Pre-Pregnancy BMI, Gestational Weight Gain, and the Risk of Hypertensive Disorders of Pregnancy: A Cohort Study in Wuhan, China
Hypertensive disorders of pregnancy (HDP) are major causes of maternal death worldwide and the risk factors are not fully understood. Few studies have investigated the risk factors for HDP among Chinese women. A cohort study involving 84,656 women was conducted to investigate pre-pregnancy BMI, tota...
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| creator | Zhou, Aifen Xiong, Chao Hu, Ronghua Zhang, Yiming Bassig, Bryan A Triche, Elizabeth Yang, Shaoping Qiu, Lin Zhang, Yaqi Yao, Cong Xu, Shunqing Wang, Youjie Xia, Wei Qian, Zhengmin Zheng, Tongzhang Zhang, Bin |
| description | Hypertensive disorders of pregnancy (HDP) are major causes of maternal death worldwide and the risk factors are not fully understood. Few studies have investigated the risk factors for HDP among Chinese women. A cohort study involving 84,656 women was conducted to investigate pre-pregnancy BMI, total gestational weight gain (GWG), and GWG during early pregnancy as risk factors for HDP among Chinese women.
The study was conducted between 2011-2013 in Wuhan, China, utilizing data from the Maternal and Children Healthcare Information Tracking System of Wuhan. A total of 84,656 women with a live singleton pregnancy were included. Multiple unconditional logistic regression was conducted to evaluate associations between putative risk factors and HDP.
Women who were overweight or obese before pregnancy had an elevated risk of developing HDP (overweight: OR = 2.66, 95% CI = 2.32-3.05; obese: OR = 5.53, 95% CI = 4.28-7.13) compared to their normal weight counterparts. Women with total GWG above the Institute of Medicine (IOM) recommendation had an adjusted OR of 1.72 (95% CI = 1.54-1.93) for HDP compared to women who had GWG within the IOM recommendation. Women with gestational BMI gain >10 kg/m2 during pregnancy had an adjusted OR of 3.35 (95% CI = 2.89-3.89) for HDP, compared to women with a gestational BMI gain 600g/wk: adjusted OR = 1.48, 95% CI = 1.19-1.84).
The results from this study show that maternal pre-pregnancy BMI, early GWG, and total GWG are positively associated with the risk of HDP. Weight control efforts before and during pregnancy may help to reduce the risk of HDP. |
| doi_str_mv | 10.1371/journal.pone.0136291 |
| format | Article |
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The study was conducted between 2011-2013 in Wuhan, China, utilizing data from the Maternal and Children Healthcare Information Tracking System of Wuhan. A total of 84,656 women with a live singleton pregnancy were included. Multiple unconditional logistic regression was conducted to evaluate associations between putative risk factors and HDP.
Women who were overweight or obese before pregnancy had an elevated risk of developing HDP (overweight: OR = 2.66, 95% CI = 2.32-3.05; obese: OR = 5.53, 95% CI = 4.28-7.13) compared to their normal weight counterparts. Women with total GWG above the Institute of Medicine (IOM) recommendation had an adjusted OR of 1.72 (95% CI = 1.54-1.93) for HDP compared to women who had GWG within the IOM recommendation. Women with gestational BMI gain >10 kg/m2 during pregnancy had an adjusted OR of 3.35 (95% CI = 2.89-3.89) for HDP, compared to women with a gestational BMI gain <5 kg/m2. The increased risk of HDP was also observed among women with higher early pregnancy (up to 18 weeks of pregnancy) GWG (>600g/wk: adjusted OR = 1.48, 95% CI = 1.19-1.84).
