Modifiable risk factors for hypertensive disorders in pregnancy
Hypertensive disorders in pregnancy (HDPs) are the leading causes of maternal mortality and morbidity. This study explored whether micronutrient intake and psychological distress were associated with HDPs. Micronutrients include folate and vitamin B12. Psychological distress refers to perceived stre...
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| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Critical Public Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/09581596.2025.2480277 |
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| author | Mei-Wei Chang Alai Tan Joshua M. Smyth Duane T. Wegener |
| author_facet | Mei-Wei Chang Alai Tan Joshua M. Smyth Duane T. Wegener |
| author_sort | Mei-Wei Chang |
| collection | DOAJ |
| description | Hypertensive disorders in pregnancy (HDPs) are the leading causes of maternal mortality and morbidity. This study explored whether micronutrient intake and psychological distress were associated with HDPs. Micronutrients include folate and vitamin B12. Psychological distress refers to perceived stress, prenatal distress, and prenatal depression. HDPs were defined as systolic blood pressure (BP) ≥130 mmHg or diastolic BP ≥80 mmHg. Data were collected at ≤17 weeks gestation (T1), 25–27 weeks gestation (T2), and 35–37 weeks gestation (T3). T-tests comparing those with and without HDP were performed to explore the associations. Results showed that folate and vitamin B12 were associated with HDPs at T1 and T2 (T1: d = –0.41, d = –0.52; T2: d = –0.43, d = –0.24). Psychological distress was positively associated with HDPs, but associations varied between timepoints and by measure – prenatal distress at all times (T1: d = 0.26; T2: d = 0.54, T3: d = 0.40), perceived stress at T3 (d = 0.34), and prenatal depression at T2 and T3 (T2, d = 0.47; T3: d = 0.68). In summary, micronutrient intake and psychological distress are associated with HDPs but varied by construct and across gestational age. |
| format | Article |
| id | doaj-art-6d3e7b9bca8646a5a7d6abe3b7e51bca |
| institution | Kabale University |
| issn | 0958-1596 1469-3682 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Critical Public Health |
| spelling | doaj-art-6d3e7b9bca8646a5a7d6abe3b7e51bca2025-08-20T03:42:37ZengTaylor & Francis GroupCritical Public Health0958-15961469-36822025-12-0135110.1080/09581596.2025.2480277Modifiable risk factors for hypertensive disorders in pregnancyMei-Wei Chang0Alai Tan1Joshua M. Smyth2Duane T. Wegener3College of Nursing, The Ohio State University, Columbus, OH, USACollege of Nursing, The Ohio State University, Columbus, OH, USADepartment of Psychology, The Ohio State University, Columbus, OH, USADepartment of Psychology, The Ohio State University, Columbus, OH, USAHypertensive disorders in pregnancy (HDPs) are the leading causes of maternal mortality and morbidity. This study explored whether micronutrient intake and psychological distress were associated with HDPs. Micronutrients include folate and vitamin B12. Psychological distress refers to perceived stress, prenatal distress, and prenatal depression. HDPs were defined as systolic blood pressure (BP) ≥130 mmHg or diastolic BP ≥80 mmHg. Data were collected at ≤17 weeks gestation (T1), 25–27 weeks gestation (T2), and 35–37 weeks gestation (T3). T-tests comparing those with and without HDP were performed to explore the associations. Results showed that folate and vitamin B12 were associated with HDPs at T1 and T2 (T1: d = –0.41, d = –0.52; T2: d = –0.43, d = –0.24). Psychological distress was positively associated with HDPs, but associations varied between timepoints and by measure – prenatal distress at all times (T1: d = 0.26; T2: d = 0.54, T3: d = 0.40), perceived stress at T3 (d = 0.34), and prenatal depression at T2 and T3 (T2, d = 0.47; T3: d = 0.68). In summary, micronutrient intake and psychological distress are associated with HDPs but varied by construct and across gestational age.https://www.tandfonline.com/doi/10.1080/09581596.2025.2480277Folatevitamin B12stressprenatal distressprenatal depression |
| spellingShingle | Mei-Wei Chang Alai Tan Joshua M. Smyth Duane T. Wegener Modifiable risk factors for hypertensive disorders in pregnancy Critical Public Health Folate vitamin B12 stress prenatal distress prenatal depression |
| title | Modifiable risk factors for hypertensive disorders in pregnancy |
| title_full | Modifiable risk factors for hypertensive disorders in pregnancy |
| title_fullStr | Modifiable risk factors for hypertensive disorders in pregnancy |
| title_full_unstemmed | Modifiable risk factors for hypertensive disorders in pregnancy |
| title_short | Modifiable risk factors for hypertensive disorders in pregnancy |
| title_sort | modifiable risk factors for hypertensive disorders in pregnancy |
| topic | Folate vitamin B12 stress prenatal distress prenatal depression |
| url | https://www.tandfonline.com/doi/10.1080/09581596.2025.2480277 |
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