Association between Parity and Blood Pressure in Korean Women: Korean National Health and Nutrition Examination Survey, 2010–2012
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Pregnancy considerably alters cardiovascular dynamics, and thereby affects the transition of blood pressure after delivery in women. We aimed to analyze the association between parity and blood pressure in Korean adult women. Methods: We included 8,890 women who participated in Korean National Health and Nutrition Examination Survey between 2010 and 2012. We divided the population according to the menopause status and analyzed the association between parity and blood pressure by using multiple regression analysis, and on hypertension, by using logistic regression analysis. Results: Systolic and diastolic blood pressures were significantly associated with parity in premenopausal women (β=-0.091 [P<0.001] and β=-0.069 [P<0.001], respectively). In the analysis that excluded women receiving antihypertensive medication, the systolic and diastolic blood pressure of postmenopausal women were significantly associated with parity (β=-0.059 [P=0.022] and β=-0.054 [P=0.044], respectively). Parity was found to prevent hypertension after adjustment for confounders in postmenopausal women (odds ratio, 0.55; 95% confidence interval, 0.310–0.985). Conclusion: We found that parity prevented hypertension in Korean women.
Abstract
Background: Pregnancy considerably alters cardiovascular dynamics, and thereby affects the transition of blood pressure after delivery in women. We aimed to analyze the association between parity and blood pressure in Korean adult women. Methods: We included 8,890 women who participated in Korean National Health and Nutrition Examination Survey between 2010 and 2012. We divided the population according to the menopause status and analyzed the association between parity and blood pressure by using multiple regression analysis, and on hypertension, by using logistic regression analysis. Results: Systolic and diastolic blood pressures were significantly associated with parity in premenopausal women (β=-0.091 [P<0.001] and β=-0.069 [P<0.001], respectively). In the analysis that excluded women receiving antihypertensive medication, the systolic and diastolic blood pressure of postmenopausal women were significantly associated with parity (β=-0.059 [P=0.022] and β=-0.054 [P=0.044], respectively). Parity was found to prevent hypertension after adjustment for confounders in postmenopausal women (odds ratio, 0.55; 95% confidence interval, 0.310–0.985). Conclusion: We found that parity prevented hypertension in Korean women.
참고문헌 (26)
- The Korean Academy of Family Medicine, "Textbook of family medicine" (2013), Hankookbook
- Beilin LJ, "Lifestyle and hypertension", Am J Hypertens, 12(9 Pt 1), pp.934~945 (1999)
- Erem C, "Prevalence of prehypertension and hypertension and associated risk factors among Turkish adults: Trabzon Hypertension Study", J Public Health (Oxf), 31, pp.47~58 (2009)
- Chapman AB, "Systemic and renal hemodynamic changes in the luteal phase of the menstrual cycle mimic early pregnancy", Am J Physiol, 273(5 Pt 2), pp.F777~F782 (1997)
- Kristiansson P, "Reproductive hormones and blood pressure during pregnancy", Hum Reprod, 16, pp.13~17 (2001)
- Chasan-Taber L, "Prospective study of oral contraceptives and hypertension among women in the United States", Circulation, 94, pp.483~489 (1996)
- Scuteri A, "Hormone replacement therapy and longitudinal changes in blood pressure in postmenopausal women", Ann Intern Med, 135, pp.229~238 (2001)
- Staessen J, "The influence of menopause on blood pressure", J Hum Hypertens, 3, pp.427~433 (1989)
- Gunderson EP, "Long-term blood pressure changes measured from before to after pregnancy relative to nonparous women", Obstet Gynecol, 112, pp.1294~1302 (2008)
- Lawlor DA, "Is the association between parity and coronary heart disease due to biological effects of pregnancy or adverse lifestyle risk factors associated with child-rearing?: findings from the British Women’s Heart and Health Study and the British Regional Heart Study", Circulation, 107, pp.1260~1264 (2003)
- Mosca L, "Effectiveness-based guidelines for the prevention of cardiovascular disease in women--2011 update: a guideline from the American Heart Association", J Am Coll Cardiol, 57, pp.1404~1423 (2011)
- "Task Force for the management of arterial hypertension of the European Society of Hypertension; Task Force for the management of arterial hypertension of the European Society of Cardiology. 2013 ESH", ESC Guidelines for the Management of Arterial Hypertension, 2013, pp.22, 193~278
- Ness RB, "Gravidity, blood pressure, and hypertension among white women in the Second National Health and Nutrition Examination Survey", Epidemiology, 4, pp.303~309 (1993)
- Dratva J, "Is there a differential impact of parity on blood pressure by age?", J Hypertens, 32, pp.2146~2151 (2014)
- Seeliger C, "Maternal endothelial function in the course of pregnancy and postpartum-ultrasound-based longitudinal assessment using flow-mediated dilatation (FMD)", Ultraschall Med, 33, pp.E126~E131 (2012)
- Clapp JF 3rd, "Cardiovascular function before, during, and after the first and subsequent pregnancies", Am J Cardiol, 80, pp.1469~1473 (1997)
- Lao XQ, "Parity and the metabolic syndrome in older Chinese women: the Guangzhou Biobank Cohort Study", Clin Endocrinol (Oxf), 65, pp.460~469 (2006)
- Ness RB, "Number of pregnancies and the subsequent risk of cardiovascular disease", N Engl J Med, 328, pp.1528~1533 (1993)
- Humphries KH, "Parity and carotid artery atherosclerosis in elderly women:The Rotterdam Study", Stroke, 32, pp.2259~2264 (2001)
- Bertuccio P, "Menstrual and reproductive factors and risk of non-fatal acute myocardial infarction in Italy", Eur J Obstet Gynecol Reprod Biol, 134, pp.67~72 (2007)
- Williams DJ, "Nitric oxidemediated vasodilation in human pregnancy", Am J Physiol, 272(2Pt 2), pp.H748~H752 (1997)
- Anumba DO, "Nitric oxide activity in the peripheral vasculature during normotensive and preeclamptic pregnancy", Am J Physiol, 277(2 Pt 2), pp.H848~H854 (1999)
- Nisell H, "Cardiovascular responses to circulating catecholamines in normal pregnancy and in pregnancy-induced hypertension", Clin Physiol, 5, pp.479~493 (1985)
- Levine RJ, "Circulating angiogenic factors and the risk of preeclampsia", N Engl J Med, 350, pp.672~683 (2004)
- Brown MC, "Cardiovascular disease risk in women with pre-eclampsia: systematic review and meta-analysis", Eur J Epidemiol, 28, pp.1~19 (2013)