Evidence map›Paper›PMID 40612487›Full record

ArticleFrontiers in pediatrics2025

Association between three-timepoint maternal blood pressure trajectories during pregnancy and low birth weight: a longitudinal study based on NHANES 2005-2006.

Huiqiang Liu, Yanping Wei, Wen Zhang, Fei Meng, Nina Ding, Xicui Liu

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Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Huiqiang LiuDepartment of Obstetrics and Gynecology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Yanping WeiDepartment of Obstetrics and Gynecology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Wen ZhangDepartment of Obstetrics and Gynecology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Fei MengDepartment of Obstetrics and Gynecology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Nina DingDepartment of Obstetrics and Gynecology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Xicui LiuDepartment of Obstetrics and Gynecology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.

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6 · The paper itself

Abstract

Background: Dynamic changes in maternal blood pressure influence neonatal birth weight however, studies investigating the association between blood pressure trajectories during pregnancy and low birth weight (LBW) remain limited. This study aims to identify maternal blood pressure trajectories based on three time points using group-based trajectory modeling (GBTM) and explore their association with LBW. Methods: This study was based on the NHANES 2005-2006 database and included 330 pregnant women meeting the eligibility criteria (41 cases in the LBW group and 289 in the control group). GBTM was applied to model three blood pressure measurements [systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP)] taken during pregnancy. Multilevel logistic regression was used to assess the relationship between blood pressure trajectories and LBW. Additionally, stratified analyses were conducted to evaluate the modifying effects of age, body mass index (BMI), and education level, and directed acyclic graph (DAG) were employed for covariate selection. Results: Three distinct blood pressure trajectory patterns were identified. Logistic regression revealed that, compared with the low blood pressure trajectory, mothers with a high-medium SBP trajectory had a significantly increased risk of delivering an LBW infant [odds ratio [OR] = 4.479, 95% confidence interval [CI]: 2.541-7.895, Conclusions: Maternal blood pressure trajectories based on three prenatal measurements are closely associated with LBW, particularly among mothers with a high-medium SBP trajectory. This study underscores the importance of monitoring blood pressure fluctuations during pregnancy and suggests that early intervention may help reduce the risk of LBW.

Indexed as

directed acyclic graph (DAG)group-based trajectory modeling (GBTM)low birth weight (LBW)maternal risk factorspregnancy blood pressure trajectoriessystolic blood pressure (SBP)

Identifiers

PMID40612487
PMCPMC12222151

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