Blood pressure changes during pregnancy: impact of race, body mass index, and weight gain.

Blood pressure changes during pregnancy: impact of race, body mass index, and weight gain.
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DOI:
10.1055/s-0032-1326987
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发表时间:
2013-05
影响因子:
2
通讯作者:
Ickovics JR
Ickovics JR
中科院分区:
医学4区
文献类型:
--
作者:
Magriples U;Boynton MH;Kershaw TS;Duffany KO;Rising SS;Ickovics JR

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探讨种族、体重指数(BMI)和体重增加对孕期和产后血压的影响。在康涅狄格州纽黑文一所大学附属公立诊所接受产前护理并分娩单胎足月婴儿的14至25岁孕妇(n = 418)的二次分析。使用纵向多变量分析来评估从怀孕到产后12周的血压轨迹。与BMI正常的女性相比,肥胖和超重女性的血压读数明显更高(均p < 0.05)。非裔美国妇女在怀孕期间体重增加较多,在怀孕期间和产后平均动脉和舒张压增加最多。孕期和产后血压轨迹受种族、体重指数和体重增加的显著影响。鉴于该队列的年龄较小,必须有针对性地努力产后减肥以降低心血管风险。
To investigate the effect of race, body mass index (BMI), and weight gain on blood pressure in pregnancy and postpartum. Secondary analysis of pregnant women aged 14 to 25 who received prenatal care at a university-affiliated public clinic in New Haven, Connecticut and delivered singleton term infants (n = 418). Longitudinal multivariate analysis was used to evaluate blood pressure trajectories from pregnancy through 12 weeks postpartum. Obese and overweight women had significantly higher blood pressure readings as compared with women with normal BMI (all p < 0.05). African American women who had high pregnancy weight gain had the greatest increase in mean arterial and diastolic blood pressures in pregnancy and postpartum. Blood pressure trajectories in pregnancy and postpartum are significantly affected by race, BMI, and weight gain. Given the young age of this cohort, targeted efforts must be made for postpartum weight reduction to reduce cardiovascular risk.
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