Annual body mass index gain and risk of hypertensive disorders of pregnancy in a subsequent pregnancy

Abstract Weight gain during interpregnancy period is related to hypertensive disorders of pregnancy (HDP). However, in interpregnancy care/counseling, the unpredictability of the timing of the next conception and the difficulties in preventing age-related body weight gain must be considered while se...

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Autores principales:	Sho Tano, Tomomi Kotani, Takafumi Ushida, Masato Yoshihara, Kenji Imai, Tomoko Nakano-Kobayashi, Yoshinori Moriyama, Yukako Iitani, Fumie Kinoshita, Shigeru Yoshida, Mamoru Yamashita, Yasuyuki Kishigami, Hidenori Oguchi, Hiroaki Kajiyama
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6b433a2818fe492782169461d360452a
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spelling	oai:doaj.org-article:6b433a2818fe492782169461d360452a2021-11-21T12:24:25ZAnnual body mass index gain and risk of hypertensive disorders of pregnancy in a subsequent pregnancy10.1038/s41598-021-01976-y2045-2322https://doaj.org/article/6b433a2818fe492782169461d360452a2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01976-yhttps://doaj.org/toc/2045-2322Abstract Weight gain during interpregnancy period is related to hypertensive disorders of pregnancy (HDP). However, in interpregnancy care/counseling, the unpredictability of the timing of the next conception and the difficulties in preventing age-related body weight gain must be considered while setting weight management goals. Therefore, we suggest considering the annual change in the body mass index (BMI). This study aimed to clarify the association between annual BMI changes during the interpregnancy period and HDP risk in subsequent pregnancies. A multicenter retrospective study of data from 2009 to 2019 examined the adjusted odds ratio (aOR) of HDP in subsequent pregnancies. The aORs in several annual BMI change categories were also calculated in the subgroups classified by HDP occurrence in the index pregnancy. This study included 1,746 pregnant women. A history of HDP (aOR, 16.76; 95% confidence interval [CI], 9.62 − 29.22), and annual BMI gain (aOR, 2.30; 95% CI, 1.76 − 3.01) were independent risk factors for HDP in subsequent pregnancies. An annual BMI increase of ≥ 1.0 kg/m2/year was related to HDP development in subsequent pregnancies for women without a history of HDP. This study provides data as a basis for interpregnancy care/counseling, but further research is necessary to validate our findings and confirm this relationship.Sho TanoTomomi KotaniTakafumi UshidaMasato YoshiharaKenji ImaiTomoko Nakano-KobayashiYoshinori MoriyamaYukako IitaniFumie KinoshitaShigeru YoshidaMamoru YamashitaYasuyuki KishigamiHidenori OguchiHiroaki KajiyamaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sho Tano Tomomi Kotani Takafumi Ushida Masato Yoshihara Kenji Imai Tomoko Nakano-Kobayashi Yoshinori Moriyama Yukako Iitani Fumie Kinoshita Shigeru Yoshida Mamoru Yamashita Yasuyuki Kishigami Hidenori Oguchi Hiroaki Kajiyama Annual body mass index gain and risk of hypertensive disorders of pregnancy in a subsequent pregnancy
description	Abstract Weight gain during interpregnancy period is related to hypertensive disorders of pregnancy (HDP). However, in interpregnancy care/counseling, the unpredictability of the timing of the next conception and the difficulties in preventing age-related body weight gain must be considered while setting weight management goals. Therefore, we suggest considering the annual change in the body mass index (BMI). This study aimed to clarify the association between annual BMI changes during the interpregnancy period and HDP risk in subsequent pregnancies. A multicenter retrospective study of data from 2009 to 2019 examined the adjusted odds ratio (aOR) of HDP in subsequent pregnancies. The aORs in several annual BMI change categories were also calculated in the subgroups classified by HDP occurrence in the index pregnancy. This study included 1,746 pregnant women. A history of HDP (aOR, 16.76; 95% confidence interval [CI], 9.62 − 29.22), and annual BMI gain (aOR, 2.30; 95% CI, 1.76 − 3.01) were independent risk factors for HDP in subsequent pregnancies. An annual BMI increase of ≥ 1.0 kg/m2/year was related to HDP development in subsequent pregnancies for women without a history of HDP. This study provides data as a basis for interpregnancy care/counseling, but further research is necessary to validate our findings and confirm this relationship.
format	article
author	Sho Tano Tomomi Kotani Takafumi Ushida Masato Yoshihara Kenji Imai Tomoko Nakano-Kobayashi Yoshinori Moriyama Yukako Iitani Fumie Kinoshita Shigeru Yoshida Mamoru Yamashita Yasuyuki Kishigami Hidenori Oguchi Hiroaki Kajiyama
author_facet	Sho Tano Tomomi Kotani Takafumi Ushida Masato Yoshihara Kenji Imai Tomoko Nakano-Kobayashi Yoshinori Moriyama Yukako Iitani Fumie Kinoshita Shigeru Yoshida Mamoru Yamashita Yasuyuki Kishigami Hidenori Oguchi Hiroaki Kajiyama
author_sort	Sho Tano
title	Annual body mass index gain and risk of hypertensive disorders of pregnancy in a subsequent pregnancy
title_short	Annual body mass index gain and risk of hypertensive disorders of pregnancy in a subsequent pregnancy
title_full	Annual body mass index gain and risk of hypertensive disorders of pregnancy in a subsequent pregnancy
title_fullStr	Annual body mass index gain and risk of hypertensive disorders of pregnancy in a subsequent pregnancy
title_full_unstemmed	Annual body mass index gain and risk of hypertensive disorders of pregnancy in a subsequent pregnancy
title_sort	annual body mass index gain and risk of hypertensive disorders of pregnancy in a subsequent pregnancy
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6b433a2818fe492782169461d360452a
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Annual body mass index gain and risk of hypertensive disorders of pregnancy in a subsequent pregnancy

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