Open Access
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Hypertensive disorders of pregnancy and risk of diabetes in Indian women: a cross-sectional study Sutapa Agrawal,1 Jasmine Fledderjohann2
To cite: Agrawal S, Fledderjohann J. Hypertensive disorders of pregnancy and risk of diabetes in Indian women: a cross-sectional study. BMJ Open 2016;6:e011000. doi:10.1136/bmjopen-2015011000 ▸ Prepublication history for this paper is available online. To view these files please visit the journal online (http://dx.doi.org/10.1136/ bmjopen-2015-011000). Received 11 January 2016 Revised 27 May 2016 Accepted 3 June 2016
1
Centre for Chronic Conditions and Injuries, Public Health Foundation of India, New Delhi, India 2 Department of Sociology, University of Oxford, Oxford, UK Correspondence to Dr Sutapa Agrawal; [email protected]
ABSTRACT Background: Epidemiological data from high-income countries suggest that women with hypertensive disorders of pregnancy (HDP) are more likely to develop diabetes later in life. Objective: We investigated the association between pre-eclampsia and eclampsia (PE&E) during pregnancy and the risk of diabetes in Indian women. Design: Cross-sectional study. Setting: India. Methods: Data from India’s third National Family Health Survey (NFHS-3, 2005–2006), a cross-sectional survey of women aged 15–49 years, are used. Selfreported symptoms suggestive of PE&E were obtained from 39 657 women who had a live birth in the 5 years preceding the survey. The association between PE&E and self-reported diabetes status was assessed using multivariable logistic regression models adjusting for dietary intake, body mass index (BMI), tobacco smoking, alcohol drinking, frequency of TV watching, sociodemographic characteristics and geographic region. Results: The prevalence of symptoms suggestive of PE&E in women with diabetes was 1.8% (n=207; 95% CI 1.5 to 2.0; p
Research
Hypertensive disorders of pregnancy and risk of diabetes in Indian women: a cross-sectional study Sutapa Agrawal,1 Jasmine Fledderjohann2
To cite: Agrawal S, Fledderjohann J. Hypertensive disorders of pregnancy and risk of diabetes in Indian women: a cross-sectional study. BMJ Open 2016;6:e011000. doi:10.1136/bmjopen-2015011000 ▸ Prepublication history for this paper is available online. To view these files please visit the journal online (http://dx.doi.org/10.1136/ bmjopen-2015-011000). Received 11 January 2016 Revised 27 May 2016 Accepted 3 June 2016
1
Centre for Chronic Conditions and Injuries, Public Health Foundation of India, New Delhi, India 2 Department of Sociology, University of Oxford, Oxford, UK Correspondence to Dr Sutapa Agrawal; [email protected]
ABSTRACT Background: Epidemiological data from high-income countries suggest that women with hypertensive disorders of pregnancy (HDP) are more likely to develop diabetes later in life. Objective: We investigated the association between pre-eclampsia and eclampsia (PE&E) during pregnancy and the risk of diabetes in Indian women. Design: Cross-sectional study. Setting: India. Methods: Data from India’s third National Family Health Survey (NFHS-3, 2005–2006), a cross-sectional survey of women aged 15–49 years, are used. Selfreported symptoms suggestive of PE&E were obtained from 39 657 women who had a live birth in the 5 years preceding the survey. The association between PE&E and self-reported diabetes status was assessed using multivariable logistic regression models adjusting for dietary intake, body mass index (BMI), tobacco smoking, alcohol drinking, frequency of TV watching, sociodemographic characteristics and geographic region. Results: The prevalence of symptoms suggestive of PE&E in women with diabetes was 1.8% (n=207; 95% CI 1.5 to 2.0; p
