Article  CAS  PubMed  Google Scholar 

  • Kupper N, Willemsen G, Riese H, Posthuma D, Boomsma DI, de Geus EJ (2005) Heritability of daytime ambulatory blood pressure in an extended twin design. Hypertension 45:80–85

    Article  CAS  PubMed  Google Scholar 

  • Kupper N, Ge D, Treiber FA, Snieder H (2006) Emergence of novel genetic effects on blood pressure and hemodynamics in adolescence: the Georgia cardiovascular twin study. Hypertension 47:948–954

    Article  CAS  PubMed  Google Scholar 

  • Lauer RM, Clarke WR (1989) Childhood risk factors for high adult blood pressure: the Muscatine study. Pediatrics 84(4):633–641

    Article  CAS  PubMed  Google Scholar 

  • Leyvraz M, Chatelan A, da Costa BR et al (2018) Sodium intake and blood pressure in children and adolescents: a systematic review and meta-analysis of experimental and observational studies. Int J Epidemiol 47:1796–1810

    Article  PubMed  Google Scholar 

  • Lurbe E, Cifkova R, Cruickshank JK et al (2009) Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension. J Hypertens 27(9):1719–1742

    Article  CAS  PubMed  Google Scholar 

  • Man T, Nolte IM, Jaju D et al (2020) Heritability and genetic correlations of obesity indices with ambulatory and office beat-to-beat blood pressure in the Oman Family study. J Hypertens 38(8):1474

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mook-Kanamori DO, van Beijsterveldt EM, Steegers EAP et al (2012) Heritability estimates of body size in fetal life and early childhood. PLoS One 7(7):e39901

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Muntner P, He J, Cutler JA, Wildman RP, Whelton PK (2004) Trends in blood pressure among children and adolescents. JAMA 291(17):2107–2113

    Article  CAS  PubMed  Google Scholar 

  • Navarro-Solera M, Carrasco-Luna J, Pin-Arboledas G, González-Carrascosa R, Soriano JM, Codoñer-Franch P (2015) Short sleep duration is related to emerging cardiovascular risk factors in obese children. J Pediatr Gastroenterol Nutr 61:571–576

    Article  PubMed  Google Scholar 

  • Nguyen S, Choi HK, Lustig RH, Hsu CY (2009) Sugar-sweetened beverages, serum uric acid, and blood pressure in adolescents. J Pediatr 154:807–813

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Oikonen M, Tikkanen E, Juhola J et al (2011) Genetic variants and blood pressure in a population-based cohort: the cardiovascular risk in Young Finns study. Hypertension 58(6):1079–1085

    Article  CAS  PubMed  Google Scholar 

  • Philips EM, Jaddoe VWV, Trasande L (2017) Effects of early exposure to phthalates and bisphenols on cardiometabolic outcomes in pregnancy and childhood. Reprod Toxicol 68:105–118

    Article  CAS  PubMed  Google Scholar 

  • RodrĂ­guez-ColĂłn SM, He F, Bixler EO et al (2015) Sleep variability and cardiac autonomic modulation in adolescents – Penn State Child Cohort (PSCC) study. Sleep Med 16:67–72

    Article  PubMed  Google Scholar 

  • Schieken RM, Mosteller M, Goble MM et al (1992) Multivariate genetic analysis of blood pressure and body size. The medical College of Virginia Twin Study. Circulation 86(6):1780–1788

    Article  CAS  PubMed  Google Scholar 

  • Snieder H, Harshfi eld GA, Dekkers JC, Treiber FA (2003) Heritability of resting hemodynamics in African and European American youth. Hypertension 41:1196–1201

    Article  CAS  PubMed  Google Scholar 

  • Song P, Zhang Y, Yu J, Zha M, Zhu Y, Rahimi K, Rudan I (2019) Global prevalence of hypertension in children: a systematic review and meta-analysis. JAMA pediatrics. 173(12):1154–63

    Google Scholar 

  • Tambs K, Moum T, Holmen J et al (1992) Genetic and environmental effects on blood pressure in a Norwegian sample. Genet Epidemiol 9:11–26

