Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 487964
Title High blood pressure and associated risk factors among women attending antenatal clinics in Tanzania
Author(s) Mwanri, A.W.; Kinabo, J.L.; Ramaiya, K.; Feskens, E.J.M.
Source Journal of Hypertension 33 (2015)5. - ISSN 0263-6352 - p. 940 - 947.
DOI http://dx.doi.org/10.1097/HJH.0000000000000501
Department(s) Chair Nutrition and Disease
VLAG
Publication type Refereed Article in a scientific journal
Publication year 2015
Keyword(s) gestational diabetes-mellitus - pregnancy-induced hypertension - dietary diversity score - chronic kidney-disease - antiretroviral therapy - tehranian adults - generation r - disorders - urban - hiv
Abstract Aim: Hypertension during pregnancy (HDP) is one of the leading causes of maternal and perinatal mortality worldwide. This study examined prevalence and potential risk factors for HDP among pregnant women in Tanzania. Methods: We examined 910 pregnant women, aged at least 20 years, mean gestational age 27 weeks, from rural (n = 301) and urban (n = 609) areas, during their usual antenatal clinic visits. Hypertension was defined as clinic SBP at least 140 mmHg or DBP at least 90 mmHg. Dietary assessment included dietary diversity score using 16 food groups. Multiple logistic regression analysis was used to assess the independent association of risk factors associated with prevalence of hypertension. Results: A total of 62 women (6.9%) had HDP, prevalence being higher in urban (8.1%) compared to rural area (4.4%). For the urban area, mother's age [odds ratio (OR) 1.10, 95% confidence interval (CI) 1.03–1.20], gestational age (OR 1.10, 95% CI 1.02–1.20), mid-upper arm circumference (OR 1.13, 95% CI 1.01–1.23), dietary diversity score (OR 1.31, 95% CI 1.20–1.60) and being HIV-positive (OR 2.40, 95% CI 1.10–5.18) were independently associated with HDP. When adjusted for proteinuria, associations with HIV status and mid-upper arm circumference weakened. In the rural area, HDP risk increased with age and gestational age. Conclusion: Prevalence of HDP was higher in urban compared to rural area, which points at high risk for preterm delivery, low birth weight and future cardiovascular diseases. The observed risk factors identify risk groups to be screened and targeted for prevention. The role of HIV status needs to be further explored
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