ArticleEuropean journal of epidemiology2018
The impact of parity on life course blood pressure trajectories: the HUNT study in Norway.
Article in European journal of epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- A systematic review examining the association between parity and gravidity & hypertension and blood pressure.NPJ cardiovascular health · 2026Article
- Reproductive history, menopause and cardiometabolic health in women: a multicountry analysis.Journal of epidemiology and community health · 2025Article
- Leisure Physical Activity, Sedentary Behavior, and Cardiovascular Health 2-7 yr after Pregnancy in the nuMoM2b Heart Health Study Cohort.Medicine and science in sports and exercise · 2025Article
- Early Pregnancy Blood Pressure Trajectories and Hypertension Years After Pregnancy.Hypertension (Dallas, Tex. : 1979) · 2025Article
- Association between parity and gravidity & hypertension and blood pressure: protocol for a systematic review and meta-analysis.BMJ open · 2025Article
- Cardiometabolic risk factors and hypertension progression in women according to the 2017 ACC/AHA guideline for the detection of high blood pressure: a multi-state modeling approach.Clinical hypertension · 2025Article
- Gestational weight gain of multiparas and risk of primary preeclampsia: a retrospective cohort study in Shanghai.Clinical hypertension · 2023Article
- Placental syndromes and maternal cardiovascular health.Clinical science (London, England : 1979) · 2023Review
- Placental syndromes and long-term risk of hypertension.Journal of human hypertension · 2023Review
- Sons and parental cognition in mid-life and older adulthood.Journal of psychiatric research · 2022Article
- Changes in Vascular Function from Preconception to Postpartum Among Mongolian Women.Journal of women's health (2002) · 2022Article
- Long-Term Cardiovascular Health After Pregnancy in Danish Women With Congenital Heart Disease. A Register-Based Cohort Study Between 1993 and 2016.Journal of the American Heart Association · 2022Article
- Blood Pressure Trajectories From Childhood to Youth and Arterial Stiffness in Adulthood: A 30-Year Longitudinal Follow-Up Study.Frontiers in cardiovascular medicine · 2022Article
- The effect of bearing and rearing a child on blood pressure: a nationally representative instrumental variable analysis of 444 611 mothers in India.International journal of epidemiology · 2021Article
- Live birth/parity number and the risk of incident hypertension among parous women during over 13 years of follow-up.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- Blood pressure and adiposity in midlife Singaporean women.Hypertension research : official journal of the Japanese Society of Hypertension · 2021Article
- Gravidity, parity, blood pressure and mortality among women in Bangladesh from the HEALS cohort.BMJ open · 2020Article
- Life Course Changes in Cardiometabolic Risk Factors Associated With Preterm Delivery: The 30-Year CARDIA Study.Journal of the American Heart Association · 2020Article
- Objectives, design and main findings until 2020 from the Rotterdam Study.European journal of epidemiology · 2020Article
- Multiparity is associated with poorer cardiovascular health among women from the Multi-Ethnic Study of Atherosclerosis.American journal of obstetrics and gynecology · 2019Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors.
Funding
Abstract
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.
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