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Developmental origins of cardiovascular risk in Jamaican children: the Vulnerable Windows Cohort study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Boyne, Michael S. Osmond, Clive Fraser, Raphael A. Reid, Marvin Taylor-Bryan, Carolyn Soares-Wynter, Suzanne Forrester, Terrence E.
Spatial Coverage	Africa Jamaica
Description	Country affiliation: Jamaica Author Affiliation: Boyne MS ( Tropical Medicine Research Institute, University of the West Indies, Mona, Jamaica.)
Abstract	Both intra-uterine and early childhood development contribute to the risk of developing CVD in adult life. We therefore evaluated the maternal, placental, fetal, birth, infant and childhood determinants of cardiovascular risk in a cohort of Afro-Jamaican children. The Vulnerable Windows Cohort is a longitudinal survey of 569 mothers and their offspring recruited from the first trimester. The offspring's anthropometry was measured at birth, at 6 weeks, every 3 months to 1 year and then every 6 months. At mean age 11.5 years, fasting blood was sampled for glucose, insulin and lipids. Analyses were confined to 296 women and their offspring who had complete data. Waist circumference (WC) was related to maternal weight and BMI, placental weight and to the size of the offspring in utero, at birth and the rate of growth in childhood (P < 0.05). Total cholesterol, TAG and glucose concentrations were unrelated to maternal, placental, fetal, neonatal and childhood measurements. Fasting insulin and homeostasis model assessment of insulin resistance were related to maternal weight and BMI (P < 0.05), but not after adjusting for WC. HDL-cholesterol was inversely related to placental and birth weight, and inversely related to weight and BMI throughout childhood (P < 0.001), but not after adjusting for WC. Systolic blood pressure was directly related to maternal weight, child's height, weight and BMI (P < 0.05), but not after adjustment for WC. Systolic blood pressure and fasting glucose concentration were inversely related to birth weight in boys but directly associated in girls. We concluded that maternal anthropometry during pregnancy, fetal size, and childhood growth rate contribute to cardiovascular risk factors in childhood.
File Format	HTM / HTML
ISSN	00071145
Issue Number	7
Volume Number	104
e-ISSN	14752662
Journal	British Journal of Nutrition
Language	English
Publisher	Cambridge University Press (on behalf of The Nutrition Society)
Publisher Date	2010-10-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nutritional Discipline Sciences Birth Weight Body Weight Cardiovascular Diseases Etiology Cholesterol, Hdl Blood Fetal Development Growth Adult Africa Ethnology Blood Glucose Metabolism Blood Pressure Body Mass Index Child Female Humans Infant, Newborn Insulin Insulin Resistance Jamaica Male Organ Size Placenta Anatomy & Histology Pregnancy Risk Factors Sex Factors Waist Circumference Young Adult Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Medicine

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