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Normal and high-normal blood pressures, but not body mass index, are risk factors for the subsequent occurrence of both preeclampsia and gestational hypertension : A retrospective cohort study

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タイトル: Normal and high-normal blood pressures, but not body mass index, are risk factors for the subsequent occurrence of both preeclampsia and gestational hypertension : A retrospective cohort study
著者: Ohkuchi, Akihide 著作を一覧する
Iwasaki, Ryuhiko 著作を一覧する
Suzuki, Hirotada 著作を一覧する
Hirashima, Chikako 著作を一覧する
Takahashi, Kayo 著作を一覧する
Usui, Rie 著作を一覧する
Matsubara, Shigeki 著作を一覧する
Minakami, Hisanori 著作を一覧する
Suzuki, Mitsuaki 著作を一覧する
キーワード: gestational hypertension
high-normal blood pressure
hypertension
obesity
preeclampsia
発行日: 2006年 3月
出版者: JAPANESE SOC HYPERTENSION
誌名: Hypertension research
巻: 29
号: 3
開始ページ: 161
終了ページ: 167
出版社 DOI: 10.1291/hypres.29.161
抄録: Blood pressure (BP) levels and body mass index (BMI) are known as risk factors for preeclampsia and gestational hypertension. However, there have been few investigations regarding the effects of BID and BMI levels on preeclampsia and gestational hypertension in the same cohort. In the present study, we conducted a retrospective cohort study using multiple logistic regression analysis. The cohort included 1,518 patients without nephritis. The unadjusted odds ratios (ORs) of preeclampsia and gestational hypertension were increased in pregnant women with normal BP (120-129 mmHg systolic or 80-84 mmHg diastolic), high-normal BID and hypertension in the second trimester compared to those with optimal BP. The unadjusted ORs of preeclampsia and gestational hypertension were also increased in obese women in the pre-pregnancy period compared to women with normal range BML When adjustment was made for both the BP levels and pre-pregnancy BMI levels, the ORs (95% confidence intervals) of normal BID, high-normal BID, hypertension and obesity for the subsequent occurrence of preeclampsia were 5.1 (2.2-12), 8.3 (3.1-22), 16 (5.0-50) and 2.0 (0.67-5.9), and those for the subsequent occurrence of gestational hypertension were 7.0 (2.6-19), 7.4 (2.1-25), 22 (6.1-83) and 1.3 (0.33-4.8), respectively. For the subsequent occurrence of preeclampsia or gestational hypertension, normal BID, high-normal BP and hypertension in the second trimester may be independent risk factors. Obesity in the pre-pregnancy period, however, may not be an independent risk factor.
Rights: Hypertension Research (Vol. 29(3). p. 161-167)からの転載
関連URI: http://www.jpnsh.org/
資料タイプ: article
URI: http://hdl.handle.net/2115/11364
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 水上 尚典

 

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