The Role of Obesity in the Development of Preeclampsia

被引:4
|
作者
Schiavone, Miguel Javier [1 ]
Perez, Mariana Paula [2 ]
Aquieri, Analia [3 ]
Nosetto, Daniela [1 ]
Pronotti, Maria Victoria [1 ]
Mazzei, Maria [1 ]
Kudrle, Cyntia [1 ]
Avaca, Horacio [1 ]
机构
[1] Hosp Britan Buenos Aires, Dept Hypertens, Solis 2184, C 1134 ADT CABA, RA-1134 Ciudad Autonoma de Buenos, Argentina
[2] Hosp Agudos J M Ramos Mejia, Dept Hypertens, Ciudad Autonoma de Buenos, Argentina
[3] Hosp Clin Jose San Martin, Dept Hypertens, Ciudad Autonoma de Buenos, Argentina
关键词
Obesity; Preeclampsia; Screening tools; Interventions; Proinflammatory cytokines; RISK;
D O I
10.1007/s11906-024-01299-z
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Purpose of ReviewThis comprehensive review provides an in-depth exploration of the complex relationship between obesity and preeclampsia (PE) and emphasizes the clinical implications of this association. It highlights the crucial role of screening tools in assessing individual risk and determining the need for additional antenatal care among women with obesity. The review investigates various markers for identifying the risk of developing PE, while emphasizing the significance of interventions such as exercise, weight management, and a balanced diet in reducing the incidence of preeclampsia and improving outcomes for both mother and fetus.Recent FindingsActually, there is a global pandemic of obesity, particularly among women of childbearing age and pregnant women. PE, which is characterized by maternal hypertension, proteinuria, and complications, affects 2-4% of pregnancies worldwide, posing significant risks to maternal and perinatal health. Women with obesity face an elevated risk of developing PE due to the systemic inflammation resulting from excess adiposity, which can adversely affect placental development. Adipose tissue, rich in proinflammatory cytokines and complement proteins, contributes to the pathogenesis of PE by promoting the expression of antiangiogenic factors in the mother.SummaryThis review emphasizes the need for appropriate screening, interventions, and a holistic approach to reduce the incidence of preeclampsia and enhance maternal-fetal well-being, thus providing valuable insights into the multifaceted association between obesity and PE.
引用
收藏
页码:247 / 258
页数:12
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