Preconception Cardiometabolic Markers and Birth Outcomes Among Women in the Hispanic Community Health Study/Study of Latinos
Associations between preconception cardiometabolic markers and birth outcomes have been noted, but data are scarce for Hispanics/Latinos. We examined the association between preconception cardiometabolic markers, birthweight and preterm birth among U.S. Hispanic/Latina women. The Hispanic Community...
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| Veröffentlicht in: | Journal of women's health (Larchmont, N.Y. 2002) N.Y. 2002), 2022-12, Vol.31 (12), p.1727-1735 |
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| creator | Vladutiu, Catherine J Butera, Nicole M Sotres-Alvarez, Daniela Stuebe, Alison M Aviles-Santa, Larissa Daviglus, Martha L Gellman, Marc D Isasi, Carmen R Cordero, Christina Talavera, Gregory A Van Horn, Linda Siega-Riz, Anna Maria |
| description | Associations between preconception cardiometabolic markers and birth outcomes have been noted, but data are scarce for Hispanics/Latinos. We examined the association between preconception cardiometabolic markers, birthweight and preterm birth among U.S. Hispanic/Latina women.
The Hispanic Community Health Study/Study of Latinos is a cohort study of U.S. adults 18-74 years of age, including 3,798 women of reproductive age (18-44 years) from four field centers representing Hispanic/Latino backgrounds of Cuban, Dominican, Mexican, Puerto Rican, Central American, and South American. A baseline clinic examination (2008-2011) and a second clinic examination (2014-2017), including ascertainment of birth outcomes, allowed for identification of 517 singleton live births between the exams. Preconception cardiometabolic markers included abdominal obesity (waist circumference ≥88 cm), body mass index >30 kg/m
, high blood pressure (systolic ≥120 mmHg and diastolic ≥80 mmHg), elevated triglycerides (≥150 mg/dL), low high-density lipoprotein cholesterol ( |
| doi_str_mv | 10.1089/jwh.2021.0474 |
| format | Article |
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The Hispanic Community Health Study/Study of Latinos is a cohort study of U.S. adults 18-74 years of age, including 3,798 women of reproductive age (18-44 years) from four field centers representing Hispanic/Latino backgrounds of Cuban, Dominican, Mexican, Puerto Rican, Central American, and South American. A baseline clinic examination (2008-2011) and a second clinic examination (2014-2017), including ascertainment of birth outcomes, allowed for identification of 517 singleton live births between the exams. Preconception cardiometabolic markers included abdominal obesity (waist circumference ≥88 cm), body mass index >30 kg/m
, high blood pressure (systolic ≥120 mmHg and diastolic ≥80 mmHg), elevated triglycerides (≥150 mg/dL), low high-density lipoprotein cholesterol (<50 mg/dL), elevated fasting glucose (≥100 mg/dL), and insulin. Complex survey linear regression modeled the association between cardiometabolic markers and birthweight-for-gestational age
-score; complex survey logistic regression modeled the association with preterm birth. Analyses adjusted for Hispanic/Latina background, field center, years between baseline and birth, age, and nulliparity.
In adjusted linear regression models, elevated fasting glucose was associated with higher birthweight
-scores (β = 0.56, 95% confidence interval [95% CI] 0.14 to 0.99), even after further adjustment for maternal percent body fat (β = 0.53, 95% CI 0.10 to 0.95). In adjusted logistic regression models, high blood pressure (odds ratio [OR] = 2.57, 95% CI 1.13 to 5.88) and increased insulin (OR = 1.50, 95% CI 1.06 to 2.14, for a 10 mU/L increase) were associated with higher odds for preterm birth.
Infant birthweight and preterm birth may be influenced by selected cardiometabolic risk factors before pregnancy among Hispanic/Latina women.</description><identifier>ISSN: 1540-9996</identifier><identifier>EISSN: 1931-843X</identifier><identifier>DOI: 10.1089/jwh.2021.0474</identifier><identifier>PMID: 35796721</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Adolescent ; Adult ; Birth Weight ; Cardiovascular Diseases ; Cohort Studies ; Female ; Glucose ; Hispanic or Latino ; Humans ; Hypertension ; Infant, Newborn ; Insulin ; Original ; Pregnancy ; Premature Birth ; Public Health ; Young Adult</subject><ispartof>Journal of women's health (Larchmont, N.Y. 2002), 2022-12, Vol.31 (12), p.1727-1735</ispartof><rights>Copyright 2022, Mary Ann Liebert, Inc., publishers 2022 Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-d039b1bbf7fa1546671616f958b9bc194f120f571cf36ecf710405174fb961003</citedby><cites>FETCH-LOGICAL-c348t-d039b1bbf7fa1546671616f958b9bc194f120f571cf36ecf710405174fb961003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35796721$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vladutiu, Catherine J</creatorcontrib><creatorcontrib>Butera, Nicole M</creatorcontrib><creatorcontrib>Sotres-Alvarez, Daniela</creatorcontrib><creatorcontrib>Stuebe, Alison M</creatorcontrib><creatorcontrib>Aviles-Santa, Larissa</creatorcontrib><creatorcontrib>Daviglus, Martha L</creatorcontrib><creatorcontrib>Gellman, Marc D</creatorcontrib><creatorcontrib>Isasi, Carmen R</creatorcontrib><creatorcontrib>Cordero, Christina</creatorcontrib><creatorcontrib>Talavera, Gregory A</creatorcontrib><creatorcontrib>Van Horn, Linda</creatorcontrib><creatorcontrib>Siega-Riz, Anna Maria</creatorcontrib><title>Preconception Cardiometabolic Markers and Birth Outcomes Among Women in the Hispanic Community Health Study/Study of Latinos</title><title>Journal of women's health (Larchmont, N.Y. 2002)</title><addtitle>J Womens Health (Larchmt)</addtitle><description>Associations between preconception cardiometabolic markers and birth outcomes have been noted, but data are scarce for Hispanics/Latinos. We examined the association between preconception cardiometabolic markers, birthweight and preterm birth among U.S. Hispanic/Latina women.
