Pregnancy induced hypertension in women with gestational carbohydrate intolerance: the diagest study
Objective: To determine the relationship between pregnancy induced hypertension (PIH) and gestational glucose intolerance. Methods: A 50 g, 1 h glucose loading test was offered to all pregnant women between 24 and 28 weeks of gestation in 15 centres in northern France during 8 months in 1992. If the...
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| Veröffentlicht in: | European journal of obstetrics & gynecology and reproductive biology 2002-04, Vol.102 (1), p.31-35 |
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| container_title | European journal of obstetrics & gynecology and reproductive biology |
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| creator | Vambergue, A Nuttens, M.C Goeusse, P Biausque, S Lepeut, M Fontaine, P |
| description | Objective: To determine the relationship between pregnancy induced hypertension (PIH) and gestational glucose intolerance.
Methods: A 50
g, 1
h glucose loading test was offered to all pregnant women between 24 and 28 weeks of gestation in 15 centres in northern France during 8 months in 1992. If the test was positive (≥7.2
mmol/l), the woman underwent a 3
h oral glucose tolerance test (OGTT) as soon as possible. Using the criteria of Carpenter and Coustan, gestational diabetes mellitus (GDM) was defined by two abnormal values (
n=218) and gestational mild hyperglycemia (GMH) by one abnormal value (
n=130). Each control group was defined by a 50
g, 1
h loading test result of 27 and GDM, contrary to GMH and maternal age.
Conclusions: PIH appears to be linked to the level of glucose intolerance during pregnancy, independently of other known factors of hypertension. |
| doi_str_mv | 10.1016/S0301-2115(01)00556-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71764833</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0301211501005565</els_id><sourcerecordid>71764833</sourcerecordid><originalsourceid>FETCH-LOGICAL-c443t-8db62d7ad2faa87d40135a1abfce2837bf1a6858b30dbfeda328a143c4ae44533</originalsourceid><addsrcrecordid>eNqFkEtP3DAQgK2qqCxLf0JRLkVwCLXjRwwXVKEWkJCoRHu2JvaEdZVNtrYDyr-vw67gyBxmpNE3D32EfGH0jFGmvj1QTllZMSZPKDulVEpVyg9kwXRdlbWS4iNZvCL75CDGvzQH5-efyD6rKD-nWi2I-xXwsYfeToXv3WjRFatpgyFhH_3Q52bxPKwxZ59WxSPGBCn3oSsshGZYTS5AwoylocOQ9-BFkVZYOA8zXMQ0uumQ7LXQRfy8q0vy5-eP31c35d399e3V97vSCsFTqV2jKleDq1oAXTtBGZfAoGktVprXTctAaakbTl3TogNeaWCCWwEohOR8SY63ezdh-Dfm82bto8Wugx6HMZqa1UpoPoNyC9owxBiwNZvg1xAmw6iZ9ZoXvWZ2Z3J90WtknjvaHRibNbq3qZ3PDHzdARAtdO1sxMc3jstaKUYzd7nlMOt48hhMtB6zPecD2mTc4N955T9BFpkp</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71764833</pqid></control><display><type>article</type><title>Pregnancy induced hypertension in women with gestational carbohydrate intolerance: the diagest study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Vambergue, A ; Nuttens, M.C ; Goeusse, P ; Biausque, S ; Lepeut, M ; Fontaine, P</creator><creatorcontrib>Vambergue, A ; Nuttens, M.C ; Goeusse, P ; Biausque, S ; Lepeut, M ; Fontaine, P</creatorcontrib><description>Objective: To determine the relationship between pregnancy induced hypertension (PIH) and gestational glucose intolerance.
Methods: A 50
g, 1
h glucose loading test was offered to all pregnant women between 24 and 28 weeks of gestation in 15 centres in northern France during 8 months in 1992. If the test was positive (≥7.2
mmol/l), the woman underwent a 3
h oral glucose tolerance test (OGTT) as soon as possible. Using the criteria of Carpenter and Coustan, gestational diabetes mellitus (GDM) was defined by two abnormal values (
n=218) and gestational mild hyperglycemia (GMH) by one abnormal value (
n=130). Each control group was defined by a 50
g, 1
h loading test result of <7.2
mmol/l (
n=108).
PIH included gestational hypertension (GH) and preeclampsia (PE). GH was defined as a diastolic pressure of more than 85
mmHg on at least two occasions arising during pregnancy. PE was defined as GH with proteinuria ≥500
mg/24
h.
