Ideal cardiovascular health status and preeclampsia: a cohort study.
João Joadson Duarte Teixeira, Bárbara Brandão Lopes, Maria das Graças da Silva Guerreiro and 5 others
PMID 40561253WHAT IT FOUND
In 101 pregnant women, ideal cardiovascular health status was not linked to preeclampsia.
Higher BMI and elevated blood pressure were the factors associated with greater likelihood of the condition.
Key findings
01Only 10.64% of analysed participants had ideal cardiovascular health status, and this status was not significantly associated with PE.
02In logistic regression, a one-unit increase in BMI was associated with 1.20 times greater odds of PE.
03In logistic regression, altered blood pressure was associated with 13.59 times greater likelihood of PE compared with ideal blood pressure.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The final sample was 101 women after losses and exclusions from an initial 255, so the results are based on few participants. Many women delivered in hospitals or municipalities where outcome data collection was not authorised, so the analysed sample may not represent all pregnancies. The study did not assess adherence to a dietary pattern or sleep health, which are part of ideal cardiovascular health. Cholesterol testing was not part of standard prenatal care, and many participants did not complete it. Only 10.64% had ideal cardiovascular health status, so the comparison of that status with PE involved few women.
Declared interests
No funding or conflict-of-interest declaration appears in the article text. The supplied publication types list non-U.S. government research support.
The easy way to misread this
Do not conclude that ideal cardiovascular health status prevents preeclampsia. The overall association was not statistically significant, and the finding that none of the women with ideal cardiovascular health status developed PE involved only 10 women. The study was observational, so it cannot show that changing BMI or blood pressure prevents PE.