    Article  CAS  PubMed  Google Scholar 

  • Tan HC, Roberts J, Catov J, Krishnamurthy R, Shypailo R, Bacha F (2015) Mother’s prepregnancy BMI is an important determinant of adverse cardiometabolic risk in childhood. Pediatr Diabetes 16:419–426

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Trasande L, Malecha P, Attina TM (2016) Particulate matter exposure and preterm birth: estimates of U.S. attributable burden and economic costs. Environ Health Perspect 124:1913–1918

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vatten LJ, Romundstad PR, Holmen TL, Hsieh CC, Trichopoulos D, Stuver SO (2003) Intrauterine exposure to preeclampsia and adolescent blood pressure, body size, and age at menarche in female offspring. Obstet Gynecol 101:529–533

    PubMed  Google Scholar 

  • Verdecchia P (2000) Prognostic value of ambulatory blood pressure: current evidence and clinical implications. Hypertension 35:844–851

    Article  CAS  PubMed  Google Scholar 

  • Vinck WJ, Fagard RH, Loos R, Vlietinck R (2001) The impact of genetic and environmental influences on blood pressure variance across age-groups. J Hypertens 19:1007–1013

    Article  CAS  PubMed  Google Scholar 

  • Wang X, Snieder H (2013) Familial aggregation of blood pressure. In: Flynn JT et al (eds) Pediatric hypertension, clinical hypertension and vascular diseases. Springer, New York

    Google Scholar 

  • Wang X, Snieder H (2017) Assessing genetic risk of hypertension at an early age: future research directions. Expert Rev Cardiovasc Ther 15(11):809–812

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wang X, Ding X, Su S et al (2009) Genetic influences on daytime and night-time blood pressure: similarities and differences. J Hypertens 27(12):2358–2364

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wang X, Xu X, Su S, Snieder H (2015) Familial aggregation and childhood blood pressure. Curr Hypertens Rep 17(1):509

    Article  PubMed  PubMed Central  Google Scholar 

  • Whelton PK, He J, Appel LJ et al (2002) Primary prevention of hypertension: clinical and public health advisory from the National High Blood Pressure Education Program. JAMA 288:1882–1888

    Article  PubMed  Google Scholar 

  • Wolfenstetter A, Giacomo D, Simonetti GD, Pöschl J, Schaefer F, WĂĽhl D (2012) Altered cardiovascular rhythmicity in children born small for gestational age. Hypertension 60(3):865–870

    Article  CAS  PubMed  Google Scholar 

  • Wu T, Snieder H, Li L et al (2011) Genetic and environmental influences on blood pressure and body mass index in Han Chinese: a twin study. Hypertens Res 4(2):173–179

    Article  Google Scholar 

  • Xu X, Su S, Treiber FA et al (2015) Specific genetic influences on nighttime blood pressure. Am J Hypertens 28(4):440–443

    Article  PubMed  Google Scholar 

  • Xue T, Zhu T, Lin W, Talbott EO (2018) Association between hypertensive disorders in pregnancy and particulate matter in the contiguous United States, 1999–2004. Hypertension 72:77–84

    Article  CAS  PubMed  Google Scholar 

  • Zinner SH, Levy PS, Kass EH (1971) Familial aggregation of blood pressure in childhood. N Engl J Med 284(8):401–404

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Rahul Chanchlani .

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Kandasamy, S., Chanchlani, R. (2022). Familial Aggregation of Blood Pressure and the Heritability of Hypertension. In: Flynn, J.T., Ingelfinger, J.R., Brady, T. (eds) Pediatric Hypertension. Springer, Cham. https://doi.org/10.1007/978-3-319-31420-4_14-2

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  • DOI: https://doi.org/10.1007/978-3-319-31420-4_14-2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31420-4

  • Online ISBN: 978-3-319-31420-4

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Chapter history

  1. Latest

    Familial Aggregation of Blood Pressure and the Heritability of Hypertension
    Published:
    08 July 2022

    DOI: https://doi.org/10.1007/978-3-319-31420-4_14-2

  2. Original

    Heritability and Familial Aggregation of Blood Pressure
    Published:
    03 March 2017

    DOI: https://doi.org/10.1007/978-3-319-31420-4_14-1