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Systolic blood pressure and systolic hypertension in adolescence of atomic bomb survivors exposed in utero.

Systolic blood pressure and systolic hypertension in adolescence of atomic bomb survivors exposed in utero. Research Abstract Details 

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  • Systolic blood pressure and systolic hypertension in adolescence of atomic bomb survivors exposed in utero. Abstract Text:

    eiji nakashimaEiji Nakashima,masazumi akahoshiMasazumi Akahoshi,kazuo neriishiKazuo Neriishi,saeko fujiwaraSaeko Fujiwara,eiji nakashimaEiji Nakashima,masazumi akahoshiMasazumi Akahoshi,kazuo neriishiKazuo Neriishi,saeko fujiwaraSaeko Fujiwara,

    Annual medical examinations were conducted during adolescence for the in utero clinical study sample subjects exposed prenatally to the atomic bombs in Hiroshima and Nagasaki. Systolic blood pressure and several anthropometric measurements were recorded during these examinations. For 1014 persons exposed in utero, two types of longitudinal analyses were performed, for a total of 7029 observations (6.93 observations per subject) of systolic blood pressure (continuous data) and systolic hypertension (binary data) for persons aged 9 to 19 years. Body mass index (BMI) and/or body weight were considered in the analyses as potential confounders. For the measurements of systolic blood pressure, the common dose effect was 2.09 mmHg per Gy and was significant (P = 0.017). The dose by trimester interaction was suggestive (P = 0.060). A significant radiation dose effect was found in the second trimester (P = 0.001), with an estimated 4.17 mmHg per Gy, but in the first and third trimesters, radiation dose effects were not significant (P > 0.50). For prevalence of systolic hypertension, the radiation dose effect was significant (P = 0.009); the odds ratio at 1 Gy was 2.23 [95% confidence interval (CI): 1.23, 4.04], and the dose by trimester interaction was not significant (P = 0.778). The dose response of systolic hypertension had no dose threshold, with a threshold point estimate of 0 Gy (95% CI: <0.0, 1.1 Gy). The dose response for systolic blood pressure was most pronounced in the second trimester, the most active organogenesis period for the organs relevant to blood pressure.

    Systolic blood pressure and systolic hypertension in adolescence of atomic bomb survivors exposed in utero. Publishing Authors By Initials

    e nakashimaE Nakashima,m akahoshiM Akahoshi,k neriishiK Neriishi,s fujiwaraS Fujiwara,e nakashimaE Nakashima,m akahoshiM Akahoshi,k neriishiK Neriishi,s fujiwaraS Fujiwara,

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    Systolic blood pressure and systolic hypertension in adolescence of atomic bomb survivors exposed in utero. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Radiation research

    VOLUME: 168

    Page Numbers: 593-9

    Journal Abbreviation: Radiat. Res.

    ISSN: 0033-7587

    DAY: 1

    MONTH: Nov

    YEAR: 2007

    Systolic blood pressure and systolic hypertension in adolescence of atomic bomb survivors exposed in utero. Information

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    LANGUAGE: eng

    NlmUniqueID: 401245

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    AFFILIATION: Department of Statistics, Radiation Effects Research Foundation, Hiroshima 732-0815, Japan. nakasima@rerf.or.jp

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Radiat Res

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