title: Prepregnancy body mass index, gestational weight gain, and risk of hypertensive pregnancy among Latina women.
abstract: OBJECTIVE
  Prepregnancy body mass index (BMI) and gestational weight gain have been associated with hypertensive disorders of pregnancy, but previous studies have included few Latinas, a group at increased risk.
  
  
  METHODS
  We examined these associations in the Latina Gestational Diabetes Mellitus Study, a prospective cohort of 1231 women conducted from 2000 to 2004.
  
  
  RESULTS
  In multivariable analysis, obese women (BMI > 29.0 kg/m(2)) had 2.5 times the risk of hypertensive pregnancy (95% confidence interval [CI], 1.3-4.8) and 2.7 times the risk of preeclampsia (95% CI, 1.2-5.8), compared with women whose BMI was 19.8 to 26.0 kg/m(2). Women with excessive gestational weight gain had a 3-fold increased risk of a hypertensive disorder of pregnancy (95% CI, 1.1-7.2) and a 4-fold risk of preeclampsia (95% CI, 1.2-14.5), compared with women achieving weight gain guidelines.
  
  
  CONCLUSIONS
  These findings suggest prepregnancy obesity and excessive weight gain are associated with hypertension in pregnancy in a Latina population and could be potentially modifiable risk factors.
authors.affiliation: Division of Biostatistics and Epidemiology, Department of Public Health, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01003-9304, USA.
authors.forename: Renée Turzanski
authors.initials: RT
authors.lastname: Fortner
authors.forename: Penelope
authors.initials: P
authors.lastname: Pekow
authors.forename: Caren G
authors.initials: CG
authors.lastname: Solomon
authors.forename: Glenn
authors.initials: G
authors.lastname: Markenson
authors.forename: Lisa
authors.initials: L
authors.lastname: Chasan-Taber
mesh_terms: D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D015331:Cohort Studies; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000209:etiology*; D009765:Obesity / Q000150:complications*; D011247:Pregnancy; D011647:Puerto Rico / Q000208:ethnology; D012307:Risk Factors; D015430:Weight Gain; D055815:Young Adult