No midpregnancy fall in diastolic blood pressure in women with a low educational level: the Generation R Study

Hypertension
Lindsay M SilvaHein Raat

Abstract

Low socioeconomic status has been associated with preeclampsia. The underlying mechanism, however, is unknown. Preeclampsia is associated with relatively high blood pressure levels in early pregnancy and with an absent midpregnancy fall in blood pressure. At present, little is known about the associations among socioeconomic status, blood pressure level in early pregnancy, blood pressure change during pregnancy, and preeclampsia. We studied these associations in 3142 pregnant women participating in a population-based cohort study. Maternal educational level (high, midhigh, midlow, and low) was used as an indicator of socioeconomic status. Systolic and diastolic blood pressure was measured in early, mid-, and late pregnancy. Relative to women with high education, those with low and midlow education had higher mean systolic and diastolic blood pressure levels in early pregnancy; this was explained largely by a higher prepregnancy body mass index. Although women with high, midhigh, and midlow education had a significant midpregnancy fall in diastolic blood pressure, those with low education did not (change from early to midpregnancy: -0.38 mm Hg; 95% CI: -1.33 to 0.58). The latter could not be explained by prepregnancy body mass i...Continue Reading

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Citations

Apr 21, 2011·Irish Journal of Medical Science·A PiroddaC Borghi
Jul 29, 2011·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Seung Chik JwaMichihiro Kitagawa
Mar 23, 2012·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Mami IshikuroYutaka Imai
Dec 23, 2008·European Journal of Epidemiology·Vincent W V JaddoeAlbert Hofman
Oct 23, 2010·European Journal of Epidemiology·Vincent W V JaddoeAlbert Hofman
Oct 30, 2015·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Noriyuki IwamaUNKNOWN BOSHI Study Group
Jun 6, 2009·Paediatric and Perinatal Epidemiology·Jean Golding
Aug 23, 2011·American Journal of Obstetrics and Gynecology·Sarah TimmermansEric A P Steegers
Oct 7, 2011·Early Human Development·Hein RaatJohan P Mackenbach
Dec 10, 2008·Hypertension·Hirohito MetokiYutaka Imai
Dec 24, 2010·Journal of Hypertension·Vivek NamaIsaac T Manyonda
Aug 21, 2010·Journal of Hypertension·Rachel BakkerVincent Wv Jaddoe
Jul 18, 2018·Journal of Hypertension·Noriyuki IwamaUNKNOWN Japan Environment & Childrenʼs Study Group
Aug 25, 2020·Autism Research : Official Journal of the International Society for Autism Research·Masoud AmiriTonya White
Mar 12, 2020·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Noriyuki IwamaUNKNOWN BOSHI Study Group
Dec 29, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Marjolein N KooijmanRomy Gaillard

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