Results: The rate of PIH in the three groups (GDM; GMH and control group, C) was, respectively 17.0, 10.8, and 4.6%. All the six PE occured in the GDM group. Univariate analysis showed significantly higher rate of hypertension in women with a history of PE, increasing body mass index before pregnancy (BMI) and glucose intolerance. In multivariate analysis with adjustment for primiparity, independant risk factors for PIH were a history of PE, BMI>27 and GDM, contrary to GMH and maternal age.
Conclusions: PIH appears to be linked to the level of glucose intolerance during pregnancy, independently of other known factors of hypertension.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/S0301-2115(01)00556-5</identifier><identifier>PMID: 12039086</identifier><identifier>CODEN: EOGRAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Analysis of Variance ; Biological and medical sciences ; Body Mass Index ; Diabetes, Gestational - complications ; Diseases of mother, fetus and pregnancy ; Female ; Gestational Age ; Gestational diabetes mellitus ; Gestational glucose intolerance ; Glucose Intolerance ; Gynecology. Andrology. Obstetrics ; Humans ; Hypertension - complications ; Maternal Age ; Medical sciences ; Parity ; Pre-Eclampsia - complications ; Pregnancy ; Pregnancy Complications, Cardiovascular ; Pregnancy induced hypertension ; Pregnancy. Fetus. Placenta</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 2002-04, Vol.102 (1), p.31-35</ispartof><rights>2002 Elsevier Science Ireland Ltd</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-8db62d7ad2faa87d40135a1abfce2837bf1a6858b30dbfeda328a143c4ae44533</citedby><cites>FETCH-LOGICAL-c443t-8db62d7ad2faa87d40135a1abfce2837bf1a6858b30dbfeda328a143c4ae44533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0301211501005565$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13576610$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12039086$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vambergue, A</creatorcontrib><creatorcontrib>Nuttens, M.C</creatorcontrib><creatorcontrib>Goeusse, P</creatorcontrib><creatorcontrib>Biausque, S</creatorcontrib><creatorcontrib>Lepeut, M</creatorcontrib><creatorcontrib>Fontaine, P</creatorcontrib><title>Pregnancy induced hypertension in women with gestational carbohydrate intolerance: the diagest study</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>Objective: To determine the relationship between pregnancy induced hypertension (PIH) and gestational glucose intolerance.
Methods: A 50
g, 1
h glucose loading test was offered to all pregnant women between 24 and 28 weeks of gestation in 15 centres in northern France during 8 months in 1992. If the test was positive (≥7.2
mmol/l), the woman underwent a 3
h oral glucose tolerance test (OGTT) as soon as possible. Using the criteria of Carpenter and Coustan, gestational diabetes mellitus (GDM) was defined by two abnormal values (
n=218) and gestational mild hyperglycemia (GMH) by one abnormal value (
n=130). Each control group was defined by a 50
g, 1
h loading test result of <7.2
mmol/l (
n=108).
PIH included gestational hypertension (GH) and preeclampsia (PE). GH was defined as a diastolic pressure of more than 85
mmHg on at least two occasions arising during pregnancy. PE was defined as GH with proteinuria ≥500
mg/24
h.
Results: The rate of PIH in the three groups (GDM; GMH and control group, C) was, respectively 17.0, 10.8, and 4.6%. All the six PE occured in the GDM group. Univariate analysis showed significantly higher rate of hypertension in women with a history of PE, increasing body mass index before pregnancy (BMI) and glucose intolerance. In multivariate analysis with adjustment for primiparity, independant risk factors for PIH were a history of PE, BMI>27 and GDM, contrary to GMH and maternal age.
