Relationship of age and the body mass index to selected hypertensive complications in pregnancy

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HRAZDILOVÁ Olga UNZEITIG Vít ZNOJIL Vladimír IZAKOVIČOVÁ-HOLLÁ Lydie JANKŮ Petr VAŠKŮ Anna

Rok publikování 2001
Druh Článek v odborném periodiku
Časopis / Zdroj International Journal of Gynecology and Obstetrics
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Obor Gynekologie a porodnictví
Klíčová slova BMI; preeclampsia; age; hypertension; proteinuria; pregnancy
Popis An older maternal age is considered to be a risk factor for a number of pregnancy-associated pathologies. Average weight increases with age. The aim of this study was to assess the effects of maternal age on selected pregnancy pathologies separately from the influence of maternal weight. The retrospective study included 910 women. The following parameters were evaluated: age, p-BMI (body mass index before pregnancy), hypertension, severe hypertension, preeclampsia, proteinuria, severe proteinuria, thrombembolic diseases, pregnancy duration and fetal hypotrophy. The correlation between the p-BMI and age was confirmed (P=0.001). After filtering away the mutual influence of age and p-BMI applying logistic regression, we proved a statistically high significant effect of p-BMI on the incidence of hypertension, severe hypertension, proteinuria, preeclamsia (P=0.001). The maternal age (cleared of the p-BMI) effects on severe hypertension (P=0.05). Age alone proved to be a risk factor for severe hypertension of the pregnant subjects. Increased risk for proteinuria, hypertension and preeclampsia is directly associated with p-BMI of the pregnant women, and thus only indirectly with their age.
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