OBJECTIVE: To examine the effects of stunting in early childhood on blood pressure in later childhood. DESIGN: A cohort study. SETTING: Kingston, Jamaica. SUBJECTS: Seven to eight year old children, 120 stunted (height for age <-2 s.d. of the NCHS references) and 224 non-stunted (height for age >-1 s.d. of the NCHS references) at age 9-24 months. METHODS: Stunted and non-stunted children were identified at age 9-24 months by house to-house survey of poor neighbourhoods in Kingston, Jamaica. Blood pressure and anthropometry were measured at age 7-8 y. Birth weight was obtained from hospital records (73%) or maternal recall. RESULTS: The stunted children remained shorter and thinner than the non-stunted ones. In multiple regression analysis adjusting for size and pulse rate, the stunted children had higher systolic blood pressure (P<0.05). Birth weight was not a significant predictor of systolic blood pressure. CONCLUSION: Stunting in early childhood may increase the risk of elevated systolic blood pressure in later life. SPONSORSHIP: Nutricia Research Foundation, The Netherlands and the Commonwealth Caribbean Medical Research Council.
OBJECTIVE: To examine the effects of stunting in early childhood on blood pressure in later childhood. DESIGN: A cohort study. SETTING: Kingston, Jamaica. SUBJECTS: Seven to eight year old children, 120 stunted (height for age <-2 s.d. of the NCHS references) and 224 non-stunted (height for age >-1 s.d. of the NCHS references) at age 9-24 months. METHODS: Stunted and non-stunted children were identified at age 9-24 months by house to-house survey of poor neighbourhoods in Kingston, Jamaica. Blood pressure and anthropometry were measured at age 7-8 y. Birth weight was obtained from hospital records (73%) or maternal recall. RESULTS: The stunted children remained shorter and thinner than the non-stunted ones. In multiple regression analysis adjusting for size and pulse rate, the stunted children had higher systolic blood pressure (P<0.05). Birth weight was not a significant predictor of systolic blood pressure. CONCLUSION: Stunting in early childhood may increase the risk of elevated systolic blood pressure in later life. SPONSORSHIP: Nutricia Research Foundation, The Netherlands and the Commonwealth Caribbean Medical Research Council.
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