HypertensionCohort study

Body mass index during childhood and puberty: associations with blood pressure and hypertension

Eur J Prev CardiolPublished

  • Cohort study
  • linked cohorts (body mass index (BMI) Epidemiology Study Gothenburg and SCAPIS)
  • mediation analysis

Authors' conclusion

These findings indicate that high blood pressure may originate in early life.

Study context

Population
Men and women with developmental BMI (Gothenburg) linked to midlife BP data (SCAPIS)
Participants
2,394 men
Exposure
Childhood BMI and pubertal BMI change vs midlife BP and hypertension
Outcome
SBP, DBP and hypertension
Follow-up
Midlife

Main finding

As reported in the abstract

Pubertal BMI change positively associated with SBP, DBP and hypertension in midlife, independent of childhood BMI, in men and women

P < 0.01

Childhood BMI positively associated with SBP and DBP in midlife, independent of pubertal BMI change, in men but not women

P < 0.01

Observational data: associations, not effects.

Further findings

Mediation by midlife BMI

Associations of pubertal BMI change with BP and hypertension largely mediated by midlife BMI

Original publication

Body mass index during childhood and puberty: associations with blood pressure and hypertension. Eur J Prev Cardiol. Published 25 June 2025. doi:10.1093/eurjpc/zwaf376

Summarised from the published abstract; every number is checked against it