Meta-Analysis of Cardiovascular Risk Factors in Offspring of Preeclampsia Pregnancies

This study aimed to assess cardiovascular risk factors in the offspring of preeclampsia (PE) pregnancies. PubMed, Web of Science, Ovid, and other foreign language databases, as well as SinoMed, China National Knowledge Infrastructure, Wanfang, and China Science and Technology Journal Databases, were...

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Main Authors: Weikai Wang, Ru Lin, Lan Yang, Yanxia Wang, Baohong Mao, Xiaoying Xu, Jing Yu
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/4/812
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author Weikai Wang
Ru Lin
Lan Yang
Yanxia Wang
Baohong Mao
Xiaoying Xu
Jing Yu
author_facet Weikai Wang
Ru Lin
Lan Yang
Yanxia Wang
Baohong Mao
Xiaoying Xu
Jing Yu
author_sort Weikai Wang
collection DOAJ
description This study aimed to assess cardiovascular risk factors in the offspring of preeclampsia (PE) pregnancies. PubMed, Web of Science, Ovid, and other foreign language databases, as well as SinoMed, China National Knowledge Infrastructure, Wanfang, and China Science and Technology Journal Databases, were searched. The case-control studies on cardiovascular risk factors in the offspring of PE pregnancies from 1 January 2010 to 31 December 2019 were collected. A random-effects model or a fixed-effects model was used, and RevMan 5.3 software was used for meta-analysis to determine the OR value and 95%CI of each cardiovascular risk factor. A total of 16 documents were included in this research, all of which were case-control studies, with a total of 4046 cases in the experimental group and 31,505 in the control group. The meta-analysis that was conducted demonstrated that SBP [MD = 1.51, 95%CI (1.15, 1.88)] and DBP [MD = 1.90, 95%CI (1.69, 2.10)] values in the PE pregnancy offspring group presented an elevation relative to the non-PE pregnancy offspring group. The total cholesterol value in the PE pregnancy offspring group presented an elevation relative to the non-PE pregnancy offspring group [MD = 0.11, 95%CI (0.08, 0.13)]. The low-density lipoprotein cholesterol value in the PE pregnancy offspring group was comparable to that in the non-PE pregnancy offspring group [MD = 0.01, 95%CI (−0.02, 0.05)]. The high-density lipoprotein cholesterol value in the PE pregnancy offspring group presented an elevation relative to the non-PE pregnancy offspring group [MD = 0.02, 95%CI (0.01, 0.03)]. The non-HDL cholesterol value in the PE pregnancy offspring group presented an elevation relative to the non-PE pregnancy offspring group [MD = 0.16, 95%CI (0.13, 0.19)]. The triglycerides [MD = −0.02, 95%CI (−0.03, −0.01)] and glucose [MD = −0.08, 95%CI (−0.09, −0.07)] values in the PE pregnancy offspring group presented a depletion relative to the non-PE pregnancy group. The insulin value in the PE pregnancy offspring group presented a depletion relative to the non-PE pregnancy offspring group [MD = −0.21, 95%CI (−0.32, −0.09)]. The BMI value in the PE pregnancy offspring group presented an elevation relative to the non-PE pregnancy offspring group [MD = 0.42, 95%CI (0.27, 0.57)]. In conclusion, dyslipidemia, elevated blood pressure, and increased BMI occur postpartum with PE, all of which are risk factors for cardiovascular diseases.
