Maternal overnutrition elevates offspring’s blood pressure-A systematic review and meta-analysis
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Background: Maternal overnutrition during pregnancy predisposes the offspring to cardiometabolic diseases. Objectives: This systematic review and meta‐analysis aimed to investigate the association between maternal overnutrition and offspring's blood pressure (BP) and the effect of offspring's obesity on this association. Data sources: PubMed, EMBASE, Clinicaltrials.gov, CENTRAL. Study selection and data extraction: Human studies published in English before October 2021 were identified that presented quantitative estimates of association between maternal overnutrition just before or during pregnancy and the offspring's BP. Synthesis: Random‐effect model with the DerSimonian and Laird weighting method was used to analyse regression coefficients or mean differences. Results: After selection, 17 observational studies (140,517 mother‐offspring pairs) were included. Prepregnancy body mass index (ppBMI) showed positive correlation with BP in offspring (regression coefficient for systolic: 0.38 mmHg per kg/m 2 , 95% confidence interval (CI) 0.17, 0.58; diastolic: 0.10 mmHg per kg/m 2 , 95% CI 0.05, 0.14). These indicate 1.9 mmHg increase in systolic and 0.5 mmHg increase in diastolic BP of offspring with every 5 kg/m 2 gain in maternal ppBMI. Results on coefficients adjusted for offspring's BMI also showed association (systolic: 0.08 mmHg per kg/m 2 , 95% CI 0.04, 0.11; diastolic: 0.03 mmHg per kg/m 2 , 95% CI 0.01, 0.04). Independent from ppBMI, gestational weight gain (GWG) showed positive correlation with systolic BP (systolic BP: 0.05 mmHg per kg, 95% CI 0.01, 0.09), but not after adjustment for offspring's BMI. Mean systolic BP was higher in children of mothers with excessive GWG than in those of mothers with optimal GWG (difference: 0.65 mmHg, 95% CI 0.25, 1.05). Conclusions: Independent from offspring's BMI, higher prepregnancy BMI may increase the risk for hypertension in offspring. The positive association between GWG and offspring's systolic BP is indirect via offspring's obesity. Reduction in maternal obesity and treatment of obesity in children of obese mothers are needed to prevent hypertension.
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A recent systematic review of 17 studies of mother-offspring pairs reported a positive association between higher maternal pre-pregnancy body mass index and increased blood pressure in the offspring, independent from the body mass index of the offspring.
“A recent systematic review of 17 studies of mother-offspring pairs reported a positive association between higher maternal pre-pregnancy body mass index and increased blood pressure in the offspring, independent from the body mass index of the offspring [125].”
From Recent Experimental Studies of Maternal Obesity, Diabetes during Pregnancy and the Developmental Origins of Cardiovascular Disease (2022) · cites this paper as [125]
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- Authors
- Eitmann, S., Mátrai, P., Németh, D., Hegyi, P., Lukács, A., Bérczi, B., Czumbel, L. M., Kiss, I., Gyöngyi, Z., Varga, G., Balaskó, M., & Pétervári, E.
- Affiliations
- University of Pecs (HU)
- Semmelweis University (HU)
- University of Szeged (HU)
- Corresponding author
- Pétervári, Erika
- ORCID
- Venue
- Paediatric and Perinatal Epidemiology
- Publisher
- Wiley
- Published
- 2022-01-18
- Volume
- 36
- Issue
- 2
- Pages
- 276-287
- ISSN
- 0269-5022 (ISSN-L)
- 1365-3016
- PMC
- PMC9305555
- OpenAlex
- W4206771799
- Cited by
- 35
- References
- 70
- Citations by year
- 2026: 12 · 2025: 7 · 2024: 4 · 2023: 7 · 2022: 5
- FWCI
- 1.48
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Paediatric and Perinatal Epidemiology (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Pécsi Tudományegyetem
- National Research, Development and Innovation Office
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- maternal overnutrition, offspring blood pressure, hypertension, pre-pregnancy body mass index, gestational weight gain, offspring obesity, cardiometabolic risk, maternal obesity, childhood blood pressure, gestational diabetes mellitus, maternal alcohol consumption, maternal diabetes, maternal depression
- MeSH terms
- Gestational Weight Gain, Blood Pressure, Child, Female, Humans, Hypertension, Pregnancy, Body Mass Index, Pediatric Obesity
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