Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FURG (RI FURG) |
Texto Completo: | http://repositorio.furg.br/handle/1/4067 |
Resumo: | Birth weight has been inversely associated with later blood pressure. Firstborns tend to have lower birth weight than their later-born peers, but the long-term consequences remain unclear. The study objective was to investigate differences between firstborn and later-born individuals in early growth patterns, body composition, and blood pressure in Brazilian adolescents. The authors studied 453 adolescents aged 13.3 years from the prospective 1993 Pelotas Birth Cohort. Anthropometry, blood pressure, physical activity by accelerometry, and body composition by deuterium were measured. Firstborns (n¼ 143) had significantly lower birth weight than later borns (n¼ 310). At 4 years, firstborns had significantly greater weight and height, indicating a substantial overshoot in catch-up growth. In adolescence, firstborns had significantly greater height and blood pressure and a lower activity level. The difference in systolic blood pressure could be attributed to variability in early growth and that in diastolic blood pressure to reduced physical activity. The magnitude of increased blood pressure is clinically significant; hence, birth order is an important developmental predictor of cardiovascular risk in this population. Firstborns may be more sensitive to environmental factors that promote catch-up growth, and this information could potentially be used in nutritional management to prevent catch-up ‘‘overshoot.’’ |
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Wells, JonathanHallal, Pedro Rodrigues CuriReichert, Felipe FossatiDumith, Samuel de CarvalhoMenezes, AnaVictora, Cesar Gomes2013-10-18T21:45:57Z2013-10-18T21:45:57Z2011WELLS, Jonathan et al. Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil. American Journal of Epidemiology, v. 174, p. 1-8, 2011. Disponível em: <http://aje.oxfordjournals.org/content/early/2011/09/22/aje.kwr232.full.pdf>. Acesso em: 08 out. 2012.http://repositorio.furg.br/handle/1/406710.1093/aje/kwr232Birth weight has been inversely associated with later blood pressure. Firstborns tend to have lower birth weight than their later-born peers, but the long-term consequences remain unclear. The study objective was to investigate differences between firstborn and later-born individuals in early growth patterns, body composition, and blood pressure in Brazilian adolescents. The authors studied 453 adolescents aged 13.3 years from the prospective 1993 Pelotas Birth Cohort. Anthropometry, blood pressure, physical activity by accelerometry, and body composition by deuterium were measured. Firstborns (n¼ 143) had significantly lower birth weight than later borns (n¼ 310). At 4 years, firstborns had significantly greater weight and height, indicating a substantial overshoot in catch-up growth. In adolescence, firstborns had significantly greater height and blood pressure and a lower activity level. The difference in systolic blood pressure could be attributed to variability in early growth and that in diastolic blood pressure to reduced physical activity. The magnitude of increased blood pressure is clinically significant; hence, birth order is an important developmental predictor of cardiovascular risk in this population. Firstborns may be more sensitive to environmental factors that promote catch-up growth, and this information could potentially be used in nutritional management to prevent catch-up ‘‘overshoot.’’engBirth orderBlood pressureBody compositionGrowthMotor activityAssociations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FURG (RI FURG)instname:Universidade Federal do Rio Grande (FURG)instacron:FURGORIGINALAssociations of Birth Order With Early Growth and Adolescent Height, Body Composition, and Blood Pressure Prospective Birth Cohort From Brazil.pdfAssociations of Birth Order With Early Growth and Adolescent Height, Body Composition, and Blood Pressure Prospective Birth Cohort From Brazil.pdfapplication/pdf150741https://repositorio.furg.br/bitstream/1/4067/1/Associations%20of%20Birth%20Order%20With%20Early%20Growth%20and%20Adolescent%20Height%2c%20Body%20Composition%2c%20and%20Blood%20Pressure%20Prospective%20Birth%20Cohort%20From%20Brazil.pdf59c4a62b9ec629ee098688e9a200d808MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-81678https://repositorio.furg.br/bitstream/1/4067/2/license.txtd3be63d3b3eee02729709361dac69efeMD52open access1/40672022-10-10 17:37:37.98open accessoai:repositorio.furg.br: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ório InstitucionalPUBhttps://repositorio.furg.br/oai/request || http://200.19.254.174/oai/requestopendoar:2022-10-10T20:37:37Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG)false |
dc.title.pt_BR.fl_str_mv |
Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil |
title |
Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil |
spellingShingle |
Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil Wells, Jonathan Birth order Blood pressure Body composition Growth Motor activity |
title_short |
Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil |
title_full |
Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil |
title_fullStr |
Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil |
title_full_unstemmed |
Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil |
title_sort |
Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil |
author |
Wells, Jonathan |
author_facet |
Wells, Jonathan Hallal, Pedro Rodrigues Curi Reichert, Felipe Fossati Dumith, Samuel de Carvalho Menezes, Ana Victora, Cesar Gomes |
author_role |
author |
author2 |
Hallal, Pedro Rodrigues Curi Reichert, Felipe Fossati Dumith, Samuel de Carvalho Menezes, Ana Victora, Cesar Gomes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Wells, Jonathan Hallal, Pedro Rodrigues Curi Reichert, Felipe Fossati Dumith, Samuel de Carvalho Menezes, Ana Victora, Cesar Gomes |
dc.subject.por.fl_str_mv |
Birth order Blood pressure Body composition Growth Motor activity |
topic |
Birth order Blood pressure Body composition Growth Motor activity |
description |
Birth weight has been inversely associated with later blood pressure. Firstborns tend to have lower birth weight than their later-born peers, but the long-term consequences remain unclear. The study objective was to investigate differences between firstborn and later-born individuals in early growth patterns, body composition, and blood pressure in Brazilian adolescents. The authors studied 453 adolescents aged 13.3 years from the prospective 1993 Pelotas Birth Cohort. Anthropometry, blood pressure, physical activity by accelerometry, and body composition by deuterium were measured. Firstborns (n¼ 143) had significantly lower birth weight than later borns (n¼ 310). At 4 years, firstborns had significantly greater weight and height, indicating a substantial overshoot in catch-up growth. In adolescence, firstborns had significantly greater height and blood pressure and a lower activity level. The difference in systolic blood pressure could be attributed to variability in early growth and that in diastolic blood pressure to reduced physical activity. The magnitude of increased blood pressure is clinically significant; hence, birth order is an important developmental predictor of cardiovascular risk in this population. Firstborns may be more sensitive to environmental factors that promote catch-up growth, and this information could potentially be used in nutritional management to prevent catch-up ‘‘overshoot.’’ |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011 |
dc.date.accessioned.fl_str_mv |
2013-10-18T21:45:57Z |
dc.date.available.fl_str_mv |
2013-10-18T21:45:57Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
WELLS, Jonathan et al. Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil. American Journal of Epidemiology, v. 174, p. 1-8, 2011. Disponível em: <http://aje.oxfordjournals.org/content/early/2011/09/22/aje.kwr232.full.pdf>. Acesso em: 08 out. 2012. |
dc.identifier.uri.fl_str_mv |
http://repositorio.furg.br/handle/1/4067 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.1093/aje/kwr232 |
identifier_str_mv |
WELLS, Jonathan et al. Associations of birth order with early growth and adolescent height, body composition, and blood pressure: prospective birth cohort from Brazil. American Journal of Epidemiology, v. 174, p. 1-8, 2011. Disponível em: <http://aje.oxfordjournals.org/content/early/2011/09/22/aje.kwr232.full.pdf>. Acesso em: 08 out. 2012. 10.1093/aje/kwr232 |
url |
http://repositorio.furg.br/handle/1/4067 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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openAccess |
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