Longitudinal analysis of cardiovascular risk parameters in women with a history of hypertensive pregnancy disorders: the Doetinchem Cohort Study
Longitudinal analysis of cardiovascular risk parameters in women with a history of hypertensive pregnancy disorders: the Doetinchem Cohort Study
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DOI：
10.1111/1471-0528.12254
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发表时间：
2013-10-01
影响因子：
5.8
通讯作者：
Verschuren, W. M. M.
中科院分区：
文献类型：
--
作者：
Drost, J. T.;van der Schouw, Y. T.;Verschuren, W. M. M.
ObjectiveWomen with hypertensive pregnancy disorders (HPD) are at increased risk of developing hypertension and cardiovascular disease later in life; however, it is not known how cardiovascular risk develops throughout life. We evaluated the longitudinal trends in cardiovascular risk factors in women after hypertensive pregnancy disorders compared with women with normotensive pregnancies.Design and populationAll women of the Doetinchem Cohort Study (1987-91), a population-based cohort study, were included.MethodsWomen were examined (questionnaires and physical examination) four times at 5-year intervals. History of HPD was assessed from questionnaires. We compared 5-year changes in risk factors between women with and without HPD, by analysing longitudinal trends using generalised estimating equation analysis to estimate the effects of HPD and mean age, adjusting for treatment, body mass index (BMI), smoking and socio-economic status.Main outcome measuresChange over time in traditional cardiovascular risk factors, including systolic blood pressure (SBP) and diastolic blood pressure (DBP), BMI, total and high-density lipoprotein (HDL) cholesterol for women with and without a history of HPD.ResultsA total of 2703 women with normotensive pregnancies (mean age 40.5years, SD 10.4) and 689 women with a history of HPD (mean age 38.4years, SD 9.5) were included. Compared with normotensive women, in women with a history of HPD, SBP was 2.8mmHg higher (95% CI 1.7-3.9), DBP was 2.3mmHg higher (95% CI 1.6-3.0) and BMI was 0.7kg/m(2) higher (95% CI 0.4-1.1). Total cholesterol (-0.05; 95% CI -0.1 to 0.0) and HDL cholesterol (0.02; 95% CI -0.0 to 0.1) were similar in both groups. No difference in annual change in blood pressure or in the other risk factors was observed between women with and without a history of HPD.ConclusionWomen with a history of HPD have higher levels of SBP, DBP and BMI compared with normotensive women, but the increase with ageing is similar in both groups.
