Evidence map›Paper›PMID 26105032›Full record

ArticleBMJ open2015

Clinical cardiovascular risk during young adulthood in offspring of hypertensive pregnancies: insights from a 20-year prospective follow-up birth cohort.

Esther F Davis, Adam J Lewandowski, Christina Aye, Wilby Williamson, Henry Boardman, Rae-Chi Huang, Trevor A Mori, John Newnham, Lawrence J Beilin, Paul Leeson

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 6 pooled it
11.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 6 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
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  7. Trial
  8. The pathophysiology of pre-eclampsia.Nature reviews. Nephrology · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Tracking of blood pressure levels from childhood.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Review
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Esther F DavisOxford Cardiovascular Clinical Research Facility, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, Oxford, UK.
Adam J LewandowskiOxford Cardiovascular Clinical Research Facility, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, Oxford, UK.
Christina AyeOxford Cardiovascular Clinical Research Facility, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, Oxford, UK Nuffield Department of Obstetrics and Gynaecology, University of Oxford, Oxford, UK.
Wilby WilliamsonOxford Cardiovascular Clinical Research Facility, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, Oxford, UK.
Henry BoardmanOxford Cardiovascular Clinical Research Facility, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, Oxford, UK.
Rae-Chi HuangTelethon Kids Institute, Crawley, Western Australia, Australia.
Trevor A MoriSchool of Medicine and Pharmacology, Crawley, Western Australia, Australia.
John NewnhamSchool of Women's and Infants' Health, University of Western Australia, Crawley, Western Australia, Australia.
Lawrence J BeilinSchool of Medicine and Pharmacology, Crawley, Western Australia, Australia.
Paul LeesonOxford Cardiovascular Clinical Research Facility, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, Oxford, UK.
The Kids Research Institute Australia · AUUniversity of Oxford · GBUniversity of Western Australia · AU

Funding

British Heart Foundation FS/11/65/28865British Heart Foundation PG/13/58/30397
6 · The paper itself

Abstract

objectivesOffspring of hypertensive pregnancies have increased cardiovascular risk factors during childhood. We hypothesised that offspring of hypertensive pregnancies would demonstrate increased clinical levels of hypertension by young adult life, which would be proportional to the severity of the pregnancy complication.

designProspective birth cohort study

settingTertiary obstetric hospital.

participants2868 young adult offspring of women enrolled during pregnancy into the Western Australia Pregnancy Cohort (Raine) Study.

main outcome measuresCardiovascular risk, including incidence of hypertension and metabolic disease, in those born to hypertensive compared to normotensive pregnancies.

resultsYoung adult offspring of hypertensive pregnancies were 2.5 times (95% CI 1.32 to 4.56, p=0.004) more likely to have global lifetime risk (QRISK) scores above the 75th centile. Thirty per cent of 20 year olds with hypertensive blood pressures were born following a hypertensive pregnancy. Pre-eclampsia or hypertension resulting in preterm birth associated with a threefold (95% CI 1.3 to 7.0, p=0.01) greater risk of being hypertensive by age 20 years, with no differences in body mass index. Whereas pregnancy-induced hypertension associated with a smaller 3 ± 1 mm Hg blood pressure rise (p=0.001) and a twofold (95% CI 1.5 to 2.8, p=0.001) greater risk of being obese or overweight. Risk factor associations were consistent throughout early life and independent of other birth-factors.

conclusionsIncidence of offspring hypertension was significantly increased in those whose mothers had a more complicated pregnancy history, including preterm birth and pre-eclampsia.

Indexed as

AdultDisease SusceptibilityFemaleFollow-Up StudiesHumansHypertensionIncidenceInfant, NewbornMalePregnancyPregnancy Complications, CardiovascularPrenatal Exposure Delayed EffectsProspective StudiesRisk FactorsSeverity of Illness IndexWestern AustraliaEPIDEMIOLOGYPUBLIC HEALTH

Identifiers

PMID26105032
PMCPMC4480003
OpenAlexW2218215998

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.