Evidence map›Paper›PMID 30371249›Full record

ArticleJournal of the American Heart Association2018

Life Course Trajectories of Cardiovascular Risk Factors in Women With and Without Hypertensive Disorders in First Pregnancy: The HUNT Study in Norway.

Eirin B Haug, Julie Horn, Amanda R Markovitz, Abigail Fraser, Lars J Vatten, Corrie Macdonald-Wallis, Kate Tilling, Pål R Romundstad, Janet W Rich-Edwards, Bjørn O Åsvold

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  12. ISUOG Consensus Statement on maternal hemodynamic assessment in hypertensive disorders of pregnancy and fetal growth restriction.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Article
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  19. "Deeds not words": the forgotten class.Journal of human hypertension · 2024
    Review
  20. Update on sex specific risk factors in cardiovascular disease.Frontiers in cardiovascular medicine · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Eirin B Haug1 Department of Public Health and Nursing NTNU Norwegian University of Science and Technology Trondheim Norway.
Julie Horn1 Department of Public Health and Nursing NTNU Norwegian University of Science and Technology Trondheim Norway.
Amanda R Markovitz3 Harvard T.H. Chan School of Public Health Harvard University Boston MA.
Abigail Fraser5 MRC Integrative Epidemiology Unit and Population Health Sciences Bristol Medical School University of Bristol United Kingdom.
Lars J Vatten1 Department of Public Health and Nursing NTNU Norwegian University of Science and Technology Trondheim Norway.
Corrie Macdonald-Wallis5 MRC Integrative Epidemiology Unit and Population Health Sciences Bristol Medical School University of Bristol United Kingdom.
Kate Tilling5 MRC Integrative Epidemiology Unit and Population Health Sciences Bristol Medical School University of Bristol United Kingdom.
Pål R Romundstad1 Department of Public Health and Nursing NTNU Norwegian University of Science and Technology Trondheim Norway.
Janet W Rich-Edwards3 Harvard T.H. Chan School of Public Health Harvard University Boston MA.
Bjørn O Åsvold1 Department of Public Health and Nursing NTNU Norwegian University of Science and Technology Trondheim Norway.
Norwegian University of Science and Technology · NOUniversity of Bristol · GBBrigham and Women's Hospital · USLevanger Hospital · NO

Funding

Medical Research Council MC_UU_12013/5Medical Research Council MR/M009351/1
6 · The paper itself

Abstract

Background Women with hypertensive pregnancy disorders have adverse levels of cardiovascular risk factors. It is unclear how this adverse risk factor profile evolves during adult life. We compared life course trajectories of cardiovascular risk factors in women with preeclampsia or gestational hypertension in their first pregnancy to normotensive women. Methods and Results We linked information on cardiovascular risk factors from the population-based HUNT (Nord-Trøndelag Health Study) surveys with pregnancy information from the Medical Birth Registry of Norway. Trajectories of cardiovascular risk factors were constructed for 22 308 women with a normotensive first pregnancy; 1092 with preeclampsia, and 478 with gestational hypertension in first pregnancy. Already before first pregnancy, women with preeclampsia in their first pregnancy had higher measures of adiposity, blood pressure, heart rate, and serum lipids and glucose compared with women with a normotensive first pregnancy. After first pregnancy, there was a parallel development in cardiovascular risk factor levels, but women with a normotensive first pregnancy had a time lag of >10 years compared with the preeclampsia group. There were no clear differences in risk factor trajectories between women with gestational hypertension and women with preeclampsia. Conclusions Women with hypertensive pregnancy disorders in their first pregnancy had an adverse cardiovascular risk factor profile before pregnancy compared with normotensive women, and the differences persisted beyond 50 years of age. Hypertensive disorders in pregnancy signal long-term increases in modifiable cardiovascular risk factors, and may be used to identify women who would benefit from early prevention strategies.

Indexed as

AdiposityAdultBlood PressureCardiovascular DiseasesCase-Control StudiesCholesterolCholesterol, HDLC-Reactive ProteinDyslipidemiasFemaleHeart RateHumansHypertension, Pregnancy-InducedMiddle AgedNorwayObesityCholesterolCholesterol, HDLC-Reactive ProteinTriglyceridescardiovascular risk factorsepidemiologyhypertensive disorders of pregnancylife course

Identifiers

PMID30371249
PMCPMC6201453
OpenAlexW2887937707

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.