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January 13, 2023Nutrients7 citationsOpen Access

Modifiable Risk Factors for Cardiovascular Disease among Women with and without a History of Hypertensive Disorders of Pregnancy

KSKaylee SlaterTSTracy SchumacherKDKer Nee Ding

Key Result

A history of hypertensive disorders of pregnancy was associated with a higher multiple cardiovascular disease modifiable risk factor score compared to no history (mean 2.3 vs 2.0; p<0.01).

Study Design

Type

Cross-Sectional (n=5,820)

Structured PICO

Do women with a history of hypertensive disorders of pregnancy have higher rates of modifiable cardiovascular risk factors compared to women without such history?

P
Population
5820 women aged 32−37 years old, who completed survey 7 of the Australian Longitudinal Study of Women’s Health (ALSWH) in 2015.
I
Intervention
History of Hypertensive Disorders of Pregnancy (HDP)
C
Comparator
No history of Hypertensive Disorders of Pregnancy (HDP)
O
Outcome
Rates of individual and multiple modifiable risk factors for CVD (body mass index, fruit and vegetable intake, physical activity, sitting time, smoking, alcohol consumption and depressive symptoms)surrogate

Women with a history of hypertensive disorders of pregnancy have a higher burden of modifiable cardiovascular risk factors, highlighting the need for targeted cardiovascular prevention strategies in this population.

Main Result

Absolute Event Rate: 2.3% vs 2%

p-value: p=<0.01

Abstract

Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in women. Hypertensive disorders of pregnancy (HDP) affect 5−10% of pregnancies worldwide, and are an independent risk factor for CVD. A greater understanding of the rates of modifiable CVD risk factors in women with a history of HDP can inform CVD prevention priorities in this group. The aim of this study was to understand the rates of individual and multiple modifiable risk factors for CVD (body mass index, fruit and vegetable intake, physical activity, sitting time, smoking, alcohol consumption and depressive symptoms) among women with a history of HDP, and assess whether they differ to women without a history of HDP. This study is a cross-sectional analysis of self-reported data collected for the Australian Longitudinal Study of Women’s Health (ALSWH). The sample included 5820 women aged 32−37 years old, who completed survey 7 of the ALSWH in 2015. Women with a history of HDP had a higher multiple CVD modifiable risk factor score compared to those without HDP (mean (SD): 2.3 (1.4) vs. 2.0 (1.3); p < 0.01). HDP history was significantly associated with a higher body mass index (p < 0.01), high-risk alcohol consumption (p = 0.04) and more depressive symptoms (p < 0.01). Understanding that women with a history of HDP have higher CVD risk factors, specifically body mass index, alcohol consumption and depressive symptoms, allows clinicians to provide appropriate and tailored CVD interventions for this group of women.

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Cite This Study

Slater et al. (2023) conducted a cross-sectional in Cardiovascular disease risk factors (n=5,820). History of hypertensive disorders of pregnancy vs. No history of hypertensive disorders of pregnancy was evaluated on Multiple CVD modifiable risk factor score (p=<0.01). A history of hypertensive disorders of pregnancy was associated with a higher multiple cardiovascular disease modifiable risk factor score compared to no history (mean 2.3 vs 2.0; p<0.01).

synapsesocial.com/papers/6a1265eb45487b7639a66852https://doi.org/10.3390/nu15020410
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