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Published on: January 26, 2024
Prenatal exposure to preeclampsia as a risk factor for long-term endocrine morbidity of the offspring
Sharon Davidesko1, Kira Nahum Sacks2, Michael Friger2
1Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev , Beer-Sheva, Israel.
Insights
Preeclampsia in mothers increases children's risk for endocrine diseases, particularly obesity. This population-based study highlights preeclampsia as an independent risk factor for long-term pediatric health issues.
Area of Science:
- Reproductive Medicine
- Pediatric Endocrinology
- Epidemiology
Background:
- Preeclampsia is a serious pregnancy complication.
- Potential long-term effects of preeclampsia on offspring health are not fully understood.
- Endocrine diseases in children represent a significant public health concern.
Purpose of the Study:
- To investigate the association between maternal preeclampsia and the risk of pediatric endocrine disease.
- To determine if preeclampsia is an independent risk factor for endocrine morbidity in offspring.
Main Methods:
- Population-based cohort analysis.
- Comparison of endocrine morbidity in children born to mothers with and without preeclampsia (1991-2014).
- Statistical analysis controlling for potential confounders.
Main Results:
- The study analyzed 253,808 deliveries.
- Offspring exposed to preeclampsia had higher rates of endocrine hospitalizations (0.7% vs 0.4%, p < 0.001).
- Obesity was a significantly more common endocrine condition in exposed offspring (0.4% vs 0.2%, p < 0.001).
- Preeclampsia remained an independent risk factor for endocrine morbidity (OR 1.433, p = 0.005) after controlling for confounders.
Conclusions:
- Maternal preeclampsia is an independent risk factor for the development of endocrine diseases in children.
- Obesity is a key endocrine condition linked to preeclampsia exposure in offspring.
- These findings underscore the importance of monitoring offspring of pregnancies complicated by preeclampsia for endocrine health.
Abstract:
Objective: To analyze preeclampsia as a risk factor for pediatric endocrine disease. Study Design: A population-based cohort analysis comparing the risk of endocrine morbidity of children born between 1991-2014 to mothers with and without preeclampsia. Results: The study included 253,808 deliveries. Exposed offspring had significantly more endocrine hospitalizations (0.7% vs 0.4%; p < 0.001), specifically obesity (0.4% vs 0.2%, p < 0.001). While controlling for confounders, the exposed offspring had significantly more endocrine morbidity (OR 1.433 95% CI 1.115-1.841 p = 0.005). Conclusion: Preeclampsia is an independent risk factor for long-term endocrine disease of the offspring, specifically obesity.
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