Maternal obesity and energy intake as risk factors of pregnancy-induced hypertension among Iranian women.
Pregnancy-induced hypertension is causing striking maternal, foetal and neonatal mortality and morbidity in the world. A case-control study was conducted on 113 women with gestational hypertension and 150 healthy pregnant women at Shahid Akbarabadi Hospital of obstetrics and gynaecology in south of Tehran. Women who were obese (OR 4.44; 95% CI 1.84-10.72) before pregnancy were more likely to develop gestational hypertension. Proportion of having excessive gestational weight gain was positively and significantly associated with development of gestational hypertension (OR 2.70; 95% CI 1.19-6.13). Furthermore, findings revealed that women who were in the highest quartile of mid-arm-circumference had a 3-fold increased risk of gestational hypertension compared to women in the lowest quartile (OR 8.93; 95% CI 2.16-36.93). We found that having been in the highest quartile of energy intake positively correlated with increased risk of gestational hypertension (OR 9.66; 95% CI 3.30-28.21). The results suggest pre-pregnancy obesity, excessive gestational weight gain, and increased intake of energy as potential risk factors of developing gestational hypertension.
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran, Iran.
Elham
E
Kazemian
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran, Iran.
Gity
G
Sotoudeh
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran, Iran.
Ahmad Reza
AR
Dorosty-Motlagh
Department of Statistics and Epidemiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Reza
MR
Eshraghian
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran, Iran.
Minoo
M
Bagheri
D000328:Adult; D016022:Case-Control Studies; D002149:Energy Intake; D005260:Female; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000453:epidemiology / Q000209:etiology*; D007492:Iran / Q000453:epidemiology; D009765:Obesity / Q000150:complications*; D011247:Pregnancy; D012307:Risk Factors; D015430:Weight Gain
Body mass index; Energy intake; Gestational hypertension; Gestational weight gain; Iran; Pre-pregnancy; Pregnancy