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    Dietary Habits and Medications to Control Hypertension among Women of Child-bearing Age in the United States from 2001-2016

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    Authors
    Kovell, Lara C.
    Maxner, Benjamin
    Ayturk, M. Didem
    Moore Simas, Tiffany A.
    Harrington, Colleen M.
    McManus, David D.
    Gardiner, Paula
    Aurigemma, Gerard P.
    Juraschek, Stephen P.
    UMass Chan Affiliations
    Center for Integrated Primary Care
    School of Medicine
    Department of Family Medicine and Community Health
    Department of Obstetrics and Gynecology
    Division of Cardiovascular Medicine, Department of Medicine
    Document Type
    Accepted Manuscript
    Publication Date
    2021-03-08
    Keywords
    DASH diet
    anti-hypertensive therapy
    blood pressure
    nutrition
    women of child-bearing age
    Cardiology
    Cardiovascular Diseases
    Dietetics and Clinical Nutrition
    Obstetrics and Gynecology
    Women's Health
    
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    Abstract
    BACKGROUND: Hypertension in pregnancy is a leading cause of maternal morbidity and mortality in the United States. Although the Dietary Approaches to Stop Hypertension (DASH) diet is recommended for all adults with hypertension, rates of DASH adherence and anti-hypertensive medications use in women of child-bearing age is unknown. OBJECTIVES: To determine DASH adherence and anti-hypertensive medication use in women of child-bearing age. METHODS: In the National Health and Nutrition Examination Surveys from 2001-2016, we estimated DASH adherence among women of child-bearing age (20-50 years). We derived a DASH score (0-9) based on 9 nutrients, with DASH adherence defined as DASH score > /=4.5. Hypertension was defined by blood pressure (BP) > /=130/80 mm Hg or anti-hypertensive medication use. DASH scores were compared across BP categories and anti-hypertensive medication use was categorized. RESULTS: Of the 7782 women, the mean age (SE) was 32.8 (0.2) years, 21.4% were non-Hispanic Black, and 20.3% had hypertension. The mean DASH score was 2.11 (0.06) for women with self-reported hypertension and 2.40 (0.03) for women with normal BP (P < 0.001). DASH adherence was prevalent in 6.5% of women with self-reported hypertension compared to 10.1% of women with normal BP (P < 0.05). Self-reported hypertension is predominantly managed with medications (84.8%), while DASH-adherence has not improved in these women from 2001-2016. Moreover, 39.5% of US women of child-bearing age are taking medications contraindicated in pregnancy. CONCLUSIONS: Given the benefits of optimized BP during pregnancy, this study highlights the critical need to improve DASH adherence and guide prescribing among women of child-bearing age.
    Source

    Kovell LC, Maxner B, Ayturk D, Moore Simas TA, Harrington CM, McManus DD, Gardiner P, Aurigemma GP, Juraschek SP. Dietary Habits and Medications to Control Hypertension among Women of Child-bearing Age in the United States from 2001-2016. Am J Hypertens. 2021 Mar 8:hpab041. doi: 10.1093/ajh/hpab041. Epub ahead of print. PMID: 33693539. Link to article on publisher's site

    DOI
    10.1093/ajh/hpab041
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/29734
    PubMed ID
    33693539
    Related Resources

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    Rights
    This is a pre-copyedited, author-produced version of an article accepted for publication in the American Journal of Hypertension following peer review. The version of record is available online at https://doi.org/10.1093/ajh/hpab041. Accepted manuscript posted after 12-month embargo as allowed by the publisher's self-archiving policy at https://academic.oup.com/journals/pages/access_purchase/rights_and_permissions/embargo_periods.
    ae974a485f413a2113503eed53cd6c53
    10.1093/ajh/hpab041
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