Racial differences in gestational weight gain and pregnancy-related hypertension.
Racial differences in gestational weight gain and pregnancy-related hypertension.
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DOI：
10.1016/j.annepidem.2014.02.009
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发表时间：
2014-06
影响因子：
5.6
通讯作者：
Wilcox, Sara
中科院分区：
文献类型：
--
作者：
Liu, Jihong;Gallagher, Alexa E.;Carta, Courtney M.;Torres, Myriam E.;Moran, Robert;Wilcox, Sara
研究妊娠期体重增加 (GWG) 和妊娠相关高血压的种族差异。 Logistic 回归模型测试了南卡罗来纳州 2004-2006 年出生证明中所有单胎活产中 GWG 充足性和妊娠高血压的种族差异。与白人女性相比，黑人和西班牙裔女性体重增加超过建议值的几率要低 16%-46%。然而，妊娠体重指数 (BMI) <25kg/m2 的黑人和西班牙裔女性 GWG 不足的几率要高出约 50%。此外，与 GWG 充足的女性相比，GWG 过多的女性患妊娠相关高血压的几率更高（体重不足：2.35，95% CI（1.66，3.32）；正常：2.05，95% CI（1.84，2.27）；超重：1.93，95% CI（1.64，2.27）；肥胖：1.46， 95% CI（1.30，1.63））。在BMI <25 kg/m2的女性中，黑人女性患妊娠相关高血压的几率高于白人女性（体重不足：1.64，95% CI（1.14，2.36）；正常体重：1.28，95% CI（1.15，1.42）），而在BMI ≥25 kg/m2的女性中，西班牙裔女性的几率低40%。需要制定计划来遏制所有种族群体中过度的 GWG，并帮助某些亚群体确保足够的 GWG。母亲肥胖和 GWG 是两个因素，应结合使用以减少妊娠相关高血压的种族差异。
To examine racial differences in gestational weight gain (GWG) and pregnancy-related hypertension. Logistic regression models tested racial differences in adequacy of GWG and pregnancy-induced hypertension in all singleton live births from the South Carolina 2004-2006 birth certificates. Compared to white women, black and Hispanic women had 16%-46% lower odds of gaining weight above the recommendations. However, the odds of inadequate GWG was ~50% higher in black and Hispanic women with a pregnancy body mass index (BMI) <25kg/m2. Furthermore, compared to women with adequate GWG, women with excessive GWG had higher odds of pregnancy-related hypertension (underweight: 2.35, 95% CI(1.66, 3.32); normal: 2.05, 95% CI(1.84, 2.27); overweight: 1.93, 95% CI(1.64, 2.27); obese: 1.46, 95% CI(1.30, 1.63)). Among women with a BMI <25 kg/m2, black women had higher odds of pregnancy-related hypertension than white women (underweight: 1.64, 95% CI(1.14, 2.36); normal weight: 1.28, 95% CI(1.15, 1.42)), while among women with a BMI ≥25 kg/m2, Hispanic women had 40% lower odds. Programs are needed to curb excessive GWG in all racial groups and to help some sub-groups ensure adequate GWG. Maternal obesity and GWG are two factors that should be used in combination to reduce racial differences in pregnancy-related hypertension.
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影响因子：
7.2
作者：
Caulfield, LE;Witter, FR;Stoltzfus, RJ
通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
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DOI：
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发表时间：
2010-04-01
影响因子：
3.8
作者：
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通讯作者：
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DOI：
10.1111/j.1467-789x.2004.00147.x
发表时间：
2004-08-01
期刊：
Obesity reviews : an official journal of the International Association for the Study of Obesity
影响因子：
--
作者：
Linne, Y
通讯作者：
Linne, Y