High blood pressure in adults can be determined before birth

A ground-breaking new study using data from the Raine Study has revealed that the risk of high blood pressure in adults can have its origin before birth and that lifestyle and environmental factors during pregnancy can increase an unborn child’s risk of heart disease and stroke later in life.

Published in the Journal of Hypertension, the study is the first investigating the relationship between fetal growth patterns and blood pressure in adulthood using novel modelling techniques based on ultrasounds during pregnancy.

Lead author of the study, public health physician and PhD candidate Dr Ashish Yadav, said previous studies had used birth weight as a proxy for growth in the womb and reported an association between low birthweight and elevated blood pressure in adulthood.

“However, we used ultrasound measurements at different stages of pregnancy from the Raine Study, one of the largest prospective cohorts of pregnancy, childhood, adolescence and adulthood carried out in the world, which provide a better reflection of fetal growth,” Dr Yadav said.

“We found that babies whose head and abdominal growth during pregnancy is below average are at greater risk of hypertension during adulthood with their systolic blood pressure 3.5 mmHg higher.”

Dr Ashish

Image: Lead author of the study, Dr Ashish Yadav.

Dr Yadav said population studies had shown that a 3.5 mmHg higher blood pressure in adults corresponded to a 6-10 per cent higher risk of death due to heart disease and a 10 per cent higher risk of stroke.

“Our study provides new evidence that there are different patterns of fetal growth and that they play a critical role in predisposing the offspring to risk of future heart disease and stroke,” he said.

“We also identified several maternal factors that are important such as mothers’ weight, smoking and hypertension in pregnancy and pregnancy-related diabetes, which all influence growth of the unborn child.”

Dr Yadav said health interventions targeting risk factors could potentially reduce the possibility of future cardiovascular disease.

“Early identification of at-risk babies could encourage a more cautious approach towards lifestyle and health-risk management in later life,” he said.

The team plan to continue using data from the Raine Study to investigate the relationship between fetal growth and other cardiometabolic risk factors in adulthood including obesity, diabetes and cholesterol as they work towards further interventions to mitigate risks for future populations.

The Raine Study is one of the world’s leading longitudinal studies which has been tracking the growth and health progression of the same group of children since 1989.

/University Release. This material from the originating organization/author(s) may be of a point-in-time nature, edited for clarity, style and length. The views and opinions expressed are those of the author(s).View in full here.