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Adverse Pregnancy Outcomes and Maternal Chronic Diseases in the Future: A Cross-Sectional Study Using KoGES-HEXA Data

Authors
Cho, Geum JoonKim, JiaeKim, Ji YoungHan, Sung WonLee, Soo BinOh, Min-JeongKim, Sa JinShin, Jae Eun
Issue Date
Mar-2022
Publisher
MDPI AG
Keywords
metabolic syndrome; preeclampsia; gestational diabetes mellitus; low birth weight; macrosomia; cardiovascular disease
Citation
Journal of Clinical Medicine, v.11, no.5
Indexed
SCIE
SCOPUS
Journal Title
Journal of Clinical Medicine
Volume
11
Number
5
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/55469
DOI
10.3390/jcm11051457
ISSN
2077-0383
Abstract
Adverse pregnancy outcomes (APOs) are associated with an increased risk of chronic diseases, including cardiovascular disease (CVD) and metabolic syndrome (MS), in the future. We designed a large-scale cohort study to evaluate the influence of APOs (preeclampsia, gestational diabetes mellitus (GDM), stillbirth, macrosomia, and low birth weight) on the incidence of chronic diseases, body measurements, and serum biochemistry in the future and investigate whether combinations of APOs had additive effects on chronic diseases. We used health examinee data from the Korean Genome and Epidemiology Study (KoGES-HEXA) and extracted data of parous women (n = 30,174; mean age, 53.02 years) for the analysis. Women with APOs were more frequently diagnosed with chronic diseases and had a family history of chronic diseases compared with women without APOs. Composite APOs were associated with an increased risk of hypertension, diabetes mellitus, hyperlipidemia, angina pectoris, stroke, and MS (adjusted odds ratio: 1.093, 1.379, 1.269, 1.351, 1.414, and 1.104, respectively) after adjustment for family history and social behaviors. Preeclampsia and GDM were associated with an increased risk of some chronic diseases; however, the combination of preeclampsia and GDM did not have an additive effect on the risk. APOs moderately influenced the future development of maternal CVD and metabolic derangements, independent of family history and social behaviors.
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Cho, Geum Joon
Guro Hospital (Department of Obstetrics and Gynecology, Guro Hospital)
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