Beyond birth-weight: Early growth and adolescent blood pressure in a Peruvian population

Robie Sterling, William Checkley, Robert H. Gilman, Lilia Cabrera, Charles R. Sterling, Caryn Bern, J. Jaime Miranda

    Research output: Contribution to journalArticlepeer-review

    5 Scopus citations


    Background. Longitudinal investigations into the origins of adult essential hypertension have found elevated blood pressure in children to accurately track into adulthood, however the direct causes of essential hypertension in adolescence and adulthood remains unclear. Methods. We revisited 152 Peruvian adolescents from a birth cohort tracked from 0 to 30 months of age, and evaluated growth via monthly anthropometric measurements between 1995 and 1998, and obtained anthropometric and blood pressure measurements 11-14 years later. We used multivariable regression models to study the effects of infantile and childhood growth trends on blood pressure and central obesity in early adolescence. Results. In regression models adjusted for interim changes in weight and height, each 0.1 SD increase in weight for length from 0 to 5 months of age, and 1 SD increase from 6 to 30 months of age, was associated with decreased adolescent systolic blood pressure by 1.3 mm Hg (95% CI-2.4 to-0.1) and 2.5 mm Hg (95% CI-4.9 to 0.0), and decreased waist circumference by 0.6 (95% CI-1.1 to 0.0) and 1.2 cm (95% CI-2.3 to-0.1), respectively. Growth in infancy and early childhood was not significantly associated with adolescent waist-to-hip ratio. Conclusions. Rapid compensatory growth in early life has been posited to increase the risk of long-term cardiovascular morbidities such that nutritional interventions may do more harm than good. However, we found increased weight growth during infancy and early childhood to be associated with decreased systolic blood pressure and central adiposity in adolescence.

    Original languageEnglish (US)
    Article numbere381
    Issue number1
    StatePublished - 2014


    • Blood pressure
    • Child development
    • Cohort studies
    • Developmental origins
    • Growth and development
    • Hypertension
    • Lifecourse
    • Obesity
    • Peru

    ASJC Scopus subject areas

    • General Neuroscience
    • General Biochemistry, Genetics and Molecular Biology
    • General Agricultural and Biological Sciences


    Dive into the research topics of 'Beyond birth-weight: Early growth and adolescent blood pressure in a Peruvian population'. Together they form a unique fingerprint.

    Cite this