The incidence of pregnancy-induced hypertension among patients with carbohydrate intolerance

Roach, Vijay J. and Hin, Lin Yee and Tam, Wing Hung and Ng, Kwee Boon and Rogers, Michael S. (2000) The incidence of pregnancy-induced hypertension among patients with carbohydrate intolerance. Hypertension in Pregnancy, 19 (2). pp. 183-189. ISSN 1064-1955, DOI

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Objective: To determine the association between pregnancy-induced hypertension (PIH) and carbohydrate intolerance in pregnancy. Methods: Data on singleton pregnancies were retrieved from the obstetric database of University Hospital, Kuala Lumpur. Gestational impaired glucose tolerance (GIGT) and gestational diabetes mellitus (GDM) were defined according to the World Health Organization criteria. Established diabetes mellitus (EDM) was defined as diabetes mellitus diagnosed prior to pregnancy. PIH was diagnosed according to the criteria of the International Society for the Study of Hypertension in Pregnancy. Maternal characteristics were compared between groups using analysis of variance (ANOVA) and incidence counts using the chi- squared test. Logistic regression analysis using the presence of PIH as the response variable was used to study the association among GDM, GIGT, EDM, and PIH, controlling for maternal factors. Main Outcome Measures: To determine the incidence of PIH among patients with glucose intolerance and the independent risk factors for the development of PIH. Results: There were 24,290 singleton pregnancies retrieved from the database. Both the prevalence of carbohydrate intolerance and the incidence of PIH differed among the three principal ethnic groups (p < 0.0001). There was a significant association between PIH and both a higher maternal age (OR = 1.04, p < 0.0001) and a higher maternal body mass index (BMI) at delivery (OR = 1.14 per unit increment, p < 0.0001). After adjusting for maternal age, BMI, parity, and ethnic origin, using logistic regression, there was a significant residual risk of PIH among individuals with GIGT, GDM, or EDM. Conclusions: Patients with carbohydrate intolerance of varying severity are at increased risk of developing PIH. Our findings lend credence to the theory that carbohydrate intolerance and PIH share a common etiology.

Item Type: Article
Additional Information: Ng K.-B. University Hospital, University of Malaya, Kuala Lumpur, Malaysia.
Uncontrolled Keywords: Diabetes; Hypertension; Pregnancy
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 02 Sep 2021 03:45
Last Modified: 02 Sep 2021 03:45

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