THURSDAY, May 24 (HealthDay News) -- Preeclampsia, a dangerous
spike in a woman's blood pressure during pregnancy, may predispose
offspring to high blood pressure in childhood and young adulthood,
a new study finds.
From early in life, these children have distinct cardiovascular
risk factors that may put them at risk for health problems later
on, the British researchers said.
"A pregnancy complicated by preeclampsia is an early warning
sign that both the mother and offspring are going to be at greater
risk of developing high blood pressure later in life," said lead
researcher Dr. Paul Leeson, from the department of cardiovascular
medicine at the University of Oxford in England.
The findings suggest a need to monitor these children, the
authors said. "There is likely to be value in considering a history
of preeclampsia to understand better a person's risk of developing
high blood pressure," Leeson said.
High blood pressure, also called hypertension, can lead to
stroke, heart attack and kidney failure.
Research into the biology underlying this association may also
help identify new ways to prevent high blood pressure, Leeson
The report, published May 21 online, appears in the June print
For the study, Leeson's team reviewed 18 studies published
between 1948 and 2011 that dealt with cardiovascular risk factors
of children and young adults exposed to preeclampsia and those not
This type of study, which involved more than 45,000 individuals,
is called a meta-analysis and is designed to look for common
patterns in unrelated studies.
In their analysis, the researchers found that kids exposed to
preeclampsia had higher blood pressure readings in childhood and as
young adults, compared with those who were not exposed.
Systolic blood pressure of those exposed to preeclampsia was
2.39 mm Hg higher on average than that of those whose moms had
healthy pregnancies, and diastolic pressure was 1.35 mm Hg higher
on average, the researchers noted. In a blood pressure reading of
120/80, the first number -- 120 -- is the systolic pressure.
Over time, this difference in systolic blood pressure would
increase a person's risk of death from heart disease by about 8
percent and stroke by 12 percent, the authors said.
Children and young adults exposed to preeclampsia also had a
higher body mass index (BMI) than children not exposed, the
researchers say. BMI, a calculation of body size based on height
and weight, is another risk factor for cardiovascular disease.
The study does not prove that preeclampsia causes cardiovascular
disease, however. It merely shows an association between the
Dr. Natalie Meirowitz, chief of maternal-fetal medicine in the
department of obstetrics and gynecology at Long Island Jewish
Medical Center in New Hyde Park, N.Y., said this study points to a
major public health issue.
"This study really says the intrauterine environment affects a
child's vascular function as an adult," Meirowitz said.
"It may be obesity that is driving this," added Meirowitz. More
pregnant women are obese, which is a risk factor for
"We really need to consider cardiovascular disease that comes
from the intrauterine environment and understand it better so we
can prevent future cardiovascular disease," she said.
Obesity in pregnancy is a modifiable risk factor, Meirowitz
said. "There isn't enough attention paid to it and the effect it
can have on children later in life," she said.
For more information on preeclampsia, visit the
U.S. National Library of Medicine.