Gestational Weight Gain, Body Mass Index, and Risk of Hypertensive Disorders of Pregnancy in a Predominantly Puerto Rican Population
Authors
Chasan-Taber, LisaSilveira, Marushka
Waring, Molly E.
Pekow, Penelope
Braun, Barry
Manson, JoAnn E.
Solomon, Caren G.
Markenson, Glenn
UMass Chan Affiliations
Department of Quantitative Health Sciences, Division of Epidemiology of Chronic Diseases and Vulnerable PopulationsDocument Type
Journal ArticlePublication Date
2016-09-01Keywords
Body mass indexGestational hypertension
Gestational weight gain
Latina
Preeclampsia
Female Urogenital Diseases and Pregnancy Complications
Maternal and Child Health
Obstetrics and Gynecology
Women's Health
Metadata
Show full item recordAbstract
Objectives: To prospectively evaluate the association between gestational weight gain (GWG), prepregnancy body mass index (BMI), and hypertensive disorders of pregnancy using the revised Institute of Medicine (IOM) Guidelines. Methods: We examined these associations among 1359 participants in Proyecto Buena Salud, a prospective cohort study conducted from 2006 to 2011 among women from the Caribbean Islands. Information on prepregnancy BMI, GWG, and incident diagnoses of hypertension in pregnancy were based on medical record abstraction. Results: Four percent (n = 54) of women were diagnosed with hypertension in pregnancy, including 2.6 % (n = 36) with preeclampsia. As compared to women who gained within IOM GWG guidelines (22.8 %), those who gained above guidelines (52.5 %) had an odds ratio of 3.82 for hypertensive disorders (95 % CI 1.46-10.00; ptrend = 0.003) and an odds ratio of 2.94 for preeclampsia (95 % CI 1.00-8.71, ptrend = 0.03) after adjusting for important risk factors. Each one standard deviation (0.45 lbs/week) increase in rate of GWG was associated with a 1.74 odds of total hypertensive disorders (95 % CI 1.34-2.27) and 1.86 odds of preeclampsia (95 % CI 1.37-2.52). Conclusions for Practice: Findings from this prospective study suggest that excessive GWG is associated with hypertension in pregnancy and could be a potentially modifiable risk factor in this high-risk ethnic group.Source
Matern Child Health J. 2016 Sep;20(9):1804-13. doi: 10.1007/s10995-016-1983-3. Link to article on publisher's siteDOI
10.1007/s10995-016-1983-3Permanent Link to this Item
http://hdl.handle.net/20.500.14038/28916PubMed ID
27003150Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1007/s10995-016-1983-3