Preconceptional cardiovascular health and pregnancy outcomes in women with systemic lupus erythematosus Article Swipe
Amanda M. Eudy
,
A.M. Siega-Riz
,
Stephanie M. Engel
,
Nora Franceschini
,
Annie Green Howard
,
Megan E. B. Clowse
,
Michelle Petri
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.17615/fwdx-3638
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.17615/fwdx-3638
Objective. To estimate the effects of preconceptional cardiovascular (CV) health, measured by American Heart Association (AHA) guidelines, on pregnancy outcomes in women with systemic lupus erythematosus (SLE). Methods. The study included patients in the Hopkins Lupus Pregnancy Cohort. Body mass index (BMI), total cholesterol, and blood pressure (BP) in the most recent clinic visit prior to conception or first trimester were used to determine CV health (ideal, intermediate, or poor health) based on AHA definitions. Outcomes included preterm birth, gestational age at birth, and small for gestational age (SGA). Multivariable linear and logistic regression models with generalized estimating equations estimated the association of each CV health factor and outcome. Results. The analysis included 309 live births. There were 95 preterm births (31%), and of the 293 pregnancies with birth weights, 18% were SGA. Ideal BMI, total cholesterol, and BP were reported in 56%, 85%, and 51% of pregnancies, respectively. Intermediate BMI was associated with decreased odds of SGA (OR 0.26, 95% CI 0.11-0.63), adjusted for race and prednisone use. Intermediate/poor total cholesterol was associated with increased odds of preterm birth (OR 2.21, 95% CI 1.06-4.62). Intermediate/poor BP was associated with decreased gestational age at birth (β -0.96, 95% CI -1.62 to -0.29). Conclusion. Poor/intermediate preconception CV health affects pregnancy outcomes of preterm birth and SGA infants among women with SLE. Efforts to maintain BMI, total cholesterol, and BP within the recommended ideal range prior to pregnancy is important to improve pregnancy outcomes in women with SLE.
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Metadata
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All OpenAlex metadata
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https://openalex.org/W4386868389Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.17615/fwdx-3638Digital Object Identifier
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Preconceptional cardiovascular health and pregnancy outcomes in women with systemic lupus erythematosusWork title
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articleOpenAlex work type
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enPrimary language
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2023Year of publication
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2023-09-20Full publication date if available
- Authors
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Amanda M. Eudy, A.M. Siega-Riz, Stephanie M. Engel, Nora Franceschini, Annie Green Howard, Megan E. B. Clowse, Michelle PetriList of authors in order
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https://doi.org/10.17615/fwdx-3638Publisher landing page
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://doi.org/10.17615/fwdx-3638Direct OA link when available
- Concepts
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Pregnancy, Medicine, Systemic lupus, Obstetrics, Internal medicine, Biology, Disease, GeneticsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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| abstract_inverted_index.cholesterol, | 43, 136, 225 |
| abstract_inverted_index.definitions. | 74 |
| abstract_inverted_index.pregnancies, | 147 |
| abstract_inverted_index.Multivariable | 89 |
| abstract_inverted_index.erythematosus | 25 |
| abstract_inverted_index.intermediate, | 67 |
| abstract_inverted_index.preconception | 204 |
| abstract_inverted_index.respectively. | 148 |
| abstract_inverted_index.cardiovascular | 7 |
| abstract_inverted_index.preconceptional | 6 |
| abstract_inverted_index.Intermediate/poor | 169, 185 |
| abstract_inverted_index.Poor/intermediate | 203 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 7 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.5600000023841858 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.28767827 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |