期刊
JOURNAL OF PUBLIC HEALTH
卷 43, 期 2, 页码 E161-E170出版社
OXFORD UNIV PRESS
DOI: 10.1093/pubmed/fdaa044
关键词
blood pressure; children; gestational weight gain; overweight; pre-pregnancy BMI
资金
- Fundo deApoio a PesquisaFAP/UNIVILLE, Brazil [4555/2011, 01/2014, 02/2016]
The study found that maternal pre-pregnancy overweight and simultaneous excessive GWG were positively associated with elevated BP in 6-year-old children. Mothers with pre-pregnancy BMI ≥ 25 kg/m(2) and excessive GWG were more likely to have children with elevated diastolic blood pressure.
Background We evaluated the effect of maternal gestational weight gain (GWG) and pre-pregnancy weight on blood pressure (BP) of children 6 years after delivery. Methods Cross-sectional study that compared the anthropometric measurements of 181 mothers and their children's BP 6 years after delivery. The BP was measured by the auscultatory method. We used log-binomial regression to investigate the association of pre-pregnancy body mass index (BMI) and GWG categories with BP in mid-childhood. Results The prevalence of elevated BP in children was 26.5%. Maternal pre-pregnancy overweight and concurrent excessive GWG were positively associated with elevated BP at 6 years of age. Mothers with pre-pregnancy overweight and excessive GWG were more likely to have children with elevated BP at 6 years of age (OR = 2.05; P = 0.018) compared to mothers who were of normal weight pre-pregnancy and experienced appropriate GWG. We also found that mothers with pre-pregnancy BMI =25 kg/m(2) and concurrent excessive GWG were more likely to have children with elevated diastolic blood pressure (OR = 2.72; P = 0.005). Conclusions Pre-pregnancy overweight/obesity had impact on BP in mid-childhood. Interventions aimed at reducing cardiovascular diseases in children should promote weight loss in women of reproductive age rather than in pregnant women.
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