Maternal obesity and severe pre-eclampsia among immigrant women: a mediation analysis.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
23 03 2020
Historique:
received: 16 07 2019
accepted: 05 03 2020
entrez: 7 4 2020
pubmed: 7 4 2020
medline: 1 12 2020
Statut: epublish

Résumé

We investigated the extent to which pre-pregnancy obesity mediates the association between maternal place of birth and severe pre-eclampsia in the PreCARE cohort of pregnant women in Paris (n = 9,579). Adjusted path analysis logistic regression models were used to assess the role of pre-pregnancy obesity as a mediator in the association between maternal place of birth and the development of severe pre-eclampsia. We calculated 1. adjusted odds ratios and 95% confidence intervals for the total exposure-outcome association and for the direct and indirect/obesity-mediated components 2. the indirect/obesity-mediated effect. Ninety-five (0.99%) women developed severe pre-eclampsia, 47.6% were non-European immigrants, 16.3% were born in Sub-Saharan Africa, and 12.6% were obese (BMI > = 30 kg/m

Identifiants

pubmed: 32251320
doi: 10.1038/s41598-020-62032-9
pii: 10.1038/s41598-020-62032-9
pmc: PMC7089990
doi:

Types de publication

Comparative Study Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

5215

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Auteurs

Ayesha Siddiqui (A)

INSERM U1153 Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOPé), Center for Epidemiology and Statistics Sorbonne Paris Cité, Risks in Pregnancy DHU, Paris Descartes University, Paris, France. ayesha.siddiqui@inserm.fr.
Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA. ayesha.siddiqui@inserm.fr.

Catherine Deneux-Tharaux (C)

INSERM U1153 Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOPé), Center for Epidemiology and Statistics Sorbonne Paris Cité, Risks in Pregnancy DHU, Paris Descartes University, Paris, France.

Dominique Luton (D)

Department of Obstetrics and Gynecology, Beaujon-Bichat Hospital, University Hospital Department (DHU) Risks in Pregnancy, Paris Diderot University, Paris, France.

Thomas Schmitz (T)

Department of Obstetrics and Gynecology, Robert Debré Hospital, Paris Diderot University, Paris, France.

Laurent Mandelbrot (L)

Department of Obstetrics and Gynecology, Louis Mourier Hospital, University Hospital Department (DHU) Risks in Pregnancy, Paris Diderot University, Colombes, France.

Candice Estellat (C)

Pitié-Salpêtrière Hospital - Charles Foix; Department of Biostatistics, Public Health and Medical Information, Clinical Research Unit, Pharmacoepidemiology Center (Céphépi), Sorbonne University; INSERM UMR-S 1136 - Pierre Louis Institute of Epidemiology and Public Health, Paris, France.

Elizabeth A Howell (EA)

Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Blavatnik Family Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Babak Khoshnood (B)

INSERM U1153 Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOPé), Center for Epidemiology and Statistics Sorbonne Paris Cité, Risks in Pregnancy DHU, Paris Descartes University, Paris, France.

Nathalie Bertille (N)

INSERM U1153 Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOPé), Center for Epidemiology and Statistics Sorbonne Paris Cité, Risks in Pregnancy DHU, Paris Descartes University, Paris, France.

Elie Azria (E)

INSERM U1153 Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOPé), Center for Epidemiology and Statistics Sorbonne Paris Cité, Risks in Pregnancy DHU, Paris Descartes University, Paris, France.
Maternity Unit, Notre Dame de Bon Secours -Paris Saint Joseph Hospital/ University Hospital Department (DHU) Risks in Pregnancy, Paris Descartes University, Paris, France.

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