Smoking and blood pressure patterns in normotensive pregnant women
This paper examines the relationship between smoking levels and blood pressure patterns of normotensive pregnant women in a prospective cohort of 2193 primiparous and 3176 multiparous, normotensive, Caucasian women selected from the Child Health and Development Studies in Oakland, California, 1959–6...
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Veröffentlicht in: | Paediatric and perinatal epidemiology 1999-01, Vol.13 (1), p.22-34 |
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description | This paper examines the relationship between smoking levels and blood pressure patterns of normotensive pregnant women in a prospective cohort of 2193 primiparous and 3176 multiparous, normotensive, Caucasian women selected from the Child Health and Development Studies in Oakland, California, 1959–67. Regression lines were fitted to each woman’s blood pressure; mean intercept and slope estimates of the individual regressions were used to create summary profile lines for each smoking dose. Multivariable regression analysis controlled for maternal age, number of visits to the doctor after 20 weeks’ gestation, body mass index and maternal education level. Overall, smokers had lower average diastolic blood pressure (smokers vs. nonsmokers adjusted mean: primiparas, 66.1 vs. 67.2 mmHg; and multiparas, 64.0 vs. 64.7 mmHg) but higher systolic blood pressure (smokers vs. nonsmokers adjusted mean: primiparas, 117.0 vs. 116.0; and multiparas, 112.5 vs. 110.0) than nonsmokers among primiparous and multiparous pregnant women after adjusting for potential confounders. However, these differences are small and there was no clear dose–response relationship between smoking level and blood pressure. |
doi_str_mv | 10.1046/j.1365-3016.1999.00152.x |
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Regression lines were fitted to each woman’s blood pressure; mean intercept and slope estimates of the individual regressions were used to create summary profile lines for each smoking dose. Multivariable regression analysis controlled for maternal age, number of visits to the doctor after 20 weeks’ gestation, body mass index and maternal education level. Overall, smokers had lower average diastolic blood pressure (smokers vs. nonsmokers adjusted mean: primiparas, 66.1 vs. 67.2 mmHg; and multiparas, 64.0 vs. 64.7 mmHg) but higher systolic blood pressure (smokers vs. nonsmokers adjusted mean: primiparas, 117.0 vs. 116.0; and multiparas, 112.5 vs. 110.0) than nonsmokers among primiparous and multiparous pregnant women after adjusting for potential confounders. However, these differences are small and there was no clear dose–response relationship between smoking level and blood pressure.</description><identifier>ISSN: 0269-5022</identifier><identifier>EISSN: 1365-3016</identifier><identifier>DOI: 10.1046/j.1365-3016.1999.00152.x</identifier><identifier>PMID: 9987783</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult ; Blood Pressure - physiology ; California - epidemiology ; Case-Control Studies ; Diastole - physiology ; Female ; Humans ; Least-Squares Analysis ; Multivariate Analysis ; Pregnancy - physiology ; Smoking - epidemiology ; Systole - physiology</subject><ispartof>Paediatric and perinatal epidemiology, 1999-01, Vol.13 (1), p.22-34</ispartof><rights>Blackwell Science Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4012-3454dcccac8c50486021ced497d60cda648c436b234f4d26296f66f9b72562573</citedby><cites>FETCH-LOGICAL-c4012-3454dcccac8c50486021ced497d60cda648c436b234f4d26296f66f9b72562573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-3016.1999.00152.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-3016.1999.00152.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9987783$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matkin, C C</creatorcontrib><creatorcontrib>Britton, J</creatorcontrib><creatorcontrib>Samuels, S</creatorcontrib><creatorcontrib>Eskenazi, B</creatorcontrib><title>Smoking and blood pressure patterns in normotensive pregnant women</title><title>Paediatric and perinatal epidemiology</title><addtitle>Paediatr Perinat Epidemiol</addtitle><description>This paper examines the relationship between smoking levels and blood pressure patterns of normotensive pregnant women in a prospective cohort of 2193 primiparous and 3176 multiparous, normotensive, Caucasian women selected from the Child Health and Development Studies in Oakland, California, 1959–67. Regression lines were fitted to each woman’s blood pressure; mean intercept and slope estimates of the individual regressions were used to create summary profile lines for each smoking dose. Multivariable regression analysis controlled for maternal age, number of visits to the doctor after 20 weeks’ gestation, body mass index and maternal education level. Overall, smokers had lower average diastolic blood pressure (smokers vs. nonsmokers adjusted mean: primiparas, 66.1 vs. 67.2 mmHg; and multiparas, 64.0 vs. 64.7 mmHg) but higher systolic blood pressure (smokers vs. nonsmokers adjusted mean: primiparas, 117.0 vs. 116.0; and multiparas, 112.5 vs. 110.0) than nonsmokers among primiparous and multiparous pregnant women after adjusting for potential confounders. However, these differences are small and there was no clear dose–response relationship between smoking level and blood pressure.