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. 2024 Jul;131(8):1136-1145.
doi: 10.1111/1471-0528.17740. Epub 2023 Dec 27.

Body mass index and weight gain in pregnancy and cardiovascular health in middle age: A cohort study

Lovisa Waagaard  1 , Ángel Herraiz-Adillo  1 , Viktor H Ahlqvist  2 , Sara Higueras-Fresnillo  1   3 , Daniel Berglind  2   4   5 , Patrik Wennberg  6 , Bledar Daka  7 , Cecilia Lenander  8 , Johan Sundström  9   10 , Carl Johan Östgren  1   11 , Karin Rådholm  1   10 , Pontus Henriksson  1
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Free article

Body mass index and weight gain in pregnancy and cardiovascular health in middle age: A cohort study

Lovisa Waagaard et al. BJOG. 2024 Jul.
Free article

Abstract

Objective: To examine associations between body mass index (BMI) in early pregnancy and gestational weight gain (GWG) with cardiovascular health in middle age using the 'Life's Essential 8' (LE8) concept of the American Heart Association (AHA).

Design: Population-based cohort study.

Setting: Swedish CardioPulmonary bioImage Study (SCAPIS).

Population: A total of 8871 women from SCAPIS were included.

Methods: Information on cardiovascular health in middle age was collected from SCAPIS and linked to pregnancy weight data obtained from the Swedish Medical Birth Register, with an average follow-up time of 24.5 years. An LE8 score between 0 and 100 was determined, where a score under 60 points was defined as poor cardiovascular health. Binary logistic regression and restricted cubic splines were used.

Main outcome measures: Cardiovascular health according to LE8 in middle age.

Results: The odds of having poor cardiovascular health in middle age were significantly higher in women who had overweight (adjusted odds ratio, aOR 3.30, 95% CI 2.82-3.88) or obesity (aOR 7.63, 95% CI 5.86-9.94), compared with women classified as being of normal weight in pregnancy. Higher odds were also found for excessive GWG (aOR 1.31, 95% CI 1.09-1.57), compared with women who gained weight within the recommendations.

Conclusions: A high BMI in early pregnancy and excessive GWG were associated with greater odds of poor cardiovascular health in middle age. Although further studies are needed, our results highlight pregnancy as an important period to support long-term cardiovascular health.

Keywords: Life's Essential 8; body mass index; gestational weight gain; pregnancy; pregnancy as a window for future health.

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References

REFERENCES

    1. Kominiarek MA, Peaceman AM. Gestational weight gain. Am J Obstet Gynecol. 2017;217(6):642–651.
    1. McClure CK, Catov JM, Ness R, Bodnar LM. Associations between gestational weight gain and BMI, abdominal adiposity, and traditional measures of cardiometabolic risk in mothers 8 y postpartum. Am J Clin Nutr. 2013;98(5):1218–1225.
    1. Fraser A, Tilling K, Macdonald‐Wallis C, Hughes R, Sattar N, Nelson SM, et al. Associations of gestational weight gain with maternal body mass index, waist circumference, and blood pressure measured 16 y after pregnancy: the Avon Longitudinal Study of Parents and Children (ALSPAC). Am J Clin Nutr. 2011;93(6):1285–1292.
    1. Hutchins F, Abrams B, Brooks M, Colvin A, Moore Simas T, Rosal M, et al. The effect of gestational weight gain across reproductive history on maternal body mass index in midlife: the study of women's health across the nation. J Womens Health. 2020;29(2):148–157.
    1. Dalenius K, Brindley P, Smith B, Reinold C, Grummer‐Strawn L. Pregnancy Nutrition Surveillance 2010 Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2012.

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