Document Detail


Blood pressure changes during pregnancy: impact of race, body mass index, and weight gain.
MedLine Citation:
PMID:  23059493     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the effect of race, body mass index (BMI), and weight gain on blood pressure in pregnancy and postpartum.
STUDY DESIGN: Secondary analysis of pregnant women aged 14 to 25 who received prenatal care at a university-affiliated public clinic in New Haven, Connecticut and delivered singleton term infants (n = 418). Longitudinal multivariate analysis was used to evaluate blood pressure trajectories from pregnancy through 12 weeks postpartum.
RESULTS: Obese and overweight women had significantly higher blood pressure readings as compared with women with normal BMI (all p < 0.05). African American women who had high pregnancy weight gain had the greatest increase in mean arterial and diastolic blood pressures in pregnancy and postpartum.
CONCLUSION: Blood pressure trajectories in pregnancy and postpartum are significantly affected by race, BMI, and weight gain. Given the young age of this cohort, targeted efforts must be made for postpartum weight reduction to reduce cardiovascular risk.
Authors:
Urania Magriples; Marcella H Boynton; Trace S Kershaw; Kathleen O Duffany; Sharon Schindler Rising; Jeannette R Ickovics
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-10-11
Journal Detail:
Title:  American journal of perinatology     Volume:  30     ISSN:  1098-8785     ISO Abbreviation:  Am J Perinatol     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-05-14     Completed Date:  2013-10-21     Revised Date:  2014-03-09    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  415-24     Citation Subset:  IM    
Copyright Information:
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans
Blood Pressure / physiology*
Body Mass Index
Continental Population Groups*
European Continental Ancestry Group
Female
Hispanic Americans
Humans
Hypertension / ethnology
Hypertension, Pregnancy-Induced / ethnology
Longitudinal Studies
Obesity / ethnology
Overweight / ethnology
Postpartum Period / ethnology*,  physiology
Pregnancy / ethnology*,  physiology
Pregnancy Complications / ethnology
Prospective Studies
Weight Gain / physiology*
Young Adult
Grant Support
ID/Acronym/Agency:
R01 MH/HD61175/HD/NICHD NIH HHS; R01 MH061175/MH/NIMH NIH HHS
Comments/Corrections
Erratum In:
Am J Perinatol. 2013 Feb;30(2):161
Note: Duffany, Kathleen O [added]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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