Association Between Preeclampsia and Blood Pressure in Offspring: A Systematic Review and Meta-Analysis.

IF 3.9 2区医学 Q1 PERIPHERAL VASCULAR DISEASE Current Hypertension Reports Pub Date : 2024-07-01 Epub Date: 2024-05-23 DOI:10.1007/s11906-024-01306-3

Min Xu, Hai-Xia Wang, Ping Zu, Nan Jiang, Jing-Feng Bian, Ji-Rong Xu, Wei Luo, Peng Zhu

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Abstract

Purpose of review: Pregnancy-induced preeclampsia is a severe pregnancy complication and preeclampsia has been associated with an increased risk of chronic hypertension for offspring. However, the magnitude of the overall effect of exposure to preeclampsia in pregnancy on blood pressure (BP) in offspring is unknown. This systematic review and meta-analysis was sought to systematically assess the effects of preeclampsia on the BP of the offspring.

Recent findings: Of 2550 publications identified, 23 studies were included. The meta-analysis indicated that preeclampsia increases the potential risk of hypertension in offspring. Systolic blood pressure (SBP) was 2.0 mm Hg (95% CI: 1.2, 2.8) and diastolic blood pressure (DBP) was 1.4 mm Hg (95% CI: 0.9, 1.9) higher in offspring exposed to pre-eclampsia in utero, compared to those born to normotensive mothers. The correlations were similar in stratified analyses of children and adolescents by sex, geographic area, ages, and gestational age. During childhood and young adulthood, the offspring of pregnant women with preeclampsia are at an increased risk of high BP. It is crucial to monitor their BP.

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子痫前期与后代血压之间的关系：系统回顾与元分析》。

审查目的：妊娠诱发子痫前期是一种严重的妊娠并发症，子痫前期与后代患慢性高血压的风险增加有关。然而，妊娠期子痫前期对后代血压（BP）的总体影响程度尚不清楚。本系统综述和荟萃分析旨在系统评估子痫前期对后代血压的影响：在已确定的 2550 篇出版物中，纳入了 23 项研究。荟萃分析表明，子痫前期会增加后代患高血压的潜在风险。与血压正常的母亲所生的孩子相比，子宫内暴露于先兆子痫的孩子的收缩压（SBP）高出2.0毫米汞柱（95% CI：1.2，2.8），舒张压（DBP）高出1.4毫米汞柱（95% CI：0.9，1.9）。在按性别、地理区域、年龄和胎龄对儿童和青少年进行分层分析时，相关性相似。子痫前期孕妇的后代在童年和青年时期患高血压的风险增加。监测他们的血压至关重要。

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来源期刊

Current Hypertension Reports 医学-外周血管病

CiteScore

10.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of hypertension. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antihypertensive therapies, associated metabolic disorders, and therapeutic trials. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.