Prepregnancy body mass index, gestational weight gain, and risk of hypertensive pregnancy among Latina women
Abstract
Objective Prepregnancy body mass index (BMI) and gestational weight gain have been associated with hypertensive disorders of pregnancy, but previous studies have included few Latinas, a group at increased risk. Study design We examined these associations in the Latina Gestational Diabetes Mellitus Study, a prospective cohort of 1231 women conducted from 2000 to 2004. Results In multivariable analysis, obese women (BMI > 29.0 kg/m(2)) had 2.5 times the risk of hypertensive pregnancy (95% confidence interval [CI], 1.3-4.8) and 2.7 times the risk of preeclampsia (95% CI, 1.2-5.8), compared with women whose BMI was 19.8 to 26.0 kg/m(2). Women with excessive gestational weight gain had a 3-fold increased risk of a hypertensive disorder of pregnancy (95% CI, 1.1-7.2) and a 4-fold risk of preeclampsia (95% CI, 1.2-14.5), compared with women achieving weight gain guidelines. Conclusion These findings suggest prepregnancy obesity and excessive weight gain are associated with hypertension in pregnancy in a Latina population and could be potentially modifiable risk factors.
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Lower GWG in women with GDM is associated with reduced risks of pregnancy-induced hypertension, pre-eclampsia, caesarean section, and macrosomia without increasing small-for-gestational-age risks.
“Lower GWG in women with GDM [44,45,46,47,48,49] is associated with reduced risks of pregnancy-induced hypertension, pre-eclampsia [49,50,51], caesarean section [47], and macrosomia [43,49] without increasing small-for-gestational-age (SGA) risks [43,49].”
From Medical Nutrition Therapy for Women with Gestational Diabetes: Current Practice and Future Perspectives (2025) · cites this paper as [51]
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- Authors
- Fortner, R. T., Pekow, P., Solomon, C. G., Markenson, G., & Chasan-Taber, L.
- Affiliations
- University of Massachusetts Amherst (US)
- Brigham and Women's Hospital (US)
- Baystate Medical Center (US)
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2009-02
- Volume
- 200
- Issue
- 2
- Pages
- 167.e1-167.e7
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2055202417
- Cited by
- 120
- References
- 35
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 8 · 2019: 10 · 2018: 10 · 2017: 7 · 2016: 8 · 2015: 5 · 2014: 11 · 2013: 18 · 2012: 5
- FWCI
- 9.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- pre-pregnancy body mass index, gestational weight gain, hypertensive disorders of pregnancy, preeclampsia, Hispanic women, maternal obesity, risk factors
- MeSH terms
- Adolescent, Adult, Female, Hispanic or Latino, Humans, Obesity, Pregnancy, Puerto Rico, Risk Factors, Cohort Studies, Weight Gain, Body Mass Index, Hypertension, Pregnancy-Induced, Young Adult
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