Cited by 120Pregnancy and preeclampsia studiesGestational Diabetes Research and ManagementBirth, Development, and Health

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Prepregnancy body mass index, gestational weight gain, and risk of hypertensive pregnancy among Latina women

Fortner, Renée Turzanski, Pekow, Penelope, Solomon, Caren G., Markenson, Glenn, Chasan-Taber, Lisa·2009·American Journal of Obstetrics and Gynecology

DOI 10.1016/j.ajog.2008.08.021

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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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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)
ORCID: Fortner, Renée Turzanski
Pekow, Penelope
Solomon, Caren G.
Markenson, Glenn
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)
DOI: 10.1016/j.ajog.2008.08.021
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: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
doi.org/10.15223/policy-017 (stm-asf)
doi.org/10.15223/policy-037 (stm-asf)
doi.org/10.15223/policy-012 (stm-asf)
doi.org/10.15223/policy-029 (stm-asf)
doi.org/10.15223/policy-004 (stm-asf)
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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Prepregnancy body mass index, gestational weight gain, and risk of hypertensive pregnancy among Latina women

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