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The Association of Family History of Premature Cardiovascular Disease or Diabetes Mellitus on the Occurrence of Gestational Hypertensive Disease and Diabetes.

Abstract Gestational hypertensive diseases (GHD) and gestational diabetes mellitus (GDM) increase the risk of cardiovascular disease (CVD) later in life. However, the association between gestational medical diseases and familial history of CVD has not been investigated to date. In the present study, we examined the association between familial history of CVD and GHD or GDM via reliable questionnaires in a large cohort of registered nurses.
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Publication Year Start




PMID- 27918585
OWN - NLM
STAT- In-Data-Review
DA  - 20161205
LR  - 20161221
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 11
IP  - 12
DP  - 2016
TI  - The Association of Family History of Premature Cardiovascular Disease or Diabetes
      Mellitus on the Occurrence of Gestational Hypertensive Disease and Diabetes.
PG  - e0167528
LID - 10.1371/journal.pone.0167528 [doi]
AB  - BACKGROUND: Gestational hypertensive diseases (GHD) and gestational diabetes
      mellitus (GDM) increase the risk of cardiovascular disease (CVD) later in life.
      However, the association between gestational medical diseases and familial
      history of CVD has not been investigated to date. In the present study, we
      examined the association between familial history of CVD and GHD or GDM via
      reliable questionnaires in a large cohort of registered nurses. METHODS: The
      Korean Nurses' Survey was conducted through a web-based computer-assisted
      self-interview, which was developed through consultation with cardiologists,
      gynecologists, and statisticians. We enrolled a total of 9,989 female registered 
      nurses who reliably answered the questionnaires including family history of
      premature CVD (FHpCVD), hypertension (FHH), and diabetes mellitus (FHDM) based on
      their medical knowledge. Either multivariable logistic regression analysis or
      generalized estimation equation was used to clarify the effect of positive family
      histories on GHD and GDM in subjects or at each repeated pregnancy in an
      individual. RESULTS: In this survey, 3,695 subjects had at least 1 pregnancy and 
      8,783 cumulative pregnancies. Among them, 247 interviewees (6.3%) experienced GHD
      and 120 (3.1%) experienced GDM. In a multivariable analysis adjusted for age,
      obstetric, and gynecologic variables, age at the first pregnancy over 35 years
      (adjusted OR 1.61, 95% CI 1.02-2.43) and FHpCVD (adjusted OR 1.60, 95% CI
      1.16-2.22) were risk factors for GHD in individuals, whereas FHH was not. FHDM
      and history of infertility therapy were risk factors for GDM in individuals
      (adjusted OR 2.68, 95% CI 1.86-3.86; 1.84, 95% CI 1.05-3.23, respectively). In
      any repeated pregnancies in an individual, age at the current pregnancy and at
      the first pregnancy, and FHpCVD were risk factors for GHD, while age at the
      current pregnancy, history of infertility therapy, and FHDM were risk factors for
      GDM. CONCLUSIONS: The FHpCVD and FHDM are significantly associated with GHD and
      GDM, respectively. Meticulous family histories should be obtained, and women with
      family histories of these conditions should be carefully monitored during
      pregnancy.
FAU - Choi, Dong-Ju
AU  - Choi DJ
AD  - Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam,
      Korea.
FAU - Yoon, Chang-Hwan
AU  - Yoon CH
AD  - Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam,
      Korea.
FAU - Lee, Heesun
AU  - Lee H
AD  - Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam,
      Korea.
FAU - Ahn, So-Yeon
AU  - Ahn SY
AD  - MRCC, Seoul National University Bundang Hospital, Seongnam, Korea.
FAU - Oh, Kyung Joon
AU  - Oh KJ
AD  - Department of Obstetrics & Gynecology, Seoul National University Bundang
      Hospital, Seongnam, Korea.
FAU - Park, Hyun-Young
AU  - Park HY
AD  - Division of Cardiovascular and Rare Diseases, Center for Biomedical Science,
      National Institute of Health, Chungbuk, Korea.
FAU - Lee, Hea Young
AU  - Lee HY
AD  - Korean Nurses Association, Seoul, Korea.
FAU - Cho, Myeong Chan
AU  - Cho MC
AD  - Department of Internal Medicine, Chungbuk National University, Chungbuk, Korea.
FAU - Chung, Ick-Mo
AU  - Chung IM
AD  - Cardiology Division, School of Medicine, Ewha Womans University, Seoul, Korea.
FAU - Shin, Mi-Seung
AU  - Shin MS
AD  - Division of Cardiology, Department of Internal Medicine, Gachon University Gil
      Medical Center, Incheon, Korea.
FAU - Park, Sung-Ji
AU  - Park SJ
AD  - Division of Cardiology, Cardiovascular Imaging Center, Heart Vascular Stroke
      Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine,
      Seoul, Korea.
FAU - Shim, Chi Young
AU  - Shim CY
AD  - Cardiology Division, Severance Cardiovascular Hospital, Yonsei University, Seoul,
      Korea.
FAU - Han, Seong Woo
AU  - Han SW
AD  - Department of Cardiovascular Medicine, Dongtan Sacred Heart Hospital, Hwaseong,
      Korea.
FAU - Chae, In-Ho
AU  - Chae IH
AD  - Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam,
      Korea.
LA  - eng
PT  - Journal Article
DEP - 20161205
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
PMC - PMC5137894
EDAT- 2016/12/06 06:00
MHDA- 2016/12/06 06:00
CRDT- 2016/12/06 06:00
PHST- 2016/07/29 [received]
PHST- 2016/11/15 [accepted]
AID - 10.1371/journal.pone.0167528 [doi]
AID - PONE-D-16-30177 [pii]
PST - epublish
SO  - PLoS One. 2016 Dec 5;11(12):e0167528. doi: 10.1371/journal.pone.0167528.
      eCollection 2016.

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