HypertensionMeta-analysis

Genetic determinants of childhood blood pressure and heart rate in relation to adult health outcomes: the consortium of childhood blood pressure

Eur Heart JPublished

  • Genome-wide association study meta-analysis
  • polygenic risk score analyses
  • phenome-wide association study

Authors' conclusion

These findings advance the understanding of the genetic architecture of childhood BP and HR and provide compelling genetic evidence linking childhood BP to a broad spectrum of adult health outcomes-particularly cardiometabolic conditions

Study context

Population
Children of European ancestry aged 4–17 years; follow-up in independent cohorts of diverse ancestries and the UK BiobankHR n = 22,565
Participants
28,425 children
Outcome
Genetic loci for childhood SBP, DBP, pulse pressure, mean arterial pressure and HR

Pooled result

As reported in the abstract

Genome-wide significant loci for childhood blood pressure (BP) (KIAA2013, CACNB2, PLCE1, PAX2, COL4A2, RP11-236L14.1, CFDP1, TPX2)

8

Loci for childhood HR (CCDC141, ACHE, MYH6); all novel in children, previously reported in adults

3

Further pooled results

Variance explained by childhood polygenic risk score (PRSs) (European ancestry)

BP variance, up to
1.6%
HR variance, up to
5.2%

Genetic correlation, childhood vs adult BP traits

Moderate (rg), suggesting age-specific genetic effects
0.4-0.7

Childhood BP PRS and adult outcomes (UK Biobank)

Higher PRS significantly associated with broad range of adult outcomes, particularly hypertension, angina, MI and CVD-related mortality

Original publication

Genetic determinants of childhood blood pressure and heart rate in relation to adult health outcomes: the consortium of childhood blood pressure. Eur Heart J. Published 27 April 2026. doi:10.1093/eurheartj/ehag313

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