Evidence map›Paper›PMID 35138876›Full record

ArticleHypertension (Dallas, Tex. : 1979)2022

Maternal Hypertension Increases Risk of Preeclampsia and Low Fetal Birthweight: Genetic Evidence From a Mendelian Randomization Study.

Maddalena Ardissino, Eric A W Slob, Ophelia Millar, Rohin K Reddy, Laura Lazzari, Kiran Haresh Kumar Patel, David Ryan, Mark R Johnson, Dipender Gill, Fu Siong Ng

Open access · bronzeAbstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
8.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Maddalena ArdissinoNational Heart and Lung Institute (M.A., O.M., R.K.R., L.L., K.H.K.P., F.S.N.), Imperial College London, United Kingdom.ORCID 0000-0002-2654-8117
Eric A W SlobMRC Biostatistics Unit, University of Cambridge, United Kingdom (E.A.W.S.).ORCID 0000-0002-1644-0735
Ophelia MillarNational Heart and Lung Institute (M.A., O.M., R.K.R., L.L., K.H.K.P., F.S.N.), Imperial College London, United Kingdom.
Rohin K ReddyNational Heart and Lung Institute (M.A., O.M., R.K.R., L.L., K.H.K.P., F.S.N.), Imperial College London, United Kingdom.ORCID 0000-0002-4726-157X
Laura LazzariNational Heart and Lung Institute (M.A., O.M., R.K.R., L.L., K.H.K.P., F.S.N.), Imperial College London, United Kingdom.
Kiran Haresh Kumar PatelNational Heart and Lung Institute (M.A., O.M., R.K.R., L.L., K.H.K.P., F.S.N.), Imperial College London, United Kingdom.
David RyanSt George's University Hospitals NHS Foundation Trust, London, United Kingdom (D.R., D.G.).
Mark R JohnsonDivision of Reproductive and Developmental Biology, Department of Metabolism, Digestion and Reproduction (M.R.J.), Imperial College London, United Kingdom.
Dipender GillDepartment of Biostatistics and Epidemiology, School of Public Health (D.G.), Imperial College London, United Kingdom.ORCID 0000-0001-7312-7078
Fu Siong NgNational Heart and Lung Institute (M.A., O.M., R.K.R., L.L., K.H.K.P., F.S.N.), Imperial College London, United Kingdom.ORCID 0000-0002-8681-4368
Lung Institute · USSt George’s University Hospitals NHS Foundation Trust · GBImperial College London · GBMRC Biostatistics Unit · GB

Funding

British Heart Foundation RE/18/4/34215British Heart Foundation RG/16/3/32175Department of Health
6 · The paper itself

Abstract

backgroundMaternal cardiovascular risk factors have been associated with adverse maternal and fetal outcomes. Given the difficulty in establishing causal relationships using epidemiological data, we applied Mendelian randomization to explore the role of cardiovascular risk factors on risk of developing preeclampsia or eclampsia, and low fetal birthweight.

methodsUncorrelated single-nucleotide polymorphisms associated systolic blood pressure (SBP), body mass index, type 2 diabetes, LDL (low-density lipoprotein) with cholesterol, smoking, urinary albumin-to-creatinine ratio, and estimated glomerular filtration rate at genome-wide significance in studies of 298 957 to 1 201 909 European ancestry participants were selected as instrumental variables. A 2-sample Mendelian randomization study was performed with primary outcome of preeclampsia or eclampsia (PET). Risk factors associated with PET were further investigated for their association with low birthweight.

resultsHigher genetically predicted SBP was associated increased risk of PET (odds ratio [OR] per 1-SD SBP increase 1.90 [95% CI=1.45-2.49];

conclusionsOur results provide evidence for causal effects of SBP, body mass index, and type 2 diabetes on PET and identify that SBP is associated with reduced birthweight independently of PET. The results provide insight into the pathophysiological basis of PET and identify hypertension as a potentially modifiable risk factor amenable to therapeutic intervention.

Indexed as

AdultBirth WeightBlood PressureBody Mass IndexFemaleHumansHypertensionInfant, NewbornMaleMendelian Randomization AnalysisPolymorphism, Single NucleotidePre-EclampsiaPregnancybirth weightblood pressurebody mass indexpreeclampsiarisk factors

Identifiers

PMID35138876
PMCPMC7612410
OpenAlexW4206526960

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.