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Interpregnancy Weight Change and Hypertension during Pregnancy: A Systematic Review and Meta-analysis

dc.contributor.authorMartínez-Hortelano J.A.
dc.contributor.authorCavero-Redondo I.
dc.contributor.authorÁlvarez-Bueno C.
dc.contributor.authorSanabria-Martínez G.
dc.contributor.authorPoyatos-León R.
dc.contributor.authorMartínez-Vizcaíno V.
dc.date.accessioned2020-09-02T22:22:29Z
dc.date.available2020-09-02T22:22:29Z
dc.date.issued2020
dc.identifier10.1097/AOG.0000000000003573
dc.identifier.citation135, 1, 68-79
dc.identifier.issn00297844
dc.identifier.urihttps://hdl.handle.net/20.500.12728/5255
dc.descriptionOBJECTIVE:To synthesize evidence regarding the association between interpregnancy weight change and hypertensive disorders of pregnancy.DATA SOURCES:MEDLINE, EMBASE, Cochrane Library, Web of Science, and ClinicalTrials.gov databases were systematically searched from the databases' interception until April 2019. Search strategy included the terms: "interpregnancy," "intergestational," "hypertension" and "hypertensive disorders."METHODS OF STUDY SELECTION:Studies that assessed the relationship between interpregnancy weight change and hypertensive disorders of pregnancy were included. Twelve studies and 415,605 women were included in this systematic review and meta-analysis. We used Mendeley reference manager during the review process. Odds ratios (ORs) for the most adjusted models reported by the included articles and the corresponding 95% CIs were calculated. The no weight change category defined by each study was used as the reference category.TABULATION, INTEGRATION, AND RESULTS:Overall, there was an increased risk of hypertensive disorders of pregnancy associated with interpregnancy weight gain (OR 1.37; 95% CI 1.21-1.53; I2=62.1%; P<.001). Additionally, interpregnancy weight loss was associated with lower risk of developing hypertensive disorders of pregnancy (OR 0.87; 95% CI 0.75-0.99; I2=54.9%; P=.01), Finally, meta-regression showed that interpregnancy weight gain was associated with a graded increase in the risk of hypertensive disorders of pregnancy.CONCLUSION:This systematic review and meta-analysis provides evidence that interpregnancy weight gain is associated with an increased risk of hypertensive disorders of pregnancy, gestational hypertension, and preeclampsia.SYSTEMATIC REVIEW REGISTRATION:PROSPERO, CRD42018103002. © 2019 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.
dc.language.isoen
dc.publisherLippincott Williams and Wilkins
dc.titleInterpregnancy Weight Change and Hypertension during Pregnancy: A Systematic Review and Meta-analysis
dc.typeReview


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