妇女心脏诊所对既往妊娠并发症妇女心血管疾病风险意识的影响：一项前瞻性队列研究

IF 2.2 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Heart, Lung and Circulation Pub Date : 2025-02-01 Epub Date: 2024-12-10 DOI:10.1016/j.hlc.2024.07.017

Anushriya Pant BMSci , Swati Mukherjee PhD , Monique Watts MBBS , Simone Marschner MSc , Shiva Mishra PhD , Liliana Laranjo MD, MPH, PhD , Clara K. Chow MBBS, PhD , Sarah Zaman MBBS, PhD

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引用次数: 0

摘要

背景：妊娠期糖尿病（GDM）、妊娠期高血压（HDP）和/或小胎龄儿（SGA）会增加心血管疾病（CVD）的风险。我们调查了过去有妊娠并发症的妇女的心血管疾病风险意识，以及参加妇女心脏诊所（WHC）对这种意识的影响。方法：前瞻性招募30-55岁既往患有GDM， HDP和/或SGA婴儿的女性参加为期6个月的WHC，提供CVD危险因素的教育和管理（墨尔本，澳大利亚）。在基线和6个月的随访中，进行了一项9项CVD风险意识调查，包括6个一般问题/ 3个女性特定问题。主要结果是参加世界卫生大会前后心血管疾病风险意识的总体变化，使用McNemar测试进行分析。Logistic回归评估心血管疾病风险意识与生活方式行为之间的关系。结果：共招募了156名妇女（平均年龄41.0±4.2岁，产后3.9±2.9年），其中60.3%为既往妊娠期糖尿病，23.1%为HDP， 13.5%为HDP/GDM， 3.2%为SGA婴儿。大多数是白人（68.6%）、受过高等教育（79.5%）和高收入（84.6%）。基线时，19.2%（95%可信区间[CI] 13.0%-25.4%）的女性总体心血管疾病风险意识较高，而63.5% （95% CI 55.9%-71.0%）的女性心血管疾病风险意识较高。在6个月的随访中，总体CVD风险意识（19.2%-76.1%）。结论：参加WHC显著提高了女性CVD风险意识，然而，这与生活方式行为没有独立关联。

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Impact of a Women’s Heart Clinic on Cardiovascular Disease Risk Awareness in Women with Past Pregnancy Complications: A Prospective Cohort Study

Background

Gestational diabetes mellitus (GDM), hypertension during pregnancy (HDP) and/or having small-for-gestational-age (SGA) babies increase cardiovascular disease (CVD) risk. We investigated CVD risk awareness in women with past pregnancy complications and the impact of attending a Women’s Heart Clinic (WHC) on this awareness.

Method

Women aged 30–55 years with past GDM, HDP and/or SGA babies were prospectively recruited into a 6-month WHC delivering education and management of CVD risk factors (Melbourne, Australia). A nine-item CVD risk Awareness Survey, consisting of six general/three female-specific questions, was administered at baseline and 6-month follow-up. The primary outcome was a change in overall CVD risk awareness before and after attending a WHC, analysed using a McNemar test. Logistic regression assessed for associations between CVD risk awareness and lifestyle behaviours.

Results

A total of 156 women (mean age 41.0±4.2 years, 3.9±2.9 years postpartum) were recruited with 60.3% past GDM, 23.1% HDP, 13.5% both HDP/GDM and 3.2% SGA babies. The majority were White (68.6%), tertiary-educated (79.5%), and from higher income (84.6%). At baseline, 19.2% (95% confidence interval [CI] 13.0%–25.4%) of women had high overall CVD risk awareness, while 63.5% (95% CI 55.9%–71.0%) had high female-specific CVD risk awareness. At 6-month follow-up, overall CVD risk awareness (19.2%–76.1%, p<0.001) and female-specific CVD risk awareness (63.5%–94.8%; p<0.001) significantly increased. Improvement in CVD risk awareness was not associated with higher physical activity (adjusted odds ratio 0.49; 95% CI 0.04–3.21; p=0.51) or heart-healthy diet (adjusted odds ratio 2.49; 95% CI 0.88–6.93; p=0.08) at 6-month follow-up.

Conclusions

Attendance at a WHC significantly increased women’s CVD risk awareness, however, this did not independently associate with lifestyle behaviours.

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来源期刊

Heart, Lung and Circulation CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

4.50

自引率

3.80%

发文量

912

审稿时长

11.9 weeks

期刊介绍： Heart, Lung and Circulation publishes articles integrating clinical and research activities in the fields of basic cardiovascular science, clinical cardiology and cardiac surgery, with a focus on emerging issues in cardiovascular disease. The journal promotes multidisciplinary dialogue between cardiologists, cardiothoracic surgeons, cardio-pulmonary physicians and cardiovascular scientists.