Assessment of the Cardiovascular Risk Profile of Infants Exposed to Pre-eclampsia in-utero: A Prospective Case-Control Study in South African Children of African Ancestry

Background: It has been reported that maternal gestational environment may be programmed to have a significant impact on foetal and offspring health later in life. Studies have shown that children born to pre-eclamptic mothers are prone to obesity, hypertension, and diabetes in their adult life. How...

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Autores principales: Benedicta Ngwenchi Nkeh-Chungag, Godwill Azeh Engwa, Charles Businge, Kaltrina Kutllovci-Hasani, Andre P. Kengne, Nandu Goswami
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/5312118723974eddba8c03fe1df4ae45
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spelling oai:doaj.org-article:5312118723974eddba8c03fe1df4ae452021-11-30T12:32:30ZAssessment of the Cardiovascular Risk Profile of Infants Exposed to Pre-eclampsia in-utero: A Prospective Case-Control Study in South African Children of African Ancestry2297-055X10.3389/fcvm.2021.773841https://doaj.org/article/5312118723974eddba8c03fe1df4ae452021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.773841/fullhttps://doaj.org/toc/2297-055XBackground: It has been reported that maternal gestational environment may be programmed to have a significant impact on foetal and offspring health later in life. Studies have shown that children born to pre-eclamptic mothers are prone to obesity, hypertension, and diabetes in their adult life. However, such findings are yet to be established in an African population. This protocol is for a study aiming to investigate the relationship between pre-eclampsia (PE) and cardiovascular risk in children born to pre-eclamptic mothers in a South African population of African descents.Methods: A prospective case-control design will be employed to recruit pre-eclamptic and normotensive pregnant women and their offspring after birth. Pregnant women will be assessed for cardiovascular risk factors including PE, obesity, haemodynamics, lipids, glycaemic indices, oxidative stress, and vascular function at 30 weeks of gestation. The cardiovascular risk profile of their offspring will be assessed at birth and 6 weeks later. The difference in cardiovascular risk profile between children born to the pre-eclamptic and normotensive mothers will be compared and the correlation between maternal and offspring cardiovascular risks will be investigated.Discussion: This will be the first prospective study to assess the in-utero effect of cardiovascular risk in offspring born to pre-eclamptic women of African ancestry. It is expected that findings from this study will provide information on the cardiovascular effect of in-utero exposure to PE in a population of African ancestry. This knowledge will advise policy on the management of women with PE with a view of protecting cardiovascular health in offspring.Benedicta Ngwenchi Nkeh-ChungagGodwill Azeh EngwaCharles BusingeKaltrina Kutllovci-HasaniAndre P. KengneNandu GoswamiNandu GoswamiNandu GoswamiFrontiers Media S.A.articlepre-eclampsia (PE)cardiovascular risk factorvascular dysfunctionAfrican ancestryblood pressureDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic pre-eclampsia (PE)
cardiovascular risk factor
vascular dysfunction
African ancestry
blood pressure
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle pre-eclampsia (PE)
cardiovascular risk factor
vascular dysfunction
African ancestry
blood pressure
Diseases of the circulatory (Cardiovascular) system
RC666-701
Benedicta Ngwenchi Nkeh-Chungag
Godwill Azeh Engwa
Charles Businge
Kaltrina Kutllovci-Hasani
Andre P. Kengne
Nandu Goswami
Nandu Goswami
Nandu Goswami
Assessment of the Cardiovascular Risk Profile of Infants Exposed to Pre-eclampsia in-utero: A Prospective Case-Control Study in South African Children of African Ancestry
description Background: It has been reported that maternal gestational environment may be programmed to have a significant impact on foetal and offspring health later in life. Studies have shown that children born to pre-eclamptic mothers are prone to obesity, hypertension, and diabetes in their adult life. However, such findings are yet to be established in an African population. This protocol is for a study aiming to investigate the relationship between pre-eclampsia (PE) and cardiovascular risk in children born to pre-eclamptic mothers in a South African population of African descents.Methods: A prospective case-control design will be employed to recruit pre-eclamptic and normotensive pregnant women and their offspring after birth. Pregnant women will be assessed for cardiovascular risk factors including PE, obesity, haemodynamics, lipids, glycaemic indices, oxidative stress, and vascular function at 30 weeks of gestation. The cardiovascular risk profile of their offspring will be assessed at birth and 6 weeks later. The difference in cardiovascular risk profile between children born to the pre-eclamptic and normotensive mothers will be compared and the correlation between maternal and offspring cardiovascular risks will be investigated.Discussion: This will be the first prospective study to assess the in-utero effect of cardiovascular risk in offspring born to pre-eclamptic women of African ancestry. It is expected that findings from this study will provide information on the cardiovascular effect of in-utero exposure to PE in a population of African ancestry. This knowledge will advise policy on the management of women with PE with a view of protecting cardiovascular health in offspring.
format article
author Benedicta Ngwenchi Nkeh-Chungag
Godwill Azeh Engwa
Charles Businge
Kaltrina Kutllovci-Hasani
Andre P. Kengne
Nandu Goswami
Nandu Goswami
Nandu Goswami
author_facet Benedicta Ngwenchi Nkeh-Chungag
Godwill Azeh Engwa
Charles Businge
Kaltrina Kutllovci-Hasani
Andre P. Kengne
Nandu Goswami
Nandu Goswami
Nandu Goswami
author_sort Benedicta Ngwenchi Nkeh-Chungag
title Assessment of the Cardiovascular Risk Profile of Infants Exposed to Pre-eclampsia in-utero: A Prospective Case-Control Study in South African Children of African Ancestry
title_short Assessment of the Cardiovascular Risk Profile of Infants Exposed to Pre-eclampsia in-utero: A Prospective Case-Control Study in South African Children of African Ancestry
title_full Assessment of the Cardiovascular Risk Profile of Infants Exposed to Pre-eclampsia in-utero: A Prospective Case-Control Study in South African Children of African Ancestry
title_fullStr Assessment of the Cardiovascular Risk Profile of Infants Exposed to Pre-eclampsia in-utero: A Prospective Case-Control Study in South African Children of African Ancestry
title_full_unstemmed Assessment of the Cardiovascular Risk Profile of Infants Exposed to Pre-eclampsia in-utero: A Prospective Case-Control Study in South African Children of African Ancestry
title_sort assessment of the cardiovascular risk profile of infants exposed to pre-eclampsia in-utero: a prospective case-control study in south african children of african ancestry
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/5312118723974eddba8c03fe1df4ae45
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