Normal and high-normal blood pressures, but not body mass index, are risk factors for the subsequent occurrence of both preeclampsia and gestational hypertension : A retrospective cohort study
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概要
- 論文の詳細を見る
Blood pressure (BP) levels and body mass index (BMI) are known as risk factors for preeclampsia and gestational hypertension. However, there have been few investigations regarding the effects of BID and BMI levels on preeclampsia and gestational hypertension in the same cohort. In the present study, we conducted a retrospective cohort study using multiple logistic regression analysis. The cohort included 1,518 patients without nephritis. The unadjusted odds ratios (ORs) of preeclampsia and gestational hypertension were increased in pregnant women with normal BP (120-129 mmHg systolic or 80-84 mmHg diastolic), high-normal BID and hypertension in the second trimester compared to those with optimal BP. The unadjusted ORs of preeclampsia and gestational hypertension were also increased in obese women in the pre-pregnancy period compared to women with normal range BML When adjustment was made for both the BP levels and pre-pregnancy BMI levels, the ORs (95% confidence intervals) of normal BID, high-normal BID, hypertension and obesity for the subsequent occurrence of preeclampsia were 5.1 (2.2-12), 8.3 (3.1-22), 16 (5.0-50) and 2.0 (0.67-5.9), and those for the subsequent occurrence of gestational hypertension were 7.0 (2.6-19), 7.4 (2.1-25), 22 (6.1-83) and 1.3 (0.33-4.8), respectively. For the subsequent occurrence of preeclampsia or gestational hypertension, normal BID, high-normal BP and hypertension in the second trimester may be independent risk factors. Obesity in the pre-pregnancy period, however, may not be an independent risk factor.
- JAPANESE SOC HYPERTENSIONの論文
- 2006-03-01
著者
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Minakami Hisanori
Department of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine
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SUZUKI Mitsuaki
Department of Obstetrics and Gynecology, Jichi Medical School
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Suzuki Mitsuaki
Department Of Obstetrics And Gynecology Jichi Medical University School Of Medicine
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Suzuki Mitsuaki
Department Of Obstetrics And Gynecology Jichi Medical College
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Takahashi Kayoko
Department Of Obstetrics And Gynecology Jichi Medical University School Of Medicine
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OHKUCHI Akihide
Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine
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HIRASHIMA Chikako
Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine
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SUZUKI Hirotada
Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine
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TAKAHASHI Kayo
Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine
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MATSUBARA Shigeki
Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine
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USUI Rie
Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine
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IWASAKI Ryuhiko
Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine
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Iwasaki Ryuhiko
Department Of Obstetrics And Gynecology Jichi Medical University School Of Medicine
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Iwasaki Ryuhiko
Department Of Obstetrics And Gynecology Jichi Medical School
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Minakami Hisanori
Department Of Obstetrics And Gynecology Hokkaido University School Of Medicine
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Minakami Hisanori
自治医科大学 医学部産科婦人科学
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Usui Rie
Department Of Obstetrics And Gynecology Jichi Medical University
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Hirashima Chikako
Department Of Obstetrics And Gynecology Jichi Medical University School Of Medicine
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Matsubara S
Department Of Obstetrics And Gynecology Jichi Medical University School Of Medicine
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Matsubara Shigeki
Department Of Obstetrics And Gynecology Jichi Medical School
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Ohkuchi Akihide
Department Of Obstetrics And Gynecology Jichi Medical University School Of Medicine
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Suzuki Hirotada
Department Of Obstetrics And Gynecology Jichi Medical University School Of Medicine
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Suzuki Mitsuaki
Department Of Chemistry Graduate School Of Material Science Josai University
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Minakami Hisanori
Department Of Gynecology Hokkaido University
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Usui Rie
Department Of Obstetrics And Gynecology Jichi Medical University School Of Medicine
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Sakai Masato
Department Of Obstetrics And Gynecology Aiiku Maternal And Child Health Center
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Suzuki Mitsuaki
Department Of Obstetrics And Gynecology School Of Medicine Jichi Medical University
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Matsubara Shigeki
Department Of Obstetrics And Gynecology And Jichi Perinatal Education Center
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