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孕前肥胖与围产期心肌病风险:一项系统评价和荟萃分析。

Pre-pregnancy obesity and the risk of peripartum cardiomyopathy: A systematic review and meta-analysis.

作者信息

Putra Iwan Cahyo Santosa, Irianto Christian Bobby, Raffaello Wilson Matthew, Suciadi Leonardo Paskah, Prameswari Hawani Sasmaya

机构信息

School of Medicine and Health Sciences Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia.

Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia.

出版信息

Indian Heart J. 2022 May-Jun;74(3):235-238. doi: 10.1016/j.ihj.2022.04.009. Epub 2022 Apr 28.

Abstract

The outcome of this review is to assess the association between pre-pregnancy obesity and PPCM incidence. There were a total of 5.373.581 participants were included in this study. Pre-pregnancy obesity was significantly associated with PPCM incidence compared to normal-weight subjects (OR = 1.79 (1.16,2.76); p = 0.008; I = 59%, P = 0.04). The sub-group analysis showed that pre-pregnancy women with obesity class I (OR = 1.58 (1.20,2.07); p = 0.001; I = 0%, P = 0.64) and class II and III (OR = 2.65 (2.04,3.45); p < 0.001; I = 6%, P = 0.36) was significantly associated with PPCM incidence compared to normal-weight subjects.

摘要

本综述的结果是评估孕前肥胖与围产期心肌病(PPCM)发病率之间的关联。本研究共纳入了5373581名参与者。与体重正常的受试者相比,孕前肥胖与PPCM发病率显著相关(OR = 1.79(1.16, 2.76);p = 0.008;I = 59%,P = 0.04)。亚组分析显示,与体重正常的受试者相比,I类(OR = 1.58(1.20, 2.07);p = 0.001;I = 0%,P = 0.64)以及II类和III类孕前肥胖女性与PPCM发病率显著相关(OR = 2.65(2.04, 3.45);p < 0.001;I = 6%,P = 0.36)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bd0/9243620/a432e26c2f15/gr1.jpg

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