TY - JOUR
T1 - Higher prepregnancy body mass index is a risk factor for developing preeclampsia in Maya-Mestizo women
T2 - a cohort study
AU - Canto-Cetina, Thelma
AU - Coral-Vázquez, Ramón Mauricio
AU - Rojano-Mejía, David
AU - Pérez Godoy, Sergio
AU - Coronel, Agustín
AU - Canto, Patricia
N1 - Publisher Copyright:
© 2017 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2018/8/18
Y1 - 2018/8/18
N2 - Aim: Preeclampsia and obesity are two closely related syndromes. The high maternal prepregnancy body mass index (BMI) is a risk factor for present preeclampsia, independently of the ethnic background of the studied population. The aim of this study was to analyse in a prospective cohort study the relation between prepregnancy BMI and development of preeclampsia in Maya-Mestizo women. Design: This is a prospective cohort study of 642 pregnant women that were included in the first trimester of the pregnancy (gestational age ≤12 weeks at the first antenatal visit) and all of them were of Maya-Mestizo ethnic origin from the state of Yucatán, México. We assessed the potential risk factors for preeclampsia and documented the prepregnancy BMI (kg/m2) that was based on measured height and maternal self-report of prepregnancy weight at the initial visit. Besides, in the antenatal visit we documented if the pregnant women developed preeclampsia. Results: Of the 642 pregnant Maya-Mestizo women, 49 developed preeclampsia, with an incidence of 7.6% (44.9% had severe and 55% mild). The prepregnancy BMI was higher in women with developed preeclampsia than in those with normal pregnancies. Women with overweight or obesity in comparison with normal weight presented a RR = 2.82 (95% CI: 1.32–6.03; P = 0.008) and RR= 4.22 (95% CI: 2.07–8.61; P = 0.001), respectively. Conclusions: Our findings expand the previous studies to show that the higher prepregnancy BMI is a strong, independent risk factor for preeclampsia.
AB - Aim: Preeclampsia and obesity are two closely related syndromes. The high maternal prepregnancy body mass index (BMI) is a risk factor for present preeclampsia, independently of the ethnic background of the studied population. The aim of this study was to analyse in a prospective cohort study the relation between prepregnancy BMI and development of preeclampsia in Maya-Mestizo women. Design: This is a prospective cohort study of 642 pregnant women that were included in the first trimester of the pregnancy (gestational age ≤12 weeks at the first antenatal visit) and all of them were of Maya-Mestizo ethnic origin from the state of Yucatán, México. We assessed the potential risk factors for preeclampsia and documented the prepregnancy BMI (kg/m2) that was based on measured height and maternal self-report of prepregnancy weight at the initial visit. Besides, in the antenatal visit we documented if the pregnant women developed preeclampsia. Results: Of the 642 pregnant Maya-Mestizo women, 49 developed preeclampsia, with an incidence of 7.6% (44.9% had severe and 55% mild). The prepregnancy BMI was higher in women with developed preeclampsia than in those with normal pregnancies. Women with overweight or obesity in comparison with normal weight presented a RR = 2.82 (95% CI: 1.32–6.03; P = 0.008) and RR= 4.22 (95% CI: 2.07–8.61; P = 0.001), respectively. Conclusions: Our findings expand the previous studies to show that the higher prepregnancy BMI is a strong, independent risk factor for preeclampsia.
KW - Higher prepregnancy BMI
KW - Maya-mestizo women
KW - preeclampsia
UR - http://www.scopus.com/inward/record.url?scp=85017162931&partnerID=8YFLogxK
U2 - 10.1080/13557858.2017.1315367
DO - 10.1080/13557858.2017.1315367
M3 - Artículo
C2 - 28385076
SN - 1355-7858
VL - 23
SP - 682
EP - 690
JO - Ethnicity and Health
JF - Ethnicity and Health
IS - 6
ER -