Jansen MA, Pluymen LP, Dalmeijer GW, Groenhof TKJ, Uiterwaal CS, Smit HA, van Rossem L. Hypertensive disorders of pregnancy and cardiometabolic outcomes in childhood: A systematic review.
Eur J Prev Cardiol 2019;
26:1718-1747. [PMID:
31132891 PMCID:
PMC6806146 DOI:
10.1177/2047487319852716]
[Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Background
Hypertensive disorders of pregnancy (HDPs) are among the leading causes of
maternal and perinatal morbidity and mortality worldwide and have been
suggested to increase long-term cardiovascular disease risk in the
offspring.
Objective
The objective of this study was to investigate whether HDPs are associated
with cardiometabolic markers in childhood.
Search strategy
PubMed, The Cochrane Library and reference lists of included studies up to
January 2019.
Selection criteria
Studies comparing cardiometabolic markers in 2–18-year-old children of
mothers with HDP in utero, to children of mothers without HDP.
Data collection and analysis
Sixteen studies reported in 25 publications were included in this systematic
review, of which three were considered as having high risk of bias. Thus 13
studies were included in the evidence synthesis: respectively two and eight
reported pregnancy induced hypertension and preeclampsia, and three studies
reported on both HDPs.
Main results
Most studies (n = 4/5) found a higher blood pressure in
children exposed to pregnancy induced hypertension. Most studies
(n = 7/10) found no statistically significantly higher
blood pressure in children exposed to preeclampsia. No association was found
between exposure to HDP and levels of cholesterol, triglycerides or glucose
(n = 5/5). No studies investigated an association with
(carotid) intima-media thickness, glycated haemoglobin or diabetes mellitus
type 2.
Conclusions
Most studies showed that exposure to pregnancy induced hypertension is
associated with a higher offspring blood pressure. There is no convincing
evidence for an association between exposure to preeclampsia and blood
pressure in childhood. Based on current evidence, exposure to HDP is not
associated with blood levels of cholesterol, triglycerides and glucose in
childhood.
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