The influence of fetal growth restriction on cardiovascular health among adolescents in Brazil: a retrospective cohort study

Indian Pediatr. 2015 Feb;52(2):109-14. doi: 10.1007/s13312-015-0582-5.

Abstract

Objective: To investigate whether fetal growth restriction is associated with changes in cardiovascular risk factors later in life.

Design: A retrospective cohort study.

Setting: Tertiary-care hospital serving urban population from the Brazilian Northeast.

Participants/patients: 172 adolescents aged 10-20 years were evaluated for the effects of fetal growth restriction on anthropometric measurements, blood pressure, lipids and fasting glucose and flow-mediated brachial artery dilatation.

Intervention: The adolescents' birth weight and their gestational age at birth were used to identify fetal growth restriction according to the 10th percentile and divided between exposed (<10th percentile) and not exposed (≥10th percentile). The Student-t test or the Mann-Whitney test and chi-square were used. The significance level was considered to be 0.05.

Main outcome measure(s): Current Anthropometric, metabolic and endothelial measures of subjects.

Results: The majority of the current anthropometric, metabolic and endothelial measures did not differ between groups. The unexposed group had a higher hip circumference (89.1 cm) and higher total cholesterol (196.4mg/dL) than those exposed (85.4 cm, 136.9mg/dL, respectively) (P=0.04).

Conclusions: In the sample studied, no association was found between fetal growth restriction and changes in cardiovascular risk factors in adolescents.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anthropometry
  • Brazil / epidemiology
  • Cardiovascular Diseases / epidemiology*
  • Child
  • Cholesterol / blood
  • Female
  • Fetal Growth Retardation / epidemiology*
  • Gestational Age
  • Humans
  • Male
  • Retrospective Studies
  • Risk Factors
  • Young Adult

Substances

  • Cholesterol