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  • 标题:Is the serum L-arginine level during early pregnancy a predictor of pregnancy-induced hypertension?
  • 本地全文:下载
  • 作者:Jingwen Wang ; Tomomi Kotani ; Hiroyuki Tsuda
  • 期刊名称:Journal of Clinical Biochemistry and Nutrition
  • 印刷版ISSN:0912-0009
  • 电子版ISSN:1880-5086
  • 出版年度:2015
  • 卷号:57
  • 期号:1
  • 页码:74-81
  • DOI:10.3164/jcbn.14-104
  • 出版社:The Society for Free Radical Research Japan
  • 摘要:The objective of this study was to determine the concentration of serum l -arginine in healthy pregnant women and infant cord blood and to compare them with those in patients with pregnancy-induced hypertension (PIH). The serum concentration of l -arginine in normal pregnant women at early gestation ( n = 186) was determined and analyzed based on maternal factors such as the age, pre-pregnancy body mass index (BMI), smoking and alcohol habits before pregnancy. Similarly, the concentration of cord blood of the newborns ( n = 142) was also analyzed. These values were compared with those in the PIH group ( n = 21). The potential risk factors for PIH were also estimated. The serum concentration of l -arginine at early gestation in normal pregnant women (88.65 ± 19.96 µM) was not affected by the maternal age and BMI before pregnancy. A lower l -arginine concentration at early gestation (<70 µM) significantly elevated PIH risk [adjusted odds ratio (OR) = 4.26, 95% CI 1.29–14.50]. In addition, either women with large body mass before pregnancy (BMI>25 kg/m2) or primipara women also showed a significant association with PIH risk [adjusted OR = 10.55 (2.95–40.68); 5.25 (1.72–19.15), respectively]. In conclusion, a lower l -arginine concentration at early gestation, overweight before pregnancy (BMI>25 kg/m2) and primipara could predict to the development of PIH.
  • 关键词:L-arginine;pregnancy-induced hypertension;parity;cord blood
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