Body Mass Index, Weight Gain, and Hypertensive Disorders in Pregnancy

被引:18
作者
Masho, Saba W. [1 ,2 ,3 ]
Urban, Peter [1 ]
Cha, Susan [1 ]
Ramus, Ronald [2 ]
机构
[1] Virginia Commonwealth Univ, Sch Med, Dept Family Med & Populat Hlth, Richmond, VA USA
[2] Virginia Commonwealth Univ, Dept Obstet & Gynecol, Richmond, VA USA
[3] Virginia Commonwealth Univ, Inst Womens Hlth, Richmond, VA USA
关键词
blood pressure; body mass index; gestational weight gain; hypertensive disorders during pregnancy; hypertension; PRAMS; racial disparities; SELF-REPORTED HEIGHT; GESTATIONAL HYPERTENSION; RISK-FACTORS; PREECLAMPSIA; OUTCOMES; ASSOCIATION; VALIDITY; WOMEN;
D O I
10.1093/ajh/hpv184
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
This study examines the interrelationship between gestational weight gain, pre-pregnancy body mass index (BMI), race/ethnicity, and their association with hypertensive disorders during pregnancy (HDP). Data from the 2004-2011 national Pregnancy Risk Assessment Monitoring System (PRAMS) were analyzed. Women with singleton live births were included in the analysis (N = 270,131). Gestational weight gain was categorized reflecting the Institute of Medicine (IOM) weight gain recommendation (no gain/weight loss; a parts per thousand currency sign11, 12-14; 15-25; 26-35; a parts per thousand yen36 pounds). Pre-pregnancy BMI (underweight; normal; overweight; obese) and race/ethnicity (non-Hispanic (NH) White, NH-Black, Hispanic, and NH-other) were examined. Hypertensive disorders during pregnancy were dichotomized (HDP; no HDP). Data were stratified by BMI and race/ethnicity, and multiple logistic regression analysis was conducted to generate odds ratios and 95% confidence intervals (CIs). Compared to normal and overweight women who gained the IOM recommended weight, higher odds of HDP was observed in those who gained a parts per thousand yen36 pounds regardless of their race/ethnicity. Among obese NH-White (odds ratio (OR) = 1.29, 95% CI = 1.11, 1.50) and Hispanic women (OR = 1.64, 95% CI = 1.05, 2.54), the odds of HDP was higher among those who gained 25-35 pounds and those who gained a parts per thousand yen36 pounds (OR = 1.59, 95% CI = 1.37, 1.85) and (OR = 2.20, 95% CI = 1.41, 3.44), respectively. However, for NH-Black obese women, higher odds of HDP was observed among those who gained a parts per thousand yen36 pounds (OR = 1.34, 95% CI = 1.04, 1.73). Although there are some ethnic/racial variations, pregnant women who exceeded gestational weight gain recommendations are at increased risk of HDP. Health care providers should consider the interrelationship between pre-pregnancy gestational weight gain (GWG) and BMI when counseling patients regarding HDP.
引用
收藏
页码:763 / 771
页数:9
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