Walsh Scott W
Department of Obstetrics and Gynecology, Virginia Commonwealth University Medical Center, Richmond, VA 23298-0034, USA.
Trends Endocrinol Metab. 2007 Dec;18(10):365-70. doi: 10.1016/j.tem.2007.09.003. Epub 2007 Nov 19.
Obesity is becoming an epidemic worldwide. Among young women, obesity is especially important because maternal obesity confers an increased risk of preeclampsia, a hypertensive disorder of pregnancy and a leading cause of maternal and fetal morbidity and mortality. It is not known why obesity is a risk factor for preeclampsia, but these conditions might be related through common features related to oxidative stress, inflammation and altered vascular function. Recently, extensive vascular infiltration of neutrophils and vascular inflammation has been reported in both preeclamptic women and obese women. Therefore, if the vasculature of obese women is inflamed, they could be at increased risk of developing preeclampsia when they become pregnant and are exposed to the additional burdens of pregnancy.
肥胖正在成为全球范围内的一种流行病。在年轻女性中,肥胖尤为重要,因为孕妇肥胖会增加患先兆子痫的风险,先兆子痫是一种妊娠高血压疾病,是孕产妇和胎儿发病及死亡的主要原因。目前尚不清楚为什么肥胖是先兆子痫的一个风险因素,但这些情况可能通过与氧化应激、炎症和血管功能改变相关的共同特征联系起来。最近,有报道称先兆子痫女性和肥胖女性均存在中性粒细胞广泛浸润血管和血管炎症。因此,如果肥胖女性的血管发生炎症,那么她们在怀孕并承受额外的妊娠负担时,患先兆子痫的风险可能会增加。