Research Article
Maternal Obesity and Energy Intake as Risk Factors for Pregnancy Induced Hypertension among Iranian Women
Elham Kazemian1, Gity Sotoudeh2*, Ahmad Reza Dorosti- Motlagh3, Mohammad Reza Eshraghian4 and Minoo Bagheri51Department of Nutritional Sciences, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2Department of Nutritional Sciences, School of Public Health, Tehran University of Medical Sciences, Poursina Avenue, Tehran, 14155-6446, Iran
3Department of Nutritional Sciences, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4Department of Statistics and Epidemiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
5Department of Nutritional Sciences, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- *Corresponding Author:
- Gity Sotoudeh
Department of Nutritional Sciences
School of Public Health
Tehran University of Medical Sciences
Poursina Avenue, Tehran
14155-6446, Iran
Tel: +9821- 88951395
Fax: +9821- 88974462l
E-mail: [email protected]
Received dateAugust 03, 2012; Accepted date October 18, 2012; Published date October 23, 2012
Citation: Kazemian E, Sotoudeh G, Dorosti-Motlagh AR, Eshraghian MR, Bagheri M (2012) Maternal Obesity and Energy Intake as Risk Factors for Pregnancy Induced Hypertension among Iranian Women. J Women’s Health Care 1:116. doi:10.4172/2167-0420.1000116
Copyright: © 2012 Kazemian E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Pregnancy induced hypertension is an abnormality causing striking maternal, fetal and neonatal mortality and morbidity in the world. The aim of present study was to assess pre pregnancy BMI and gestational weight gain beside energy intake during pregnancy as risk factors for developing gestational hypertension. Methods: A case-control study was conducted at Shahid Akbarabadi Hospital of obstetrics and gynecology in south of Tehran. Results: Women who were obese (Odds Ratio (OD): 4.44; 95% Confidence Intervals (CI): 1.84-10.72) before pregnancy were more likely to develop gestational hypertension compared with woman who had normal prepregnancy BMI. Also having excessive gestational weight gain proportion was positively and significantly associated with development of gestational hypertension (OR, 2.70; 95% CI: 1.19-6.13). Furthermore, findings of present study revealed that women who were in highest quartile of midarm circumference had a 3-fold increased risk of gestational hypertension compared with women in lowest quartile (OR, 8.93; 95% CI: 2.16-36.93). Also we found that having been in highest quartile of energy intake positively related with increased risk of gestational hypertension (OR, 9.66; 95% CI: 3.30-28.21). Conclusion: The results of present investigation suggest pre pregnancy obesity, excessive gestational weight gain and increased intake of energy as potential risk factors for developing gestational hypertension.