</description><subject>Adult</subject><subject>Blood Pressure - physiology</subject><subject>California - epidemiology</subject><subject>Case-Control Studies</subject><subject>Diastole - physiology</subject><subject>Female</subject><subject>Humans</subject><subject>Least-Squares Analysis</subject><subject>Multivariate Analysis</subject><subject>Pregnancy - physiology</subject><subject>Smoking - epidemiology</subject><subject>Systole - physiology</subject><issn>0269-5022</issn><issn>1365-3016</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtKAzEUhoMoWquPIMzK3Yy5ZwJuvNQLSK2oCG5CmsmUaWeSmkxtfXs7tnTt6hz4_-8c-ABIEMwQpPximiHCWUog4hmSUmYQIoaz1R7o7YJ90IOYy5RBjI_AcYxTCCFnEh-CQylzIXLSA9evjZ9VbpJoVyTj2vsimQcb4yLYZK7b1gYXk8olzofGt9bF6tt2jYnTrk2WvrHuBByUuo72dDv74P1u8HbzkD493z_eXD2lhkKEU0IZLYwx2uSGQZpziJGxBZWi4NAUmtPcUMLHmNCSFphjyUvOSzkWmHHMBOmD883defBfCxtb1VTR2LrWzvpFVFwygXLSFfNN0QQfY7Clmoeq0eFHIag6fWqqOkuqs6Q6fepPn1qt0bPtj8W4scUO3Ppa55ebfFnV9uffd9VoNFgvazzd4FVs7WqH6zBTXBDB1MfwXsHhSNCX21x9kl9U9Izg</recordid><startdate>199901</startdate><enddate>199901</enddate><creator>Matkin, C C</creator><creator>Britton, J</creator><creator>Samuels, S</creator><creator>Eskenazi, B</creator><general>Blackwell Science Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199901</creationdate><title>Smoking and blood pressure patterns in normotensive pregnant women</title><author>Matkin, C C ; Britton, J ; Samuels, S ; Eskenazi, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4012-3454dcccac8c50486021ced497d60cda648c436b234f4d26296f66f9b72562573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Blood Pressure - physiology</topic><topic>California - epidemiology</topic><topic>Case-Control Studies</topic><topic>Diastole - physiology</topic><topic>Female</topic><topic>Humans</topic><topic>Least-Squares Analysis</topic><topic>Multivariate Analysis</topic><topic>Pregnancy - physiology</topic><topic>Smoking - epidemiology</topic><topic>Systole - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matkin, C C</creatorcontrib><creatorcontrib>Britton, J</creatorcontrib><creatorcontrib>Samuels, S</creatorcontrib><creatorcontrib>Eskenazi, B</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Paediatric and perinatal epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matkin, C C</au><au>Britton, J</au><au>Samuels, S</au><au>Eskenazi, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Smoking and blood pressure patterns in normotensive pregnant women</atitle><jtitle>Paediatric and perinatal epidemiology</jtitle><addtitle>Paediatr Perinat Epidemiol</addtitle><date>1999-01</date><risdate>1999</risdate><volume>13</volume><issue>1</issue><spage>22</spage><epage>34</epage><pages>22-34</pages><issn>0269-5022</issn><eissn>1365-3016</eissn><abstract>This paper examines the relationship between smoking levels and blood pressure patterns of normotensive pregnant women in a prospective cohort of 2193 primiparous and 3176 multiparous, normotensive, Caucasian women selected from the Child Health and Development Studies in Oakland, California, 1959–67. Regression lines were fitted to each woman’s blood pressure; mean intercept and slope estimates of the individual regressions were used to create summary profile lines for each smoking dose. Multivariable regression analysis controlled for maternal age, number of visits to the doctor after 20 weeks’ gestation, body mass index and maternal education level. Overall, smokers had lower average diastolic blood pressure (smokers vs. nonsmokers adjusted mean: primiparas, 66.1 vs. 67.2 mmHg; and multiparas, 64.0 vs. 64.7 mmHg) but higher systolic blood pressure (smokers vs. nonsmokers adjusted mean: primiparas, 117.0 vs. 116.0; and multiparas, 112.5 vs. 110.0) than nonsmokers among primiparous and multiparous pregnant women after adjusting for potential confounders. However, these differences are small and there was no clear dose–response relationship between smoking level and blood pressure.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>9987783</pmid><doi>10.1046/j.1365-3016.1999.00152.x</doi><tpages>13</tpages></addata></record> |
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subjects | Adult Blood Pressure - physiology California - epidemiology Case-Control Studies Diastole - physiology Female Humans Least-Squares Analysis Multivariate Analysis Pregnancy - physiology Smoking - epidemiology Systole - physiology |
title | Smoking and blood pressure patterns in normotensive pregnant women |
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