The effect of age, obesity and parity on blood pressure and hypertension in non-pregnant married women

Khalid, MohammedE.M.

doi:10.4103/2230-8229.97536

Cited by 10 publications

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“…By comparison, Khalid (2006) reported no association between parity and hypertension among 441 women aged between 15 and 60 years in Abha, Saudi Arabia ( 16 ). A Swiss study recruited 2,837 women aged 30–73 years and demonstrated that parity had a significant adverse effect on the development of hypertension in women at 60 years; however, parity had a protective effect against hypertension in women aged <40 years ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

“…This may be explained by increased blood volume, increased heart rate, altered myocardial contractility, and reduced afterload and preload, which lead to expanded cardiac output during pregnancy ( 14 ). While some studies have shown that parity is associated with an increased risk of developing hypertension ( 11 , 12 , 15 ), others have reported no such association ( 16 ). Most of these studies were conducted outside of sub-Saharan African countries.…”

Section: Introductionmentioning

confidence: 99%

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The association between parity and hypertension: a cross-sectional, community-based study

Musa,

Osman,

Adam

2023

Front. Cardiovasc. Med.

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BackgroundThe available data on the association between parity and hypertension are inconclusive. This study was conducted to investigate the prevalence of hypertension and its association with parity among adult Sudanese women.MethodsA multi-stage sampling survey was conducted in four villages in the River Nile State in Sudan between July and September 2022. The World Health Organization's three-level stepwise questionnaire was used to gather the participants' sociodemographic characteristics (age, sex, marital status, parity, educational level, occupation, obstetric history, family history of hypertension, weight and height). Regression analyses were performed.ResultsA total of 408 women were recruited. The median [measured in terms of interquartile range (IQR)] age was 45.0 years (33.0–55.7 years). A linear regression analysis revealed a significant association between parity and diastolic blood pressure (coefficient, 0.60; P = 0.011). The prevalence of hypertension (55.9%) increased with parity and ranged from 43.7% to 74.9%. In the multivariate analyses, increasing age (adjusted odds ratio [AOR], 1.03; 95% confidence interval [CI], 1.02–1.05), increasing parity (AOR, 1.09; 95% CI, 1.01–1.19), family history of hypertension (AOR, 1.79; 95% CI, 1.15–2.77), and increasing body mass index (AOR, 1.09; 95% CI, 1.05–1.13) were associated with hypertension. In women of ages ≥ 50 years, increasing parity was significantly associated with hypertension (AOR, 1.15; 95% CI, 1.2–1.29). Para > 5 (AOR, 2.73; 95% CI, 1.11–6.73) was associated with hypertension.ConclusionA high prevalence of hypertension was found among Sudanese women, and that parity at 5 or more is linked to hypertension.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The association between parity and hypertension: a cross-sectional, community-based study

Musa,

Osman,

Adam

2023

Front. Cardiovasc. Med.

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The impact of parity on life course blood pressure trajectories: the HUNT study in Norway

et al. 2018

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The drop in blood pressure during pregnancy may persist postpartum, but the impact of pregnancy on blood pressure across the life course is not known. In this study we examined blood pressure trajectories for women in the years preceding and following pregnancy and compared life course trajectories of blood pressure for parous and nulliparous women. We linked information on all women who participated in the population-based, longitudinal HUNT Study, Norway with pregnancy information from the Medical Birth Registry of Norway. A total of 23,438 women were included with up to 3 blood pressure measurements per woman. Blood pressure trajectories were compared using a mixed effects linear spline model. Before first pregnancy, women who later gave birth had similar mean blood pressure to women who never gave birth. Women who delivered experienced a drop after their first birth of − 3.32 mmHg (95% CI, − 3.93, − 2.71) and − 1.98 mmHg (95% CI, − 2.43, − 1.53) in systolic and diastolic blood pressure, respectively. Subsequent pregnancies were associated with smaller reductions. These pregnancy-related reductions in blood pressure led to persistent differences in mean blood pressure, and at age 50, parous women still had lower systolic (− 1.93 mmHg; 95% CI, − 3.33, − 0.53) and diastolic (− 1.36 mmHg; 95% CI, − 2.26, − 0.46) blood pressure compared to nulliparous women. The findings suggest that the first pregnancy and, to a lesser extent, successive pregnancies are associated with lasting and clinically relevant reductions in systolic and diastolic blood pressure.Electronic supplementary materialThe online version of this article (10.1007/s10654-018-0358-z) contains supplementary material, which is available to authorized users.

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Effect of Parity on Pregnancy-Associated Hypertension Among Asian American Women in the United States

Binongo

Kancherla

2019

Matern Child Health J

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The effect of age, obesity and parity on blood pressure and hypertension in non-pregnant married women

Cited by 10 publications

References 0 publications

The association between parity and hypertension: a cross-sectional, community-based study

The association between parity and hypertension: a cross-sectional, community-based study

The impact of parity on life course blood pressure trajectories: the HUNT study in Norway

Effect of Parity on Pregnancy-Associated Hypertension Among Asian American Women in the United States

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