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spelling doaj.art-d7f7ee1438524d458b3e70aa3b6c5b532023-11-16T20:03:20ZengMDPI AGDiagnostics2075-44182023-02-0113481210.3390/diagnostics13040812Meta-Analysis of Cardiovascular Risk Factors in Offspring of Preeclampsia PregnanciesWeikai Wang0Ru Lin1Lan Yang2Yanxia Wang3Baohong Mao4Xiaoying Xu5Jing Yu6The Second School of Clinical Medicine, Lanzhou University, Lanzhou 730000, ChinaEndoscopy Center, Gansu Provincial Maternity and Child-Care Hospital, Lanzhou 730000, ChinaDepartment of PICU, Gansu Provincial Maternity and Child-Care Hospital, Lanzhou 730000, ChinaScientific Research Center, Gansu Provincial Maternity and Child-Care Hospital, Lanzhou 730000, ChinaScientific Research Center, Gansu Provincial Maternity and Child-Care Hospital, Lanzhou 730000, ChinaPerinatal Medical Center, Gansu Provincial Maternity and Child-Care Hospital, Lanzhou 730000, ChinaHypertension Center, The Second Hospital of Lanzhou University, Lanzhou 730000, ChinaThis study aimed to assess cardiovascular risk factors in the offspring of preeclampsia (PE) pregnancies. PubMed, Web of Science, Ovid, and other foreign language databases, as well as SinoMed, China National Knowledge Infrastructure, Wanfang, and China Science and Technology Journal Databases, were searched. The case-control studies on cardiovascular risk factors in the offspring of PE pregnancies from 1 January 2010 to 31 December 2019 were collected. A random-effects model or a fixed-effects model was used, and RevMan 5.3 software was used for meta-analysis to determine the OR value and 95%CI of each cardiovascular risk factor. A total of 16 documents were included in this research, all of which were case-control studies, with a total of 4046 cases in the experimental group and 31,505 in the control group. The meta-analysis that was conducted demonstrated that SBP [MD = 1.51, 95%CI (1.15, 1.88)] and DBP [MD = 1.90, 95%CI (1.69, 2.10)] values in the PE pregnancy offspring group presented an elevation relative to the non-PE pregnancy offspring group. The total cholesterol value in the PE pregnancy offspring group presented an elevation relative to the non-PE pregnancy offspring group [MD = 0.11, 95%CI (0.08, 0.13)]. The low-density lipoprotein cholesterol value in the PE pregnancy offspring group was comparable to that in the non-PE pregnancy offspring group [MD = 0.01, 95%CI (−0.02, 0.05)]. The high-density lipoprotein cholesterol value in the PE pregnancy offspring group presented an elevation relative to the non-PE pregnancy offspring group [MD = 0.02, 95%CI (0.01, 0.03)]. The non-HDL cholesterol value in the PE pregnancy offspring group presented an elevation relative to the non-PE pregnancy offspring group [MD = 0.16, 95%CI (0.13, 0.19)]. The triglycerides [MD = −0.02, 95%CI (−0.03, −0.01)] and glucose [MD = −0.08, 95%CI (−0.09, −0.07)] values in the PE pregnancy offspring group presented a depletion relative to the non-PE pregnancy group. The insulin value in the PE pregnancy offspring group presented a depletion relative to the non-PE pregnancy offspring group [MD = −0.21, 95%CI (−0.32, −0.09)]. The BMI value in the PE pregnancy offspring group presented an elevation relative to the non-PE pregnancy offspring group [MD = 0.42, 95%CI (0.27, 0.57)]. In conclusion, dyslipidemia, elevated blood pressure, and increased BMI occur postpartum with PE, all of which are risk factors for cardiovascular diseases.https://www.mdpi.com/2075-4418/13/4/812preeclampsiapregnancy offspringcardiovascular risk factorsmeta-analysisdyslipidemia
spellingShingle Weikai Wang
Ru Lin
Lan Yang
Yanxia Wang
Baohong Mao
Xiaoying Xu
Jing Yu
Meta-Analysis of Cardiovascular Risk Factors in Offspring of Preeclampsia Pregnancies
Diagnostics
preeclampsia
pregnancy offspring
cardiovascular risk factors
meta-analysis
dyslipidemia
title Meta-Analysis of Cardiovascular Risk Factors in Offspring of Preeclampsia Pregnancies
title_full Meta-Analysis of Cardiovascular Risk Factors in Offspring of Preeclampsia Pregnancies
title_fullStr Meta-Analysis of Cardiovascular Risk Factors in Offspring of Preeclampsia Pregnancies
title_full_unstemmed Meta-Analysis of Cardiovascular Risk Factors in Offspring of Preeclampsia Pregnancies
title_short Meta-Analysis of Cardiovascular Risk Factors in Offspring of Preeclampsia Pregnancies
title_sort meta analysis of cardiovascular risk factors in offspring of preeclampsia pregnancies
topic preeclampsia
pregnancy offspring
cardiovascular risk factors
meta-analysis
dyslipidemia
url https://www.mdpi.com/2075-4418/13/4/812
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