The Hispanic Community Health Study/Study of Latinos is a cohort study of U.S. adults 18-74 years of age, including 3,798 women of reproductive age (18-44 years) from four field centers representing Hispanic/Latino backgrounds of Cuban, Dominican, Mexican, Puerto Rican, Central American, and South American. A baseline clinic examination (2008-2011) and a second clinic examination (2014-2017), including ascertainment of birth outcomes, allowed for identification of 517 singleton live births between the exams. Preconception cardiometabolic markers included abdominal obesity (waist circumference ≥88 cm), body mass index >30 kg/m
, high blood pressure (systolic ≥120 mmHg and diastolic ≥80 mmHg), elevated triglycerides (≥150 mg/dL), low high-density lipoprotein cholesterol (<50 mg/dL), elevated fasting glucose (≥100 mg/dL), and insulin. Complex survey linear regression modeled the association between cardiometabolic markers and birthweight-for-gestational age
-score; complex survey logistic regression modeled the association with preterm birth. Analyses adjusted for Hispanic/Latina background, field center, years between baseline and birth, age, and nulliparity.
In adjusted linear regression models, elevated fasting glucose was associated with higher birthweight
-scores (β = 0.56, 95% confidence interval [95% CI] 0.14 to 0.99), even after further adjustment for maternal percent body fat (β = 0.53, 95% CI 0.10 to 0.95). In adjusted logistic regression models, high blood pressure (odds ratio [OR] = 2.57, 95% CI 1.13 to 5.88) and increased insulin (OR = 1.50, 95% CI 1.06 to 2.14, for a 10 mU/L increase) were associated with higher odds for preterm birth.
Infant birthweight and preterm birth may be influenced by selected cardiometabolic risk factors before pregnancy among Hispanic/Latina women.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Birth Weight</subject><subject>Cardiovascular Diseases</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Glucose</subject><subject>Hispanic or Latino</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Infant, Newborn</subject><subject>Insulin</subject><subject>Original</subject><subject>Pregnancy</subject><subject>Premature Birth</subject><subject>Public Health</subject><subject>Young Adult</subject><issn>1540-9996</issn><issn>1931-843X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUtPxCAURonR-F66NSzddISW0rIx0Yk6JmM0UaM7Qik4aAsjUM0k_ngZX9EN3IRzv8vNAWAPoxFGNTt8epuNcpTjESIVWQGbmBU4q0nxsJrqkqCMMUY3wFYITwjlOUZoHWwUZcVoleNN8H7tlXRWqnk0zsKx8K1xvYqicZ2R8FL4Z-UDFLaFJ8bHGbwaokxAgMe9s4_wPtUWGgvjTMGJCXNhU9vY9f1gTVzAiRJd6rqJQ7s4_Dyh03AqorEu7IA1Lbqgdr_vbXB3dno7nmTTq_OL8fE0kwWpY9aigjW4aXSlRVqJ0gpTTDUr64Y1EjOicY50WWGpC6qkrjAiqMQV0Q2jaeFiGxx95c6HpletVDZ60fG5N73wC-6E4f9frJnxR_fKWY3KmtAUcPAd4N3LoELkvQlSdZ2wyg2B57SmqEw0SWj2hUrvQvBK_47BiC-N8WSML43xpbHE7__92y_9o6j4AIi_lEQ</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Vladutiu, Catherine J</creator><creator>Butera, Nicole M</creator><creator>Sotres-Alvarez, Daniela</creator><creator>Stuebe, Alison M</creator><creator>Aviles-Santa, Larissa</creator><creator>Daviglus, Martha L</creator><creator>Gellman, Marc D</creator><creator>Isasi, Carmen R</creator><creator>Cordero, Christina</creator><creator>Talavera, Gregory A</creator><creator>Van Horn, Linda</creator><creator>Siega-Riz, Anna Maria</creator><general>Mary Ann Liebert, Inc., publishers</general><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><scope>5PM</scope></search><sort><creationdate>202212</creationdate><title>Preconception Cardiometabolic Markers and Birth Outcomes Among Women in the Hispanic Community Health Study/Study of Latinos</title><author>Vladutiu, Catherine J ; Butera, Nicole M ; Sotres-Alvarez, Daniela ; Stuebe, Alison M ; Aviles-Santa, Larissa ; Daviglus, Martha L ; Gellman, Marc D ; Isasi, Carmen R ; Cordero, Christina ; Talavera, Gregory A ; Van Horn, Linda ; Siega-Riz, Anna Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-d039b1bbf7fa1546671616f958b9bc194f120f571cf36ecf710405174fb961003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Birth Weight</topic><topic>Cardiovascular Diseases</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Glucose</topic><topic>Hispanic or Latino</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Infant, Newborn</topic><topic>Insulin</topic><topic>Original</topic><topic>Pregnancy</topic><topic>Premature