Pre-pregnancy blood pressure and body mass index trajectories and incident hypertensive disorders of pregnancy

被引:10
|
作者
Lane-Cordova, Abbi D. [1 ,2 ]
Tedla, Yacob G. [3 ]
Carnethon, Mercedes R. [2 ]
Montag, Samantha E. [2 ]
Dude, Annie M. [4 ]
Rasmussen-Torvik, Laura J. [2 ]
机构
[1] Univ South Carolina, Arnold Sch Publ Hlth, Dept Exercise Sci, Columbia, SC USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Prevent Med, Chicago, IL 60611 USA
[3] Northwestern Univ, Feinberg Sch Med, Ctr Hlth Informat Partnership, Chicago, IL 60611 USA
[4] Northwestern Univ, Feinberg Sch Med, Dept Maternal Fetal Med, Chicago, IL 60611 USA
关键词
Blood pressure; Body mass index; Cardiovascular risk factors; Hypertensive disorders of pregnancy; Electronic health records; CARDIOVASCULAR-DISEASE; RISK; PREECLAMPSIA;
D O I
10.1016/j.preghy.2018.06.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
There are few studies examining patterns in body mass index (BMI) and blood pressure (BP) and subsequent hypertensive disorders of pregnancy (HDPs). We examined the association of BMI (n = 1342) or BP (n = 2266) trajectories in the 5 years preceding birth with HDPs using adjusted logistic regression. Compared to normal-weight BMI and low-normal BP groups, membership to the overweight BMI group (OR: 2.95, 95% CI: 1.57-5.53, p = 0.001) and higher-normal (OR: 2.74, 95% CI: 1.49-5.04, p = 0.001) and prehypertensive (OR: 7.27, 95% CI: 3.29-16.06, p < 0.001) BP groups were associated with higher odds of HDPs. Our data suggest maintaining normal-weight and low-normal BP in the years preceding pregnancy may help avoid HDPs.
引用
收藏
页码:138 / 140
页数:3
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