The Association of Hypertensive Disorders of Pregnancy with Weight Gain over the Subsequent 21 Years: Findings from a Prospective Cohort Study

Callaway, Leonie K.; McIntyre, H. David; O’Callaghan, Michael; Williams, Gail M.; Najman, Jake M.; Lawlor, Debbie A.

doi:10.1093/aje/kwm099

Cited by 36 publications

(21 citation statements)

References 36 publications

(39 reference statements)

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“…This is in line with a recent report, showing that the increased BP and BMI in women with a history of preeclampsia or gestational hypertension can be largely explained by the prepregnancy BP and BMI values [24]. Moreover, those women are prone to even more weight gain during the decades that follow, when compared with women who had normotensive pregnancies [25]. In our study of less follow-up, weight gain from early pregnancy to the study measurement was present to a similar extent in all three groups.…”

Section: Discussionsupporting

confidence: 92%

Markers of cardiovascular disease risk after hypertension in pregnancy

Mangos

Spaan²,

Pirabhahar³

et al. 2012

Journal of Hypertension

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Section: Discussionsupporting

confidence: 92%

Markers of cardiovascular disease risk after hypertension in pregnancy

Mangos

Spaan²,

Pirabhahar³

et al. 2012

Journal of Hypertension

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“…We have previously found high correlations between self-reported weight and height and measured weight and height in this sample (r00.98) (Callaway et al 2007). Using the World Health Organization guideline (2000), four categories were defined for this variable: underweight (less than 18.5), normal weight (18.5 to less than 25), overweight (25 to less than 30), and obese (30 or more).…”

Section: Mental Health Factorsmentioning

confidence: 50%

Sleepless nights: the effect of socioeconomic status, physical activity, and lifestyle factors on sleep quality in a large cohort of Australian women

Soltani

Haytabakhsh

Najman

et al. 2012

Arch Womens Ment Health

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The aims of this study were to examine: (1) the association between sociodemographic and lifestyle factors and sleep quality in a population-based cohort of Australian women and (2) possible influence of reproductive status and mental and physical health factors on these associations. Data on 3,655 women (mean age = 46.6 years, range 34.3-67.4) were obtained from the Mater Hospital University of Queensland Study of Pregnancy for this cross-sectional study. Self-rated sleep quality was assessed using the Pittsburgh Sleep Quality Index. For the purpose of this study, two cutoff points (scores 5 and 10) were used to divide women into three categories: normal (65.2%), moderately poor (26.4%), and very poor sleep quality (8.5%). Other covariates were measured at 21-year follow-up as well. After adjusting for reproductive status, mental and physical health, there were significant associations between moderately poor sleep quality and education and between very poor sleep quality and unemployment, both measures of socioeconomic status. In addition, work-related exertion was associated with increased rates of moderately poor sleep quality, whereas those women undertaking moderate exercise were less likely to experience very poor sleep quality. Independent associations between sociodemographic factors and exercise with moderately poor and very poor sleep quality were identified. These findings demonstrate the dynamic nature of the association between exercise/exertion, socioeconomic status, and sleep quality and highlight the importance of taking these into consideration when dealing with issues of poor sleep quality in women.

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“…This has been discussed in previous papers. 16,17 At the time of this study, 'preeclampsia' was defined as a DBP over 90 mm Hg on at least two occasions beyond 20 weeks of gestation that were associated with proteinuria and/or excessive fluid retention (defined as generalized oedema that included the face and hands and excessive weight gain). Proteinuria was diagnosed if there was at least 2 þ of protein on dipstick testing (Albustix) on at least two occasions.…”

Section: Methodsmentioning

confidence: 99%

Does hypertensive disorder of pregnancy predict offspring blood pressure at 21 years? Evidence from a birth cohort study

et al. 2011

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Although few studies found that the offspring of women who experienced preeclampsia have higher blood pressure (BP) at childhood and adolescence, no study has observed whether this association exists for adult offspring. To examine whether maternal hypertensive disorder of pregnancy (HDP) predicts adult offspring BP. We followed a sub-sample of 2608 mother-offspring pairs for 21 years from an original cohort of 7223 singleton infants whose mothers gave birth in Brisbane, Australia between 1981 and 1983. HDP was defined as diastolic BP (DBP) over 90 mm Hg on at least two occasions beyond 20 weeks gestation associated with proteinuria and/or excessive fluid retention. Adult offspring's systolic BP (SBP) and DBP were measured at 21 years. Multivariable regressions were used to examine the independent associations of HDP with offspring BP. Unadjusted regression analysis showed that offspring of women who experienced HDP have 3.46 mm Hg greater SBP and 3.02 mm Hg greater DBP at 21 years. This association remained consistent after adjusting for potential confounding and mediating factors including offspring gender, age, percentile birth weight for gestation, placenta weight and body mass index (BMI) at 21 year, maternal age, education, racial origin, and smoking during pregnancy and their pre-pregnancy BMI. Findings of this study suggest that maternal HDP predicts adult offspring BP. Keywords: hypertensive disorder of pregnancy; offspring blood pressure; young adults IntroductionWomen who develop hypertensive disorder of pregnancy (HDP) or preeclampsia are at an increased risk for high blood pressure (BP) and cardiovascular diseases later in life. 1 Also, men and women born after preeclampsia in pregnancies are likely to trigger severe preeclampsia in their own (or their partner's) pregnancy. 2 Recently, it has been observed that children exposed to preeclampsia are at an increased risk of a variety of diseases including endocrine, nutritional and metabolic diseases. 3 A recent study by Kajantie et al. 4 using the Helsinki Birth Cohort Study found that preeclampsia was associated with increased risk of stroke and severe preeclampsia was associated with hypertension in an adult offspring 60-70 years after their birth. Several other studies also reported that the offspring of women who developed preeclampsia have higher BP in childhood 5-7 and adolescence. [8][9][10][11] A recent meta-analysis also found that offspring of women with preeclampsia had higher levels of BP as compared with offspring from uneventful pregnancies. 12 Most of the studies have reported findings in children and adolescents but not in adults. Some studies have not adjusted for potential confounding or mediating factors such as maternal pre-pregnancy body mass index (BMI) 10 and maternal smoking during pregnancy. 8,11 It is unclear whether the observed associations are spurious or confounded with these factors. Using a long follow-up of a birth cohort study, we have the capacity to examine whether this association between HDP and offspring BP remai...

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The Association of Hypertensive Disorders of Pregnancy with Weight Gain over the Subsequent 21 Years: Findings from a Prospective Cohort Study

Cited by 36 publications

References 36 publications

Markers of cardiovascular disease risk after hypertension in pregnancy

Markers of cardiovascular disease risk after hypertension in pregnancy

Sleepless nights: the effect of socioeconomic status, physical activity, and lifestyle factors on sleep quality in a large cohort of Australian women

Does hypertensive disorder of pregnancy predict offspring blood pressure at 21 years? Evidence from a birth cohort study

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