Evidence map›Paper›PMID 36345823›Full record

SynthesisHypertension (Dallas, Tex. : 1979)2023

Association Between Hypertensive Disorders of Pregnancy and Dementia: a Systematic Review and Meta-Analysis.

Karen C Schliep, Hailey Mclean, Bin Yan, Fares Qeadan, Lauren H Theilen, Adam de Havenon, Jennifer J Majersik, Truls Østbye, Surendra Sharma, Michael W Varner

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Hypertension (Dallas, Tex. : 1979), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
10.2field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A Systematic Review of Complications Following Pre-eclampsia.Maternal and child health journal · 2024
    Pooled it
  4. Hypertensive disorders of pregnancy and the risk of dementia: a systematic review and meta-analysis of cohort studies.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Pooled it
  5. Non-Genetic Risk Factors of Alzheimer's Disease: An Updated Umbrella Review.The journal of prevention of Alzheimer's disease · 2024
    Pooled it
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Pregnancy hypertension is associated with higher p-tau217 in healthy midlife women.The journal of prevention of Alzheimer's disease · 2025
    Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Cardiovascular contributions to dementia: Examining sex differences and female-specific factors.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Karen C SchliepDepartment of Family and Preventative Medicine (K.C.S., H.M., B.Y.), University of Utah, Salt Lake City.ORCID 0000-0003-1771-3157
Hailey McleanDepartment of Family and Preventative Medicine (K.C.S., H.M., B.Y.), University of Utah, Salt Lake City.ORCID 0000-0002-9455-7242
Bin YanDepartment of Family and Preventative Medicine (K.C.S., H.M., B.Y.), University of Utah, Salt Lake City.
Fares QeadanDepartment of Public Health Sciences, Loyola University Chicago, IL (F.Q.).
Lauren H TheilenDepartment of Obstetrics and Gynecology (L.H.T., M.W.V.), University of Utah, Salt Lake City.ORCID 0000-0002-5662-6040
Adam de HavenonDepartment of Neurology, Yale University, New Haven, CT (A.d.H.).ORCID 0000-0001-8178-8597
Jennifer J MajersikDepartment of Neurology (J.J.M.), University of Utah, Salt Lake City.ORCID 0000-0003-3191-262X
Truls ØstbyeCommunity and Family Medicine, Nursing and Global Health, Duke University, Durham, NC (T.O.).
Surendra SharmaDepartment of Pediatrics, Women & Infants Hospital, Alpert Medical School of Brown University, Providence, RI (S.S.).
Michael W VarnerDepartment of Obstetrics and Gynecology (L.H.T., M.W.V.), University of Utah, Salt Lake City.ORCID 0000-0001-9455-3973
University of Utah · USBrown University · USChicago Department of Public Health · USDuke University · USTwitter (United States) · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Optimizing Cardiovascular Preventive Care for Women following Hypertensive Disorders of Pregnancy.K23HL159316 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Lauren Theilen · 2022 to 2026
$885k
Hypertensive Disorders of Pregnancy and Subsequent Risk of Vascular Dementia, Alzheimer's Disease, or Related Dementia: A Retrospective Cohort Study Taking into Account Mid-Life Mediating Factors.K01AG058781 · NIA · UNIVERSITY OF UTAH · PI SCHLIEP, KAREN C. · 2020 to 2024
$610k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL159316NIA NIH HHS K01 AG058781
6 · The paper itself

Abstract

backgroundPrior meta-analyses report a 2- to 4-fold increased risk of later cardiovascular disease among women with a history of hypertensive disorders of pregnancy (HDP). Given HDP's vascular underpinnings, it is hypothesized to also be a risk factor for later dementia. We aim to summarize the evidence for the impact of HDP on dementia and consider unique associations between HDP and dementia subtypes.

methodsObservational studies on the relationship between HDP and dementia were identified from online electronic databases to July 1, 2021 (PROSPERO identifier: CRD42020185630). We included observational studies published in English. Exposure among women was any HDP and HDP subtypes: gestational hypertension, preeclampsia/eclampsia, or other/unspecified HDP. Outcome was any dementia and dementia subtypes: Alzheimer's disease, vascular dementia, or other/unspecified dementias.

resultsFor our primary analyses, we included 5 cohort studies with a total of 183 874 women with and 2 309 705 women without HDP. Pooled analysis found a 38% higher risk of all-cause dementia among women with, versus without, any type of HDP (adjusted hazard ratio, 1.38 [95% CI, 1.18-1.61];

conclusionsOur findings indicate that maternal history of HDP is an important risk factor for later development of vascular and all-cause dementia. Further research among more racially/ethnically diverse populations quantifying HDP's effect on all-cause dementia, and specifically vascular dementia, is warranted.

Indexed as

Dementia, VascularHypertension, Pregnancy-InducedPre-EclampsiaCohort StudiesFemaleHumansObservational Studies as TopicPregnancyRisk Factorscognitive dysfunctiondementiaeclampsiaepidemiologyhypertension

Identifiers

PMID36345823
PMCPMC9851987
OpenAlexW4308554504

What OpenQuestion holds

Textmetadata
LicenceTDM
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.