Pregnancy-associated hypertension in glucose-intolerant pregnancy and subsequent metabolic syndrome

Madeline Murguia Rice, Mark B. Landon, Michael W. Varner, Brian M. Casey, Uma M. Reddy, Ronald J. Wapner, Dwight J. Rouse, Joseph R. Biggio, John M. Thorp, Edward K. Chien, George Saade, Alan M. Peaceman, Sean C. Blackwell, J. Peter Vandorsten

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7 Scopus citations

Abstract

OBJECTIVE: To evaluate whether pregnancy-associated hypertension (preeclampsia or gestational hypertension) among women with varying degrees of glucose intolerance during pregnancy is associated with maternal metabolic syndrome 5-10 years later. METHODS: This was an observational cohort study of women previously enrolled in a treatment trial of mild gestational diabetes mellitus or an observational study of lesser degrees of glucose intolerance evaluated 5-10 years after their index pregnancy. At follow-up, women underwent anthropometric and blood pressure measurements and analysis of fasting glucose and serum lipids. RESULTS: A total of 825 women (47% of eligible women from the original study) were included in this analysis and evaluated at a median 7 years after their index pregnancy at a median age of 35 years. Overall, 239 (29%) had subsequent metabolic syndrome. The frequency of metabolic syndrome and its components was highest in the women who had pregnancy-associated hypertension and delivered preterm. After adjusting for confounding factors, pregnancy-associated hypertension in women who delivered preterm was associated with subsequent hypertension (130/85 mm Hg or greater; relative risk 3.06, 95% confidence interval [CI] 1.95-4.80, P

Original languageEnglish (US)
Pages (from-to)771-779
Number of pages9
JournalObstetrics and Gynecology
Volume127
Issue number4
DOIs
StatePublished - Apr 1 2016

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ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Rice, M. M., Landon, M. B., Varner, M. W., Casey, B. M., Reddy, U. M., Wapner, R. J., Rouse, D. J., Biggio, J. R., Thorp, J. M., Chien, E. K., Saade, G., Peaceman, A. M., Blackwell, S. C., & Vandorsten, J. P. (2016). Pregnancy-associated hypertension in glucose-intolerant pregnancy and subsequent metabolic syndrome. Obstetrics and Gynecology, 127(4), 771-779. https://doi.org/10.1097/AOG.0000000000001353