Association between Gestational Diabetes and Pregnancy-induced Hypertension

Bryson, Chris L.; Ioannou, George N.; Rulyak, Stephen J.; Critchlow, Cathy W.

doi:10.1093/aje/kwg273

Cited by 220 publications

(137 citation statements)

References 21 publications

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“…The same consistency has not been reported for gestational diabetes (17). Reanalysis of this association with both outcomes is relevant, since smoking may be linked to pathophysiologic processes for both disorders (5,18,19).…”

Section: Introductionmentioning

confidence: 52%

“…Pre-eclampsia has been frequently reported as a complication of gestational diabetes (4) but the relationship between these two conditions is not well understood. Several studies suggest underlying common pathophysiology, including insulin resistance, chronic inflammation and endothelial dysfunction (5)(6)(7)(8)(9). Common risk factors, such as elevated body mass index and advanced age have been noted for each of the two conditions (10.11).…”

Section: Introductionmentioning

confidence: 99%

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Gestational diabetes and pre-eclampsia: common antecedents?

Wendland

Duncan

Belizán

et al. 2008

Arq Bras Endocrinol Metab

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Objetivo: Avaliar a concordância do padrão de fatores de risco de mulheres que desenvolvem diabetes gestacional e pré-eclâmpsia. Métodos: Estudo de coorte prospectivo em clínicas de atendimento pré-natal do Sistema Único de Saúde de seis capitais do Brasil, 4.766 mulheres grávidas de 20 a 48 anos de idade foram arroladas de maneira consecutiva entre a 20º e 28º semanas de gestação. O hábito de fumar e os fatores de risco tradicionais para pré-eclâmp-sia e diabetes gestacional foram obtidos por entrevista no arrolamento. diabetes gestacional foi diagnosticada usando um teste oral de tolerância a glicose com 75 g e pré-eclâmpsia por meio de revisão de prontuário. Resultados: diabetes gestacional e pré-eclâmpsia são associadas com idade (rc 2,07; 95% Ic 1,65-2,23 e rc 1,55; 95% Ic 1,08-2,23, respectivamente), índice de massa corporal pré-gestacional (rc 1,62; 95% Ic 1,40-3,53 e rc 1,83; 95% Ic 1,52-4,80, respectivamente) e ganho de peso precocemente durante a gestação (rc 1,28; 95% Ic 1,12-1,47 e rc 1,27; 95% Ic 1,06-1,52, respectivamente).

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Section: Introductionmentioning

confidence: 52%

Section: Introductionmentioning

confidence: 99%

Gestational diabetes and pre-eclampsia: common antecedents?

Wendland

Duncan

Belizán

et al. 2008

Arq Bras Endocrinol Metab

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“…42 After including diabetes status in the final models in the present study, the association of HDP with CAC presence and extent provided similar inferences as before, although the odds ratio estimates were slightly attenuated. HDP is associated with gestational diabetes, 43 and gestational diabetes is a risk factor for future development of diabetes. 44 We have no information on history of gestational diabetes in the ECAC Study; thus, we cannot determine if this attenuation of effect is due to HDP additionally capturing some women with gestational diabetes.…”

Section: Discussionmentioning

confidence: 99%

Hypertension during Pregnancy is Associated with Coronary Artery Calcium Independent of Renal Function

Cassidy‐Bushrow

Bielak

Rule

et al. 2009

Journal of Women's Health

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Background: Hypertension during pregnancy (HDP) increases the risk of future coronary heart disease (CHD), but it is unknown whether this association is mediated by renal injury. Reduced renal function is both a complication of HDP and a risk factor for CHD. Methods: Logistic regression models were fit to examine the association between a history of HDP and the presence and extent of coronary artery calcification (CAC), a measure of subclinical coronary artery atherosclerosis, in 498 women from the Epidemiology of Coronary Artery Calcification Study (mean age 63.3 AE 9.3 years). Results: Fifty-two (10.4%) women reported a history of HDP. After adjusting for age at time of study participation, HDP was associated with increased serum creatinine later in life ( p ¼ 0.014). HDP was positively associated with the presence of CAC after adjusting for age at time of study participation (OR ¼ 2.7, 95% CI 1.4-5.4). This association was slightly attenuated with adjustment for body size and blood pressure (OR ¼ 2.4, 95% CI 1.2-4.9) but was not further attenuated with adjustment for serum creatinine and urinary albumin=creatinine ratio (OR ¼ 2.6, 95% CI 1.3-5.3). Results were similar for CAC extent. Conclusions: HDP may increase a woman's risk of future CHD beyond traditional risk factors and renal function. Women with a history of HDP should be monitored for potential increased risk of CHD as they age.

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“…1 GDM affects approximately 7-14% of all pregnant women 2 and is associated with multiple obstetric and neonatal complications, including cesarean delivery (CD), 3 preeclampsia, 4 preterm delivery (PTD), 5 fetal macrosomia, 6 shoulder dystocia, 7 neonatal jaundice, 8 and neonatal hypoglycemia. 9 The incidence of GDM has increased dramatically in the past decade in all racial/ethnic groups.…”

Section: Introductionmentioning

confidence: 99%

244: The effect of race/ethnicity on adverse perinatal outcomes among patients with gestational diabetes

Nguyen

Cheng

Snowden

et al. 2012

American Journal of Obstetrics and Gynecology

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OBJECTIVE-To determine racial/ethnic differences in perinatal outcomes among women with gestational diabetes mellitus (GDM). CONCLUSION-Perinatal outcomes among women with GDM differ by race/ethnicity and may be attributed to inherent sociocultural differences that may impact glycemic control, the development of chronic co-morbidities, genetic variability, and variation in access to as well as quantity and quality of prenatal care. STUDY DESIGN-Retrospective

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Association between Gestational Diabetes and Pregnancy-induced Hypertension

Cited by 220 publications

References 21 publications

Gestational diabetes and pre-eclampsia: common antecedents?

Gestational diabetes and pre-eclampsia: common antecedents?

Hypertension during Pregnancy is Associated with Coronary Artery Calcium Independent of Renal Function

244: The effect of race/ethnicity on adverse perinatal outcomes among patients with gestational diabetes

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