The results from this study show that maternal pre-pregnancy BMI, early GWG, and total GWG are positively associated with the risk of HDP. Weight control efforts before and during pregnancy may help to reduce the risk of HDP.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0136291</identifier><identifier>PMID: 26305565</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Blood Pressure ; Body mass ; Body Mass Index ; Body weight ; Children ; China - epidemiology ; Cohort analysis ; Cohort Studies ; Developing countries ; Disorders ; Edema ; Environmental health ; Epidemiology ; Female ; Gynecology ; Health care ; Health risk assessment ; Health sciences ; Humans ; Hypertension ; Hypertension, Pregnancy-Induced - diagnosis ; Hypertension, Pregnancy-Induced - epidemiology ; Hypertension, Pregnancy-Induced - etiology ; Hypotheses ; Industrialized nations ; Information systems ; Laboratories ; LDCs ; Maternal & child health ; Middle Aged ; Obesity ; Obstetrics ; Odds Ratio ; Overweight ; Pre-Eclampsia - diagnosis ; Pre-Eclampsia - epidemiology ; Pre-Eclampsia - etiology ; Preeclampsia ; Pregnancy ; Public health ; Public Health Surveillance ; Risk analysis ; Risk Factors ; Risk management ; Risk reduction ; Studies ; Tracking systems ; Weight Gain ; Weight reduction ; Womens health ; Young Adult</subject><ispartof>PloS one, 2015-08, Vol.10 (8), p.e0136291</ispartof><rights>2015 Zhou et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Zhou et al 2015 Zhou et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c592t-5d4977f94a7cb08151768a8937d48c39156d329f9787d5ffa9e53dae641e73ab3</citedby><cites>FETCH-LOGICAL-c592t-5d4977f94a7cb08151768a8937d48c39156d329f9787d5ffa9e53dae641e73ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548954/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548954/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23865,27923,27924,53790,53792,79371,79372</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26305565$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Rosenfeld, Cheryl S.</contributor><creatorcontrib>Zhou, Aifen</creatorcontrib><creatorcontrib>Xiong, Chao</creatorcontrib><creatorcontrib>Hu, Ronghua</creatorcontrib><creatorcontrib>Zhang, Yiming</creatorcontrib><creatorcontrib>Bassig, Bryan A</creatorcontrib><creatorcontrib>Triche, Elizabeth</creatorcontrib><creatorcontrib>Yang, Shaoping</creatorcontrib><creatorcontrib>Qiu, Lin</creatorcontrib><creatorcontrib>Zhang, Yaqi</creatorcontrib><creatorcontrib>Yao, Cong</creatorcontrib><creatorcontrib>Xu, Shunqing</creatorcontrib><creatorcontrib>Wang, Youjie</creatorcontrib><creatorcontrib>Xia, Wei</creatorcontrib><creatorcontrib>Qian, Zhengmin</creatorcontrib><creatorcontrib>Zheng, Tongzhang</creatorcontrib><creatorcontrib>Zhang, Bin</creatorcontrib><title>Pre-Pregnancy BMI, Gestational Weight Gain, and the Risk of Hypertensive Disorders of Pregnancy: A Cohort Study in Wuhan, China</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Hypertensive disorders of pregnancy (HDP) are major causes of maternal death worldwide and the risk factors are not fully understood. Few studies have investigated the risk factors for HDP among Chinese women. A cohort study involving 84,656 women was conducted to investigate pre-pregnancy BMI, total gestational weight gain (GWG), and GWG during early pregnancy as risk factors for HDP among Chinese women.
The study was conducted between 2011-2013 in Wuhan, China, utilizing data from the Maternal and Children Healthcare Information Tracking System of Wuhan. A total of 84,656 women with a live singleton pregnancy were included. Multiple unconditional logistic regression was conducted to evaluate associations between putative risk factors and HDP.
Women who were overweight or obese before pregnancy had an elevated risk of developing HDP (overweight: OR = 2.66, 95% CI = 2.32-3.05; obese: OR = 5.53, 95% CI = 4.28-7.13) compared to their normal weight counterparts. Women with total GWG above the Institute of Medicine (IOM) recommendation had an adjusted OR of 1.72 (95% CI = 1.54-1.93) for HDP compared to women who had GWG within the IOM recommendation. Women with gestational BMI gain >10 kg/m2 during pregnancy had an adjusted OR of 3.35 (95% CI = 2.89-3.89) for HDP, compared to women with a gestational BMI gain <5 kg/m2. The increased risk of HDP was also observed among women with higher early pregnancy (up to 18 weeks of pregnancy) GWG (>600g/wk: adjusted OR = 1.48, 95% CI = 1.19-1.84).
