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Sökning: onr:"swepub:oai:prod.swepub.kib.ki.se:146566304" > Maternal hypertensi...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003311naa a2200337 4500
001oai:prod.swepub.kib.ki.se:146566304
003SwePub
008240701s2021 | |||||||||||000 ||eng|
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1465663042 URI
024a https://doi.org/10.1007/s10654-021-00756-22 DOI
040 a (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Wang, H4 aut
2451 0a Maternal hypertensive disorders and neurodevelopmental disorders in offspring: a population-based cohort in two Nordic countries
264 c 2021-05-04
264 1b Springer Science and Business Media LLC,c 2021
520 a Maternal hypertensive disorders during pregnancy (HDP) have been associated with neuropsychiatric problems in offspring. We aim to investigate the associations between specific types of maternal HDP and offspring neurodevelopmental disorders and further examine whether the timing of onset and severity of HDP would affect these associations. The study population consisted of 4,489,044 live-born singletons in Denmark during 1978–2012 and Sweden during 1987–2010. Maternal HDP was categorized into chronic hypertension, gestational hypertension, and pre-eclampsia; pre-eclampsia was further stratified according to timing (early-onset, late-onset), or severity (moderate, severe) of the disease. Neurodevelopmental disorders, including attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and intellectual disability (ID), were defined by ICD-coded register diagnosis. Cox regression was used to calculate hazard ratios (HR) while adjusting for potential confounders, and sibling analyses assessed the influence of unmeasured shared familial factors. Maternal HDP was associated with increased risks of ADHD (HR, 1.24; 95% confidence interval [CI], 1.20–1.28), ASD (1.29 [1.24–1.34]), and ID (1.58 [1.50–1.66]) in offspring, respectively, which was mostly driven by pre-eclampsia. The strongest associations were observed for early-onset and severe pre-eclampsia, and the corresponding HRs for ADHD, ASD and ID were 1.93 [1.73–2.16], 1.86 [1.61–2.15], and 3.99 [3.42–4.65], respectively. The results were similar in the sibling analyses. The associations between maternal HDP and offspring neurodevelopmental disorders were consistent across the subgroups of sex, preterm status, parity, maternal age and psychiatric disorders. Maternal HDP, especially early-onset pre-eclampsia, are associated with increased risks of ADHD, ASD, and ID in particular, independent of shared familial factors.
700a Laszlo, KDu Karolinska Institutet4 aut
700a Gissler, Mu Karolinska Institutet4 aut
700a Li, F4 aut
700a Zhang, J4 aut
700a Yu, YF4 aut
700a Li, J4 aut
710a Karolinska Institutet4 org
773t European journal of epidemiologyd : Springer Science and Business Media LLCg 36:5, s. 519-530q 36:5<519-530x 1573-7284x 0393-2990
856u https://link.springer.com/content/pdf/10.1007/s10654-021-00756-2.pdf
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:146566304
8564 8u https://doi.org/10.1007/s10654-021-00756-2

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