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July 13, 2022HypertensionOpen Access

Males had faster rates of increase in SBP before puberty leading to 10.19 mm Hg (95% CI, 6.80-13.57) higher mean SBP at puberty, which remained similar at 24 years (mean difference, 11.43 mm Hg [95% CI, 7.22-15.63]).

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Why the study?

Sex differences in systolic blood pressure emerge during adolescence, but the role of puberty is not well understood.

Does puberty timing and sex influence systolic blood pressure trajectories from childhood to early adulthood?

Population

4062 participants in a contemporary birth cohort study

Comparison

SBP trajectories before and after puberty and by puberty timing in females vs males

Design

Prospective cohort study

Follow-up

From age 3 to 24 years

Authors

KOKate O’NeillJBJoshua A. BellGSGeorge Davey Smith

Discussion

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Overview

Puberty timing may shape sex-specific SBP trajectories; leaves open causal links to adult hypertension and need for prospective trials.

Structured PICO

Does puberty timing and sex influence systolic blood pressure trajectories from childhood to early adulthood?

P
Population
4,062 participants from a contemporary birth cohort study, followed from age 3 to 24 years.
I
Intervention
Puberty timing (age at peak height velocity) and sex
C
Comparator
Between sexes (males vs females) and different puberty timings
O
Outcome
Systolic blood pressure (SBP) trajectories before and after puberty and at age 24surrogate

The higher systolic blood pressure observed in males compared to females in early adulthood is largely accrued before puberty, suggesting interventions targeting puberty timing are unlikely to influence early adulthood SBP.

Cite This Study

O’Neill et al. (2022) studied this question.

synapsesocial.com/papers/6a73dc710375516f85f15fffhttps://doi.org/10.1161/hypertensionaha.121.18531
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Sex-specific trajectories of systolic and diastolic blood pressure in youth2017 · 7 citations
  2. 2Blood Pressure Levels in Adolescents: The Milan Study1986 · 4 citations
  3. 3Synchronization of Adolescent Blood Pressure and Pubertal Somatic Growth2009 · 38 citations
  4. 4Blood Pressure by Age in Childhood and Adolescence: A Review of 129 Surveys Worldwide1989 · 48 citations
  5. 5Changes in Anthropometric Characteristics and Blood Pressure During Adolescence2010 · 25 citations