دورية أكاديمية
أعرض في EDS

Association between body mass index and chronic hypertension in patients with hypertension disorders of pregnancy one-year postpartum.

التفاصيل البيبلوغرافية
العنوان: Association between body mass index and chronic hypertension in patients with hypertension disorders of pregnancy one-year postpartum.
المؤلفون: Anguzu R; Division of Epidemiology and Social Sciences, Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address: ranguzu@mcw.edu., Livergood CM; Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, WI, USA., Hoppe KK; Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin-Madison School of Medicine and Public Health, WI, USA., Kulinski J; Department of Medicine, Division of Cardiology, Medical College of Wisconsin, Milwaukee, WI, USA; Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI, USA., Fitzgerald GD; Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, WI, USA., Palatnik A; Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, WI, USA; Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI, USA.
المصدر: Pregnancy hypertension [Pregnancy Hypertens] 2024 Mar; Vol. 35, pp. 32-36. Date of Electronic Publication: 2023 Dec 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101552483 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2210-7797 (Electronic) Linking ISSN: 22107789 NLM ISO Abbreviation: Pregnancy Hypertens Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amtserdam : Elsevier
مواضيع طبية MeSH: Pre-Eclampsia* , Hypertension, Pregnancy-Induced*, Pregnancy ; Female ; Humans ; Overweight ; Body Mass Index ; Retrospective Studies ; Obesity/complications ; Obesity/epidemiology ; Postpartum Period ; Risk Factors
مستخلص: Objectives: To determine the association between body mass index (BMI) and chronic hypertension (CHTN) one-year postpartum following pregnancies complicated by hypertensive disorders of pregnancy (HDP).
Study Design: A retrospective cohort study of patients with HDP (gestational hypertension or preeclampsia) in a single Midwestern academic center from 2014 to 2018. The primary outcome was CHTN at one-year postpartum, defined as systolic blood pressure ≥ 130 mmHg or diastolic blood pressure ≥ 80 mmHg or taking antihypertensive medication at one-year postpartum. The primary exposure variable was BMI at one-year postpartum, categorized as underweight (<18.5 kg/m 2 ), normal (18.5-24.9 kg/m 2 ), overweight (25-<30 kg/m 2 ), and obese (≥30 kg/m 2 ) and as continuous BMI variable. Descriptive statistics and adjusted logistic regression analysis were performed.
Results: Out of 596 patients with HDP included in this analysis, 275 (46.1 %) had CHTN one-year postpartum. Mean one-year postpartum BMI was 27.9 ± 5.2 kg/m 2 . Prevalence of CHTN at one-year postpartum was higher in obese (38.1 %) and overweight (30.0 %) groups compared to the normal weight group (29.9 %), p < 0.001. In multivariate logistic regression, obesity at one-year postpartum, compared to normal, was associated with 73 % higher likelihood of CHTN following HDP (adjusted OR 1.73, 95 % CI 1.06-2.84). With BMI as a continuous variable, each unit increase in BMI one-year postpartum was associated with 6 % higher likelihood of CHTN (adjusted OR 1.06, 95 % CI 1.02-1.15).
Conclusions: Obesity at one-year postpartum following HDP was associated with a higher risk of CHTN compared with normal BMI. Weight is a modifiable risk factor that should be targeted in postpartum interventions to reduce cardiovascular disease following HDP.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights reserved.)
