Adverse Pregnancy Outcomes and Maternal Chronic Diseases in the Future: A Cross-Sectional Study Using KoGES-HEXA Data

Geum Joon Cho, Jiae Kim, Ji Young Kim, Sung Won Han, Soo Bin Lee, Min Jeong Oh, Sa Jin Kim, Jae Eun Shin

Research output: Contribution to journalArticlepeer-review

Abstract

Adverse pregnancy outcomes (APOs) are associated with an increased risk of chronic diseases, including cardiovascular disease (CVD) and metabolic syndrome (MS), in the future. We designed a large-scale cohort study to evaluate the influence of APOs (preeclampsia, gestational diabetes mellitus (GDM), stillbirth, macrosomia, and low birth weight) on the incidence of chronic diseases, body measurements, and serum biochemistry in the future and investigate whether combinations of APOs had additive effects on chronic diseases. We used health examinee data from the Korean Genome and Epidemiology Study (KoGES-HEXA) and extracted data of parous women (n = 30,174; mean age, 53.02 years) for the analysis. Women with APOs were more frequently diagnosed with chronic diseases and had a family history of chronic diseases compared with women without APOs. Composite APOs were associated with an increased risk of hypertension, diabetes mellitus, hyperlipidemia, angina pectoris, stroke, and MS (adjusted odds ratio: 1.093, 1.379, 1.269, 1.351, 1.414, and 1.104, respectively) after adjustment for family history and social behaviors. Preeclampsia and GDM were associated with an increased risk of some chronic diseases; however, the combination of preeclampsia and GDM did not have an additive effect on the risk. APOs moderately influenced the future development of maternal CVD and metabolic derangements, independent of family history and social behaviors.

Original languageEnglish
Article number1457
JournalJournal of Clinical Medicine
Volume11
Issue number5
DOIs
Publication statusPublished - 2022 Mar 1

Keywords

  • Cardiovascular disease
  • Gestational diabetes mellitus
  • Low birth weight
  • Macrosomia
  • Metabolic syndrome
  • Preeclampsia

ASJC Scopus subject areas

  • Medicine(all)

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