Metabolic Syndrome after Preeclampsia: A Cohort Study with a Mean Follow Up of 14 Years
|Ana Ciléia Pinto Teixeira Henriques1,2*, Francisco Herlânio Costa Carvalho1, Helvécio Neves Feitosa1, Julio Cesar Garcia de Alencar1, Lívia Rocha de Miranda Pinto1 and Francisco Edson de Lucena Feitosa1|
|1Federal University of Ceará, Department of Public Health, St Prof. Costa Mendes, 1608 – 5th Floor, Rodolfo Teófilo, Fortaleza, Ceará, Brazil|
|2Metropolitan College of Grande Fortaleza, Assis Chateaubriand Maternity Teaching Hospital, Federal University of Ceará, Brazil|
|Corresponding Author :||Ana Ciléia Pinto Teixeira Henriques
Departament of Public Health
St Prof. Costa Mendes, 1608, 5th Floor
Rodolfo Teófilo, Fortaleza, Ceará,Brazil
Tel: 85 8697-4380
E-mail: [email protected]
|Received June 11, 2014; Accepted June 25, 2014; Published June 28, 2014|
|Citation: Teixeira Henriques ACP, Costa Carvalho FH, Feitosa HN, Garcia de Alencar JC, Rocha de Miranda Pinto L, et al. (2014) Metabolic Syndrome after Preeclampsia: A Cohort Study with a Mean Follow Up of 14 Years. J Metabolic Synd 3:152. doi:10.4172/2167-0943.1000152|
|Copyright: © 2014 Teixeira Henriques ACP, 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.|
Objective: To investigate the occurrence and characterization of metabolic syndrome (MetS) in the long term after pregnancies with preeclampsia. Design: Retrospective cohort study. Setting: Assis Chateaubriand Maternity Teaching Hospital - Federal University of Ceará, Fortaleza, Ceará, Brazil. Sample: 68 patients who gave birth between 1992 and 2002 at the Maternity, 34 patients with a history of preeclampsia and 34 with no history of obstetric complications.
Methods: Blood pressure and body compositional indices were recorded. Fasting blood samples were tested for glucose, total cholesterol, high density lipoprotein-cholesterol, low density lipoprotein-cholesterol and triglycerides. A questionnaire was used to collect demographic data including family history of diseases associated with cardiovascular diseases. Criteria for metabolic syndrome were defined by International Diabetes Federation 2005 (IDF). Main outcome measures: Occurrence and characterization of MetS.
Results: There were 18 (52.9%) diagnoses of MetS in the group of women without a history of obstetric complications and 28 (82.3%) in the group of women with a history of preeclampsia, p=0.01 with a RR of 4.1 (CI 95% 1.4 - 12.2, p=0.009). The number of components to characterize MetS were, respectively, 2.7 ( ± 1.3) and 3.3 ( ± 1.3), p=0.05.
Conclusions: Women with a history of preeclampsia have a higher prevalence of MetS 14 years after gestation.