Risk factors for cardiovascular disease in women with a history of pregnancy complicated by preeclampsia or intrauterine growth restriction.
OBJECTIVE
Women with a history of preeclampsia or intrauterine growth restriction (IUGR) have an increased risk for cardiovascular disease in later life. We determined the presence of traditional and novel risk factors for cardiovascular disease in these women.


METHODS
We studied 256 women with a history of preeclampsia and 59 women with a history of intrauterine growth restriction. Fifty-three women with a history of uncomplicated pregnancy served as controls. We determined values for blood pressure, body mass index, concentrations of cholesterol, high-density lipoprotein cholesterol, triglycerides and lipoprotein (a), and insulin resistance.


RESULTS
Women with a history of preeclampsia exhibited more risk factors for future cardiovascular disease such as dyslipidemia, hypertension, obesity, and increased insulin resistance compared with women with a history of uncomplicated pregnancy. Women with a history of IUGR have higher concentrations of cholesterol and show a tendency to higher BMI, higher triglyceride concentrations, and increased insulin resistance as compared with women with a history of normal pregnancy.


CONCLUSIONS
Preeclampsia or IUGR may represent an early marker for increased risk for early cardiovascular disease.
Manten
Gwendolyn T R
GT
Department of Perinatology and Gynecology, University Medical Center, Utrecht, The Netherlands. wmantel@veldhuizen.speedxs.nl
Sikkema
Marko J
MJ
Voorbij
Hieronymus A M
HA
Visser
Gerard H A
GH
Bruinse
Hein W
HW
Franx
Arie
A
D000328:Adult; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000503:physiopathology; D005260:Female; D005317:Fetal Growth Retardation / Q000097:blood / Q000453:epidemiology* / Q000503:physiopathology; D006801:Humans; D007333:Insulin Resistance / Q000502:physiology; D017270:Lipoprotein(a) / Q000097:blood; D011225:Pre-Eclampsia / Q000097:blood / Q000453:epidemiology* / Q000503:physiopathology; D011247:Pregnancy; D012307:Risk Factors
D017270:Lipoprotein(a)