Show simple item record

dc.contributor.authorChasan-Taber, Lisa
dc.contributor.authorSilveira, Marushka
dc.contributor.authorWaring, Molly E.
dc.contributor.authorPekow, Penelope
dc.contributor.authorBraun, Barry
dc.contributor.authorManson, JoAnn E.
dc.contributor.authorSolomon, Caren G.
dc.contributor.authorMarkenson, Glenn
dc.date2022-08-11T08:08:20.000
dc.date.accessioned2022-08-23T15:51:30Z
dc.date.available2022-08-23T15:51:30Z
dc.date.issued2016-09-01
dc.date.submitted2017-02-17
dc.identifier.citationMatern Child Health J. 2016 Sep;20(9):1804-13. doi: 10.1007/s10995-016-1983-3. <a href="https://doi.org/10.1007/s10995-016-1983-3">Link to article on publisher's site</a>
dc.identifier.issn1092-7875 (Linking)
dc.identifier.doi10.1007/s10995-016-1983-3
dc.identifier.pmid27003150
dc.identifier.urihttp://hdl.handle.net/20.500.14038/28916
dc.description.abstractObjectives: 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=27003150&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttps://doi.org/10.1007/s10995-016-1983-3
dc.subjectBody mass index
dc.subjectGestational hypertension
dc.subjectGestational weight gain
dc.subjectLatina
dc.subjectPreeclampsia
dc.subjectFemale Urogenital Diseases and Pregnancy Complications
dc.subjectMaternal and Child Health
dc.subjectObstetrics and Gynecology
dc.subjectWomen's Health
dc.titleGestational Weight Gain, Body Mass Index, and Risk of Hypertensive Disorders of Pregnancy in a Predominantly Puerto Rican Population
dc.typeJournal Article
dc.source.journaltitleMaternal and child health journal
dc.source.volume20
dc.source.issue9
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/1146
dc.identifier.contextkey9706567
html.description.abstract<p>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.</p> <p>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.</p> <p>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).</p> <p>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.</p>
dc.identifier.submissionpathfaculty_pubs/1146
dc.contributor.departmentDepartment of Quantitative Health Sciences, Division of Epidemiology of Chronic Diseases and Vulnerable Populations
dc.source.pages1804-13


This item appears in the following Collection(s)

Show simple item record