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Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study: preeclampsia
Open accessAbstract
OBJECTIVE To examine associations of fasting C-peptide, BMI, and maternal glucose with risk of preeclampsia, in a multicenter multinational study. STUDY DESIGN Secondary analysis of blinded observational cohort study. Subjects underwent a 75-g OGTT at 24–32 weeks gestation. Associations of preeclampsia with fasting C-peptide, BMI, and maternal glucose were assessed using multiple logistic regression analyses, adjusting for potential confounders. RESULTS Of 21,364 women included in analyses, 5.2% developed preeclampsia. Adjusted odds ratios (OR) for preeclampsia for 1 SD higher fasting C-peptide (0.87 ug/L), BMI (5.1 kg/m2), fasting (6.9 mg/dl), 1-hour (30.9 mg/dl), and 2-hour plasma glucose (23.5 mg/dl) were 1.28 (1.20, 1.36), 1.60 (95% CI 1.60–1.71), 1.08 (95% CI 1.00–1.16), 1.19 (95% CI 1.11–1.28), and 1.21 (1.13–1.30), respectively. CONCLUSION Results indicate strong, independent associations of fasting C-peptide and BMI with preeclampsia. Maternal glucose levels (below diabetes) had weaker associations with preeclampsia, particularly after adjustment for fasting C-peptide and BMI.
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“Some secondary outcomes, including risks of shoulder dystocia and/or birth injury and preeclampsia, were also associated with maternal glycemia (257).”
From Guidelines and Recommendations for Laboratory Analysis in the Diagnosis and Management of Diabetes Mellitus (2023) · cites this paper as [257]
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Metadata
- Authors
- Yogev, Chen, Hod, Coustan, Oats, McIntyre, D. H., Metzger, Löwe, Dyer, Dooley, Trimble, McCance, Hadden, Persson, & Rogers
- Affiliations
- Tel Aviv University (IL)
- ORCID
- David H. McIntyre
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2010-03
- Volume
- 202
- Issue
- 3
- Pages
- 255.e1-255.e7
- ISSN
- 0002-9378 (ISSN-L)
- PMC
- PMC2836485
- OpenAlex
- W17552291
- Semantic Scholar
- 34ba55362b70dc07b0d905a30c069b1248740e6f
- Cited by
- 155
- References
- 38
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 12 · 2023: 14 · 2022: 13 · 2021: 11 · 2020: 12 · 2019: 6 · 2018: 13 · 2017: 9 · 2016: 9 · 2015: 5 · 2014: 7 · 2013: 7 · 2012: 14
- FWCI
- 15.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion)
- Funders
- National Center for Research Resources (M01-RR00048, M01-RR00080)
- Royal College of Physicians of Edinburgh
- Diabetes UK (RD04/0002756)
- American Diabetes Association
- Novo Nordisk
- National Institute of Child Health and Human Development
- National Institute of Diabetes and Digestive and Kidney Diseases (R01-HD34242, R01-HD34243)
- 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
- preeclampsia, fasting C-peptide, body mass index, maternal blood glucose, oral glucose tolerance test, hyperglycemia, adverse pregnancy outcomes, insulin resistance, gestational diabetes mellitus
- MeSH terms
- Adult, Blood Glucose, C-Peptide, Fasting, Female, Glucose Tolerance Test, Humans, Hyperglycemia, Pre-Eclampsia, Pregnancy, Cohort Studies, Body Mass Index, Logistic Models
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