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Seasonal Variation in Gestational Blood Pressure
Authors:Lisa M. Bodnar  Ashi Daftary  Nina Markovic  Cindy L. Schatzman  James M. Roberts
Affiliation:1. Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA;2. Magee-Women's Research Institute, Pittsburgh, PA, USA;3. Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA;4. Department of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USAbodnar@edc.pitt.edu;6. Magee-Women's Research Institute, Pittsburgh, PA, USA;7. Department of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
Abstract:Objective: To assess seasonal variability in antenatal blood pressure (BP). Methods: We studied 1919 pregnant women who contributed 21,119 antenatal BP measurements. Results: BP peaked in winter and reached a nadir in summer. After confounder adjustment, systolic BP was 1.0 to 1.7 mm Hg higher January to May, 0.6 mm Hg higher in September and October, and 0.8 mm Hg higher in November and December compared with August. After stratifying by overweight status, BP showed strong seasonal variability among lean women, whereas there were no seasonal trends among overweight women. Conclusion: Environmental factors may regulate gestational BP and may be relevant to seasonality of hypertensive disorders of pregnancy.
Keywords:Blood pressure  Pregnancy  Seasonal variation  Obesity
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