The results from this study show that maternal pre-pregnancy BMI, early GWG, and total GWG are positively associated with the risk of HDP. Weight control efforts before and during pregnancy may help to reduce the risk of HDP.</description><subject>Adult</subject><subject>Blood Pressure</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body weight</subject><subject>Children</subject><subject>China - epidemiology</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Developing countries</subject><subject>Disorders</subject><subject>Edema</subject><subject>Environmental health</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Gynecology</subject><subject>Health care</subject><subject>Health risk assessment</subject><subject>Health sciences</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension, Pregnancy-Induced - diagnosis</subject><subject>Hypertension, Pregnancy-Induced - epidemiology</subject><subject>Hypertension, Pregnancy-Induced - etiology</subject><subject>Hypotheses</subject><subject>Industrialized nations</subject><subject>Information systems</subject><subject>Laboratories</subject><subject>LDCs</subject><subject>Maternal & child health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obstetrics</subject><subject>Odds Ratio</subject><subject>Overweight</subject><subject>Pre-Eclampsia - diagnosis</subject><subject>Pre-Eclampsia - epidemiology</subject><subject>Pre-Eclampsia - etiology</subject><subject>Preeclampsia</subject><subject>Pregnancy</subject><subject>Public health</subject><subject>Public Health Surveillance</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Risk management</subject><subject>Risk reduction</subject><subject>Studies</subject><subject>Tracking systems</subject><subject>Weight Gain</subject><subject>Weight reduction</subject><subject>Womens health</subject><subject>Young 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Wei</au><au>Qian, Zhengmin</au><au>Zheng, Tongzhang</au><au>Zhang, Bin</au><au>Rosenfeld, Cheryl S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pre-Pregnancy BMI, Gestational Weight Gain, and the Risk of Hypertensive Disorders of Pregnancy: A Cohort Study in Wuhan, China</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-08-25</date><risdate>2015</risdate><volume>10</volume><issue>8</issue><spage>e0136291</spage><pages>e0136291-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Hypertensive disorders of pregnancy (HDP) are major causes of maternal death worldwide and the risk factors are not fully understood. Few studies have investigated the risk factors for HDP among Chinese women. A cohort study involving 84,656 women was conducted to investigate pre-pregnancy BMI, total gestational weight gain (GWG), and GWG during early pregnancy as risk factors for HDP among Chinese women.
The study was conducted between 2011-2013 in Wuhan, China, utilizing data from the Maternal and Children Healthcare Information Tracking System of Wuhan. A total of 84,656 women with a live singleton pregnancy were included. Multiple unconditional logistic regression was conducted to evaluate associations between putative risk factors and HDP.
Women who were overweight or obese before pregnancy had an elevated risk of developing HDP (overweight: OR = 2.66, 95% CI = 2.32-3.05; obese: OR = 5.53, 95% CI = 4.28-7.13) compared to their normal weight counterparts. Women with total GWG above the Institute of Medicine (IOM) recommendation had an adjusted OR of 1.72 (95% CI = 1.54-1.93) for HDP compared to women who had GWG within the IOM recommendation. Women with gestational BMI gain >10 kg/m2 during pregnancy had an adjusted OR of 3.35 (95% CI = 2.89-3.89) for HDP, compared to women with a gestational BMI gain <5 kg/m2. The increased risk of HDP was also observed among women with higher early pregnancy (up to 18 weeks of pregnancy) GWG (>600g/wk: adjusted OR = 1.48, 95% CI = 1.19-1.84).
The results from this study show that maternal pre-pregnancy BMI, early GWG, and total GWG are positively associated with the risk of HDP. Weight control efforts before and during pregnancy may help to reduce the risk of HDP.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26305565</pmid><doi>10.1371/journal.pone.0136291</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2015-08, Vol.10 (8), p.e0136291 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1708482563 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Blood Pressure Body mass Body Mass Index Body weight Children China - epidemiology Cohort analysis Cohort Studies Developing countries Disorders Edema Environmental health Epidemiology Female Gynecology Health care Health risk assessment Health sciences Humans Hypertension Hypertension, Pregnancy-Induced - diagnosis Hypertension, Pregnancy-Induced - epidemiology Hypertension, Pregnancy-Induced - etiology Hypotheses Industrialized nations Information systems Laboratories LDCs Maternal & child health Middle Aged Obesity Obstetrics Odds Ratio Overweight Pre-Eclampsia - diagnosis Pre-Eclampsia - epidemiology Pre-Eclampsia - etiology Preeclampsia Pregnancy Public health Public Health Surveillance Risk analysis Risk Factors Risk management Risk reduction Studies Tracking systems Weight Gain Weight reduction Womens health Young Adult |
| title | Pre-Pregnancy BMI, Gestational Weight Gain, and the Risk of Hypertensive Disorders of Pregnancy: A Cohort Study in Wuhan, China |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T14%3A03%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Pre-Pregnancy%20BMI,%20Gestational%20Weight%20Gain,%20and%20the%20Risk%20of%20Hypertensive%20Disorders%20of%20Pregnancy:%20A%20Cohort%20Study%20in%20Wuhan,%20China&rft.jtitle=PloS%20one&rft.au=Zhou,%20Aifen&rft.date=2015-08-25&rft.volume=10&rft.issue=8&rft.spage=e0136291&rft.pages=e0136291-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0136291&rft_dat=%3Cproquest_plos_%3E3793540121%3C/proquest_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1708482563&rft_id=info:pmid/26305565&rft_doaj_id=oai_doaj_org_article_02833ca52b544d40b26815b9c5c0f917&rfr_iscdi=true |