Conclusions: PIH appears to be linked to the level of glucose intolerance during pregnancy, independently of other known factors of hypertension.</description><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Diabetes, Gestational - complications</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gestational diabetes mellitus</subject><subject>Gestational glucose intolerance</subject><subject>Glucose Intolerance</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Parity</subject><subject>Pre-Eclampsia - complications</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Cardiovascular</subject><subject>Pregnancy induced hypertension</subject><subject>Pregnancy. Fetus. Placenta</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtP3DAQgK2qqCxLf0JRLkVwCLXjRwwXVKEWkJCoRHu2JvaEdZVNtrYDyr-vw67gyBxmpNE3D32EfGH0jFGmvj1QTllZMSZPKDulVEpVyg9kwXRdlbWS4iNZvCL75CDGvzQH5-efyD6rKD-nWi2I-xXwsYfeToXv3WjRFatpgyFhH_3Q52bxPKwxZ59WxSPGBCn3oSsshGZYTS5AwoylocOQ9-BFkVZYOA8zXMQ0uumQ7LXQRfy8q0vy5-eP31c35d399e3V97vSCsFTqV2jKleDq1oAXTtBGZfAoGktVprXTctAaakbTl3TogNeaWCCWwEohOR8SY63ezdh-Dfm82bto8Wugx6HMZqa1UpoPoNyC9owxBiwNZvg1xAmw6iZ9ZoXvWZ2Z3J90WtknjvaHRibNbq3qZ3PDHzdARAtdO1sxMc3jstaKUYzd7nlMOt48hhMtB6zPecD2mTc4N955T9BFpkp</recordid><startdate>20020410</startdate><enddate>20020410</enddate><creator>Vambergue, A</creator><creator>Nuttens, M.C</creator><creator>Goeusse, P</creator><creator>Biausque, S</creator><creator>Lepeut, M</creator><creator>Fontaine, P</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</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>20020410</creationdate><title>Pregnancy induced hypertension in women with gestational carbohydrate intolerance: the diagest study</title><author>Vambergue, A ; Nuttens, M.C ; Goeusse, P ; Biausque, S ; Lepeut, M ; Fontaine, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-8db62d7ad2faa87d40135a1abfce2837bf1a6858b30dbfeda328a143c4ae44533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Diabetes, Gestational - complications</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gestational diabetes mellitus</topic><topic>Gestational glucose intolerance</topic><topic>Glucose Intolerance</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Parity</topic><topic>Pre-Eclampsia - complications</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Cardiovascular</topic><topic>Pregnancy induced hypertension</topic><topic>Pregnancy. Fetus. Placenta</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vambergue, A</creatorcontrib><creatorcontrib>Nuttens, M.C</creatorcontrib><creatorcontrib>Goeusse, P</creatorcontrib><creatorcontrib>Biausque, S</creatorcontrib><creatorcontrib>Lepeut, M</creatorcontrib><creatorcontrib>Fontaine, P</creatorcontrib><collection>Pascal-Francis</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>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vambergue, A</au><au>Nuttens, M.C</au><au>Goeusse, P</au><au>Biausque, S</au><au>Lepeut, M</au><au>Fontaine, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pregnancy induced hypertension in women with gestational carbohydrate intolerance: the diagest study</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2002-04-10</date><risdate>2002</risdate><volume>102</volume><issue>1</issue><spage>31</spage><epage>35</epage><pages>31-35</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><coden>EOGRAL</coden><abstract>Objective: To determine the relationship between pregnancy induced hypertension (PIH) and gestational glucose intolerance.
Methods: A 50
g, 1
h glucose loading test was offered to all pregnant women between 24 and 28 weeks of gestation in 15 centres in northern France during 8 months in 1992. If the test was positive (≥7.2
mmol/l), the woman underwent a 3
h oral glucose tolerance test (OGTT) as soon as possible. Using the criteria of Carpenter and Coustan, gestational diabetes mellitus (GDM) was defined by two abnormal values (
n=218) and gestational mild hyperglycemia (GMH) by one abnormal value (
n=130). Each control group was defined by a 50
g, 1
h loading test result of <7.2
mmol/l (
n=108).
PIH included gestational hypertension (GH) and preeclampsia (PE). GH was defined as a diastolic pressure of more than 85
mmHg on at least two occasions arising during pregnancy. PE was defined as GH with proteinuria ≥500
mg/24
h.
Results: The rate of PIH in the three groups (GDM; GMH and control group, C) was, respectively 17.0, 10.8, and 4.6%. All the six PE occured in the GDM group. Univariate analysis showed significantly higher rate of hypertension in women with a history of PE, increasing body mass index before pregnancy (BMI) and glucose intolerance. In multivariate analysis with adjustment for primiparity, independant risk factors for PIH were a history of PE, BMI>27 and GDM, contrary to GMH and maternal age.
Conclusions: PIH appears to be linked to the level of glucose intolerance during pregnancy, independently of other known factors of hypertension.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>12039086</pmid><doi>10.1016/S0301-2115(01)00556-5</doi><tpages>5</tpages></addata></record> |
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| ispartof | European journal of obstetrics & gynecology and reproductive biology, 2002-04, Vol.102 (1), p.31-35 |
| issn | 0301-2115 1872-7654 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Analysis of Variance Biological and medical sciences Body Mass Index Diabetes, Gestational - complications Diseases of mother, fetus and pregnancy Female Gestational Age Gestational diabetes mellitus Gestational glucose intolerance Glucose Intolerance Gynecology. Andrology. Obstetrics Humans Hypertension - complications Maternal Age Medical sciences Parity Pre-Eclampsia - complications Pregnancy Pregnancy Complications, Cardiovascular Pregnancy induced hypertension Pregnancy. Fetus. Placenta |
| title | Pregnancy induced hypertension in women with gestational carbohydrate intolerance: the diagest study |
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