References: Diabetes Care. 2016 Jan;39(1):65-74. (PMID: 26657945)
Semin Perinatol. 2013 Aug;37(4):280-7. (PMID: 23916027)
Am J Prev Med. 2009 Sep;37(3):173-80. (PMID: 19595557)
Matern Child Health J. 2015 Apr;19(4):840-9. (PMID: 25051907)
Hypertension. 2019 Jan;73(1):171-178. (PMID: 30571544)
Eur J Obstet Gynecol Reprod Biol. 2013 Sep;170(1):1-7. (PMID: 23746796)
Pregnancy Hypertens. 2019 Jan;15:1-6. (PMID: 30825904)
Curr Hypertens Rep. 2020 Nov 18;23(1):1. (PMID: 33210199)
MMWR Morb Mortal Wkly Rep. 2022 Apr 29;71(17):585-591. (PMID: 35482575)
Obstet Gynecol. 2020 Jun;135(6):e237-e260. (PMID: 32443079)
Am J Obstet Gynecol MFM. 2022 Jan;4(1):100517. (PMID: 34757235)
Ann Intern Med. 2018 Aug 21;169(4):224-232. (PMID: 29971437)
J Am Heart Assoc. 2018 Sep 4;7(17):e009382. (PMID: 30371154)
J Am Coll Cardiol. 2022 May 17;79(19):1901-1913. (PMID: 35550687)
Nutrients. 2014 Jul 23;6(7):2946-55. (PMID: 25057103)
J Reprod Med. 2012 Jan-Feb;57(1-2):35-8. (PMID: 22324265)
Obesity (Silver Spring). 2014 Sep;22(9):1989-96. (PMID: 25164259)
Hypertension. 2022 Feb;79(2):e21-e41. (PMID: 34905954)
Stroke. 2011 Sep;42(9):2564-70. (PMID: 21799174)
Am J Obstet Gynecol. 2004 May;190(5):1464-6. (PMID: 15167870)
J Clin Endocrinol Metab. 2018 Jul 1;103(7):2478-2487. (PMID: 29762737)
Am J Obstet Gynecol. 2014 Apr;210(4):338.e1-338.e8. (PMID: 24211478)
Am J Obstet Gynecol. 2017 Jul;217(1):37-41. (PMID: 28390671)
J Card Fail. 2017 May;23(5):370-378. (PMID: 28069474)
Am J Clin Nutr. 2012 Oct;96(4):698-705. (PMID: 22952179)
Obstet Gynecol. 2019 Jan;133(1):1. (PMID: 30575675)
Am J Obstet Gynecol. 2016 Aug;215(2):241.e1-8. (PMID: 26945604)
Hypertension. 2019 Jul;74(1):5-13. (PMID: 31055951)
J Perinatol. 2016 Dec;36(12):1079-1082. (PMID: 27583396)
Pregnancy Hypertens. 2017 Oct;10:177-181. (PMID: 29153674)
Lancet. 2016 Oct 8;388(10053):1775-1812. (PMID: 27733286)
Am J Obstet Gynecol. 2022 Feb;226(2S):S1211-S1221. (PMID: 35177218)
Obstet Gynecol. 2019 Nov;134(5):995-1001. (PMID: 31599846)
JAMA Netw Open. 2020 Dec 1;3(12):e2030815. (PMID: 33351087)
Best Pract Res Clin Obstet Gynaecol. 2011 Aug;25(4):391-403. (PMID: 21333604)
Hypertension. 2018 Jul;72(1):24-43. (PMID: 29899139)
Obstet Gynecol. 2013 Nov;122(5):1122-1131. (PMID: 24150027)
Circulation. 2015 Nov 3;132(18):1726-33. (PMID: 26416810)
J Womens Health (Larchmt). 2017 Jul;26(7):719-727. (PMID: 28338403)
Pregnancy Hypertens. 2020 Apr;20:14-18. (PMID: 32143061)
Eur J Obstet Gynecol Reprod Biol. 2015 Jan;184:103-7. (PMID: 25483991)
Am J Obstet Gynecol MFM. 2021 May;3(3):100317. (PMID: 33493701)
معلومات مُعتمدة: R01 HD108194 United States HD NICHD NIH HHS; R33 AT010680 United States AT NCCIH NIH HHS
فهرسة مساهمة: Keywords: Body mass index; Chronic hypertension; Hypertension disorders of pregnancy; Obesity; One-year postpartum
تواريخ الأحداث: Date Created: 20231222 Date Completed: 20240311 Latest Revision: 20240316
رمز التحديث: 20240316
مُعرف محوري في PubMed: PMC10939881
DOI: 10.1016/j.preghy.2023.12.003
PMID: 38134483
قاعدة البيانات: MEDLINE
الوصف
تدمد:2210-7797
DOI:10.1016/j.preghy.2023.12.003