Interpregnancy body mass index change and risk of hypertensive disorders in pregnancy. (Record no. 5570)

MARC details
000 -LEADER
fixed length control field 03923nam a22003857a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 201006s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1476-4954
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1080/14767058.2020.1817371 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 32928011
245 ## - TITLE STATEMENT
Title Interpregnancy body mass index change and risk of hypertensive disorders in pregnancy.
251 ## - Source
Source Journal of Maternal-Fetal & Neonatal Medicine. :1-6, 2020 Sep 14
252 ## - Abbreviated Source
Abbreviated source J Matern Fetal Neonatal Med. :1-6, 2020 Sep 14
253 ## - Journal Name
Journal name The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2020-10-06
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 2013 to the present
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Hypertensive disorders are a common cause of maternal mortality. Whether interpregnancy BMI (body mass index kg/m2) gain is associated with hypertensive disorders in a subsequent pregnancy is not unclear.
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Abstract CONCLUSIONS: Compared to interpregnancy BMI change +/-2 kg/m2, interpregnancy BMI gain greater than 2 kg/m2 was associated with increased odds of any hypertensive disorder. Weight control after pregnancy could be a potentially modifiable factor that may reduce the risk of hypertensive disorders.
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Abstract OBJECTIVES: To examine the association between interpregnancy BMI and hypertensive disorders in women without a history of hypertensive disorders in pregnancy.
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Abstract RESULTS: Of 3068 women who were analyzed, 342 (11%), 1698 (55%), and 1028 (34%) had interpregnancy BMI loss greater than 2 kg/m2, interpregnancy BMI change +/-2 kg/m2, and interpregnancy BMI gain greater than 2 kg/m2, respectively. Interpregnancy BMI gain greater than 2 kg/m2 compared to interpregnancy BMI loss more than 2 kg/m2 was associated with increased odds of hypertensive disorders (8.3% vs. 4.0%; adjusted odds ratio 2.20 [95% confidence interval 1.55-3.13]) and pregnancy-associated hypertension (adjusted odds ratio 2.25 [95% confidence interval 1.54-3.27]). Interpregnancy BMI loss greater than 2 kg/m2 compared to interpregnancy BMI change +/-2 kg/m2 was not associated with increased odds of any hypertensive disorders (5.3% vs. 4.0%; adjusted odds ratio 0.58 [95% confidence interval 0.32-1.05]).
520 ## - SUMMARY, ETC.
Abstract STUDY DESIGN: This was a retrospective cohort study of all women who had more than one singleton pregnancy at 23 weeks' gestation or greater at a single academic institution. Only the second pregnancy in the dataset was analyzed. We excluded women who had any hypertensive disorder in the index pregnancy. Interpregnancy BMI change was calculated by the change of early pregnancy BMI (within 14 weeks' gestation) measured in the office between the index pregnancy compared to that of the subsequent pregnancy. Women were categorized according to interpregnancy BMI change (BMI loss greater than 2 kg/m2, BMI change +/-2 kg/m2, and BMI gain greater than 2 kg/m2). The primary outcome was any hypertensive disorder (chronic hypertension and pregnancy-associated hypertension). Multivariable logistic regression was performed to calculate adjusted odds ratios (aOR) with 95% confidence interval (95%CI) after adjusting for predefined covariates.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
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Department Obstetrics and Gynecology/Maternal-Fetal Medicine
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Medline publication type Journal Article
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Local Authors Downs, Sarah K
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Local Authors Kawakita, Tetsuya
790 ## - Authors
All authors Downs SK, Franco S, Ghofranian A, Kawakita T, Thomas A
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1080/14767058.2020.1817371">https://dx.doi.org/10.1080/14767058.2020.1817371</a>
Public note https://dx.doi.org/10.1080/14767058.2020.1817371
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 10/06/2020   32928011 32928011 10/06/2020 10/06/2020 Journal Article

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