Birth</topic><topic>Public Health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vladutiu, Catherine J</creatorcontrib><creatorcontrib>Butera, Nicole M</creatorcontrib><creatorcontrib>Sotres-Alvarez, Daniela</creatorcontrib><creatorcontrib>Stuebe, Alison M</creatorcontrib><creatorcontrib>Aviles-Santa, Larissa</creatorcontrib><creatorcontrib>Daviglus, Martha L</creatorcontrib><creatorcontrib>Gellman, Marc D</creatorcontrib><creatorcontrib>Isasi, Carmen R</creatorcontrib><creatorcontrib>Cordero, Christina</creatorcontrib><creatorcontrib>Talavera, Gregory A</creatorcontrib><creatorcontrib>Van Horn, Linda</creatorcontrib><creatorcontrib>Siega-Riz, Anna Maria</creatorcontrib><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of women's health (Larchmont, N.Y. 2002)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vladutiu, Catherine J</au><au>Butera, Nicole M</au><au>Sotres-Alvarez, Daniela</au><au>Stuebe, Alison M</au><au>Aviles-Santa, Larissa</au><au>Daviglus, Martha L</au><au>Gellman, Marc D</au><au>Isasi, Carmen R</au><au>Cordero, Christina</au><au>Talavera, Gregory A</au><au>Van Horn, Linda</au><au>Siega-Riz, Anna Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preconception Cardiometabolic Markers and Birth Outcomes Among Women in the Hispanic Community Health Study/Study of Latinos</atitle><jtitle>Journal of women's health (Larchmont, N.Y. 2002)</jtitle><addtitle>J Womens Health (Larchmt)</addtitle><date>2022-12</date><risdate>2022</risdate><volume>31</volume><issue>12</issue><spage>1727</spage><epage>1735</epage><pages>1727-1735</pages><issn>1540-9996</issn><eissn>1931-843X</eissn><abstract>Associations between preconception cardiometabolic markers and birth outcomes have been noted, but data are scarce for Hispanics/Latinos. We examined the association between preconception cardiometabolic markers, birthweight and preterm birth among U.S. Hispanic/Latina women.
The Hispanic Community Health Study/Study of Latinos is a cohort study of U.S. adults 18-74 years of age, including 3,798 women of reproductive age (18-44 years) from four field centers representing Hispanic/Latino backgrounds of Cuban, Dominican, Mexican, Puerto Rican, Central American, and South American. A baseline clinic examination (2008-2011) and a second clinic examination (2014-2017), including ascertainment of birth outcomes, allowed for identification of 517 singleton live births between the exams. Preconception cardiometabolic markers included abdominal obesity (waist circumference ≥88 cm), body mass index >30 kg/m
, high blood pressure (systolic ≥120 mmHg and diastolic ≥80 mmHg), elevated triglycerides (≥150 mg/dL), low high-density lipoprotein cholesterol (<50 mg/dL), elevated fasting glucose (≥100 mg/dL), and insulin. Complex survey linear regression modeled the association between cardiometabolic markers and birthweight-for-gestational age
-score; complex survey logistic regression modeled the association with preterm birth. Analyses adjusted for Hispanic/Latina background, field center, years between baseline and birth, age, and nulliparity.
In adjusted linear regression models, elevated fasting glucose was associated with higher birthweight
-scores (β = 0.56, 95% confidence interval [95% CI] 0.14 to 0.99), even after further adjustment for maternal percent body fat (β = 0.53, 95% CI 0.10 to 0.95). In adjusted logistic regression models, high blood pressure (odds ratio [OR] = 2.57, 95% CI 1.13 to 5.88) and increased insulin (OR = 1.50, 95% CI 1.06 to 2.14, for a 10 mU/L increase) were associated with higher odds for preterm birth.
Infant birthweight and preterm birth may be influenced by selected cardiometabolic risk factors before pregnancy among Hispanic/Latina women.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>35796721</pmid><doi>10.1089/jwh.2021.0474</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Birth Weight Cardiovascular Diseases Cohort Studies Female Glucose Hispanic or Latino Humans Hypertension Infant, Newborn Insulin Original Pregnancy Premature Birth Public Health Young Adult |
| title | Preconception Cardiometabolic Markers and Birth Outcomes Among Women in the Hispanic Community Health Study/Study of Latinos |
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