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Stewart CP, Christian P, Schulze KJ, et al. Size at birth is associated with blood pressure but not insulin resistance in 6-8 year old children in rural Nepal. J Dev Orig Health Dis. 2010;1(2):114-22doi: 10.1017/S2040174410000103.
Stewart, C. P., Christian, P., Schulze, K. J., Shah, U. S., Subedi, G., LeClerq, S. C., & Khatry, S. K. (2010). Size at birth is associated with blood pressure but not insulin resistance in 6-8 year old children in rural Nepal. Journal of developmental origins of health and disease, 1(2), 114-22. https://doi.org/10.1017/S2040174410000103
Stewart, C P, et al. "Size at birth is associated with blood pressure but not insulin resistance in 6-8 year old children in rural Nepal." Journal of developmental origins of health and disease vol. 1,2 (2010): 114-22. doi: https://doi.org/10.1017/S2040174410000103
Stewart CP, Christian P, Schulze KJ, Shah US, Subedi G, LeClerq SC, Khatry SK. Size at birth is associated with blood pressure but not insulin resistance in 6-8 year old children in rural Nepal. J Dev Orig Health Dis. 2010 Apr;1(2):114-22. doi: 10.1017/S2040174410000103. PMID: 25143065.
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J Dev Orig Health Dis. 2010 Apr;1(2):114-22. doi: 10.1017/S2040174410000103.

Size at birth is associated with blood pressure but not insulin resistance in 6-8 year old children in rural Nepal.

Journal of developmental origins of health and disease

C P Stewart, P Christian, K J Schulze, U S Shah, G Subedi, S C LeClerq, S K Khatry

Affiliations

  1. 1Program in International and Community Nutrition, Department of Nutrition, University of California, One Shields Avenue, Davis, CA, USA.
  2. 2Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  3. 3The Nepal Nutrition Intervention Project-Sarlahi (NNIPS), Kathmandu, Nepal.

PMID: 25143065 DOI: 10.1017/S2040174410000103

Abstract

Earlier, we reported that antenatal micronutrient supplementation reduced the risk of metabolic syndrome and microalbuminuria among offspring at 6-8 years of age in rural Nepal. In the same birth cohort, we examined associations of size at birth (weight, length and ponderal index), and gestational age, with cardiometabolic risk factors in childhood across all antenatal micronutrient interventions. There was an inverse association between birth weight and systolic blood pressure (SBP, β = -1.20 mm Hg/kg; 95% confidence interval (CI): -1.93, -0.46) and diastolic blood pressure (DBP, β = -1.24 mm Hg/kg; 95% CI: -2.00, -0.49). Current child body mass index was positively associated with SBP but not with DBP. Birth weight was unassociated with insulin resistance, but each kilogram of increase was associated with a reduced risk of high triglycerides (odds ratio (OR) = 0.64/kg; 95% CI: 0.41, 0.97) and an increased risk of high waist circumference (OR = 3.16/kg; 95% CI: 2.47, 4.41). In this rural Nepalese population of children 6-8 years of age with a high prevalence of undernutrition, size at birth was inversely associated with blood pressure and triglycerides and positively associated with waist circumference.

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