1. Maternal birth weight as an indicator of early-onset and late-onset hypertensive disorders of pregnancy: The Japan Environment and Children's study.
- Author
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Tagami, Kazuma, Iwama, Noriyuki, Hamada, Hirotaka, Tomita, Hasumi, Kudo, Rie, Kumagai, Natsumi, Sato, Naoto, Izumi, Seiya, Sakurai, Kasumi, Watanabe, Zen, Ishikuro, Mami, Obara, Taku, Tatsuta, Nozomi, Hoshiai, Tetsuro, Metoki, Hirohito, Saito, Masatoshi, Sugawara, Junichi, Kuriyama, Shinichi, Arima, Takahiro, and Yaegashi, Nobuo
- Abstract
[Display omitted] • The relationship between maternal birth weight (MBW) and hypertension was examined. • Lower MBW was correlated with higher HDP (hypertensive disorders of pregnancy) risk. • Lower MBW was a risk factor for late-onset HDP. • MBW showed a weaker association with early-onset than with late-onset HDP. This study aimed to investigate the association between maternal birth weight (MBW) and hypertensive disorders of pregnancy (HDP) according to the gestational age when HDP develops. A total of 77,345 subjects were included in this prospective birth cohort study. The association between MBW and HDP was investigated by a multinomial logistic regression model. Early-onset HDP (EO-HDP), preterm late-onset HDP (preterm LO-HDP), and term late-onset HDP (term LO-HDP). Lower MBW was associated with higher odds of preterm and term LO-HDP (p-values for trend < 0.0001 and = 0.0005, respectively). A linear association between MBW and EO-HDP was observed (p-values for trend = 0.0496). The shape of the association between MBW and preterm LO-HDP was a combination of the associations between MBW with EO-HDP or LO-HDP. The effect size of the association between MBW < 2,500 g and EO-HDP was lower than that of MBW < 2,500 g with preterm or term LO-HDP. The adjusted odds ratios for EO-HDP, preterm LO-HDP, and term LO-HDP in subjects with MBW < 2,500 g were 1.052 (95 % confidence interval [CI]: 0.665–1.664), 1.745 (95 % CI: 1.220–2.496), and 1.496 (95 % CI: 1.154–1.939), respectively. MBW was associated with HDP, regardless of gestational age when HDP developed. Furthermore, the association of MBW < 2,500 g with preterm or term LO-HDP was stronger than that with EO-HDP. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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