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Abstract
Weight gain during interpregnancy period is related to hypertensive disorders of pregnancy (HDP). However, in interpregnancy care/counseling, the unpredictability of the timing of the next conception and the difficulties in preventing age-related body weight gain must be considered while setting weight management goals. Therefore, we suggest considering the annual change in the body mass index (BMI). This study aimed to clarify the association between annual BMI changes during the interpregnancy period and HDP risk in subsequent pregnancies. A multicenter retrospective study of data from 2009 to 2019 examined the adjusted odds ratio (aOR) of HDP in subsequent pregnancies. The aORs in several annual BMI change categories were also calculated in the subgroups classified by HDP occurrence in the index pregnancy. This study included 1,746 pregnant women. A history of HDP (aOR, 16.76; 95% confidence interval [CI], 9.62 − 29.22), and annual BMI gain (aOR, 2.30; 95% CI, 1.76 − 3.01) were independent risk factors for HDP in subsequent pregnancies. An annual BMI increase of ≥ 1.0 kg/m2/year was related to HDP development in subsequent pregnancies for women without a history of HDP. This study provides data as a basis for interpregnancy care/counseling, but further research is necessary to validate our findings and confirm this relationship.
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1 Nagoya University Graduate School of Medicine, Department of Obstetrics and Gynecology, Nagoya, Japan (GRID:grid.27476.30) (ISNI:0000 0001 0943 978X); TOYOTA Memorial Hospital, Department of Obstetrics, Perinatal Medical Center, Toyota, Japan (GRID:grid.417248.c) (ISNI:0000 0004 1764 0768)
2 Nagoya University Graduate School of Medicine, Department of Obstetrics and Gynecology, Nagoya, Japan (GRID:grid.27476.30) (ISNI:0000 0001 0943 978X); Nagoya University Hospital, Division of Perinatology, Centre for Maternal-Neonatal Care, Nagoya, Japan (GRID:grid.437848.4) (ISNI:0000 0004 0569 8970)
3 Nagoya University Graduate School of Medicine, Department of Obstetrics and Gynecology, Nagoya, Japan (GRID:grid.27476.30) (ISNI:0000 0001 0943 978X)
4 Fujita Health University School of Medicine, Department of Obstetrics and Gynecology, Toyoake, Japan (GRID:grid.256115.4) (ISNI:0000 0004 1761 798X)
5 Nagoya University Hospital, Data Science Division, Data Coordinating Center, Department of Advanced Medicine, Nagoya, Japan (GRID:grid.437848.4) (ISNI:0000 0004 0569 8970)
6 Kishokai Medical Corporation, Nagoya, Japan (GRID:grid.505796.8) (ISNI:0000 0004 7475 2205)
7 TOYOTA Memorial Hospital, Department of Obstetrics, Perinatal Medical Center, Toyota, Japan (GRID:grid.417248.c) (ISNI:0000 0004 1764 0768)