{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T01:04:27Z","timestamp":1762391067775,"version":"3.37.3"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T00:00:00Z","timestamp":1659139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100001381","name":"Singapore National Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001381","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Translational and Clinical Research"},{"name":"Singapore Ministry of Health\u2019s National Medical Research Council","award":["NMRC\/TCR\/004-NUS\/2008","NMRC\/TCR\/012-NUHS\/2014"],"award-info":[{"award-number":["NMRC\/TCR\/004-NUS\/2008","NMRC\/TCR\/012-NUHS\/2014"]}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MC_UU_12011\/4"],"award-info":[{"award-number":["MC_UU_12011\/4"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["NF-SI-0515-10042"],"award-info":[{"award-number":["NF-SI-0515-10042"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022419","name":"NIHR Southampton Biomedical Research Centre","doi-asserted-by":"publisher","award":["IS-BRC-1215-20004"],"award-info":[{"award-number":["IS-BRC-1215-20004"]}],"id":[{"id":"10.13039\/501100022419","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","award":["RG\/15\/17\/3174"],"award-info":[{"award-number":["RG\/15\/17\/3174"]}],"id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MC_UU_00006\/2"],"award-info":[{"award-number":["MC_UU_00006\/2"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Early epidemiological studies have associated low birthweight with increased cardiovascular risk. We aimed to examine whether the fat and fat-free components of birthweight have differing relationships with childhood cardiovascular risk markers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort, air displacement plethysmography was conducted within 24\u2009h after delivery in 290 naturally conceived singletons. We investigated associations of newborn cohort-specific standardized z-score of fat mass, fat-free mass, body fat percentage and birthweight on child (at 6\u2009years of age) carotid intima-media thickness, pulse wave velocity, blood pressure, prehypertension\/hypertension (&amp;gt;110\/70\u2009mmHg) and standardized systolic and diastolic blood pressure (SBP and DBP) trajectories (at 3\u20136\u2009years of age), taking account of maternal education, height, tobacco exposure, parity, ethnicity, child\u2019s sex, gestational age, age at follow-up, and other maternal factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Clear inverse associations were seen for blood pressure with z-score of fat mass [SBP, \u03b2 (95% CI): \u22121.31\u2009mmHg (\u22122.57, \u22120.06); DBP: \u22120.79\u2009mmHg (\u22121.74, 0.15)] and body fat percentage [SBP: \u22121.46\u2009mmHg (\u22122.73, \u22120.19); DBP: \u22120.80\u2009mmHg (\u22121.75, 0.16)], but not with fat-free mass [SBP: 0.27\u2009mmHg (\u22121.29, 1.83)]; DBP: \u22120.14\u2009mmHg (\u22121.30, 1.03)]. Being in the lowest tertile of fat mass or body fat percentage was associated with higher blood pressure trajectories and prehypertension\/hypertension risk [OR (95% CI), fat mass: 4.23 (1.41, 12.68); body fat percentage: 3.22 (1.09, 9.53)] without concomitantly higher overweight\/obesity risk.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>At birth, low adiposity was associated with increased childhood blood pressure. Low newborn adiposity might serve as a marker of poor fetal growth or suboptimal intrauterine conditions associated with hypertension risk later in life.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ije\/dyac154","type":"journal-article","created":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T12:19:39Z","timestamp":1659183579000},"page":"1835-1846","source":"Crossref","is-referenced-by-count":6,"title":["Newborn body composition and child cardiovascular risk markers: a prospective multi-ethnic Asian cohort study"],"prefix":"10.1093","volume":"51","author":[{"given":"Yi Ying","family":"Ong","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mya-Thway","family":"Tint","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore , Singapore"},{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9239-7476","authenticated-orcid":false,"given":"Izzuddin M","family":"Aris","sequence":"additional","affiliation":[{"name":"Division of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute , Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7472-5042","authenticated-orcid":false,"given":"Wen Lun","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling-Wei","family":"Chen","sequence":"additional","affiliation":[{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"},{"name":"Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University , Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marielle V","family":"Fortier","sequence":"additional","affiliation":[{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"},{"name":"Department of Diagnostic and Interventional Imaging, KK Women's and Children's Hospital , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Choo","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, KK Women's and Children's Hospital , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lieng Hsi","family":"Ling","sequence":"additional","affiliation":[{"name":"Department of Cardiology, National University Heart Centre , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynette","family":"Shek","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore , Singapore"},{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"},{"name":"Department of Paediatrics, Khoo Teck Puat-National University Children\u2019s Medical Institute , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1945-0266","authenticated-orcid":false,"given":"Kok Hian","family":"Tan","sequence":"additional","affiliation":[{"name":"Academic Medicine Department, Duke-NUS Medical School , Singapore"},{"name":"Department of Maternal Fetal Medicine, KK Women's and Children's Hospital , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter D","family":"Gluckman","sequence":"additional","affiliation":[{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"},{"name":"Liggins Institute, University of Auckland , Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1083-7958","authenticated-orcid":false,"given":"Fabian","family":"Yap","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, KK Women's and Children's Hospital , Singapore"},{"name":"Academic Medicine Department, Duke-NUS Medical School , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7232-8473","authenticated-orcid":false,"given":"Yap-Seng","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore , Singapore"},{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith M","family":"Godfrey","sequence":"additional","affiliation":[{"name":"MRC Lifecourse Epidemiology Unit and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust , Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary F-F","family":"Chong","sequence":"additional","affiliation":[{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"},{"name":"Saw Swee Hock School of Public Health, National University of Singapore , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiao-Yng","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore , Singapore"},{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2516-2060","authenticated-orcid":false,"given":"Johan G","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore , Singapore"},{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"},{"name":"Department of General Practice and Primary Health Care, University of Helsinki , Helsinki, Finland"},{"name":"Public Health Research Program, Folkh\u00e4lsan Research Center , Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary E","family":"Wlodek","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore , Singapore"},{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emanuella","family":"De Lucia Rolfe","sequence":"additional","affiliation":[{"name":"Medical Research Council Epidemiology Unit, Institute of Metabolic Science, University of Cambridge , Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken K","family":"Ong","sequence":"additional","affiliation":[{"name":"Medical Research Council Epidemiology Unit, Institute of Metabolic Science, University of Cambridge , Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6170-2108","authenticated-orcid":false,"given":"Navin","family":"Michael","sequence":"additional","affiliation":[{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1253-0557","authenticated-orcid":false,"given":"Yung Seng","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore , Singapore"},{"name":"Singapore Institute for Clinical Science, Agency for Science, Technology, and Research , Singapore"},{"name":"Department of Paediatrics, Khoo Teck Puat-National University Children\u2019s Medical Institute , 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