Unveiling the link: exploring the relationship between hypertensive disorders in pregnancy and maternal dietary patterns

Diet and hypertension in pregnancy

Authors

  • Roro Sri Tanjung Wigid Putri Kinasih Kendangsari Mother and Child Hospital Surabaya
  • Gordon Jaya Pranata

DOI:

https://doi.org/10.59747/smjidisurabaya.v2i2.84

Keywords:

Hypertensive disorders, pregnancy, dietary patterns

Abstract

Background: The increasing prevalence of pregnancy-related hypertension, a leading cause of maternal and neonatal mortality, emphasizes the need for safer management strategies. Due to potential risks associated with antihypertensive drugs, dietary interventions have gained interest as a promising alternative to help regulate blood pressure and improve pregnancy outcomes by targeting mechanisms such as inflammation and oxidative stress. Objective: To examine the relationship between the incidence of hypertensive disorders and maternal dietary patterns as a potential strategy for preventing maternal health problems. Pros and Cons: Diet is the main modifiable determinant of inflammation. Research has examined dietary patterns that may reduce the risk of hypertension in pregnancy. Discussion: Dietary choices during pregnancy significantly influenced the risk of hypertensive disorders, including preeclampsia. While plant-based and Mediterranean-diets are often associated with reduced risks, other studies present conflicting results due to individual physiological differences and unmeasured dietary factors. Further research into effective dietary patterns, such as the Dietary Approaches to Stop Hypertension (DASH), could provide clearer guidelines to help reduce hypertensive risks in pregnancy. Conclusion: The relationship between dietary patterns and the incidence of hypertensive disorders remains inconclusive. Despite the inconsistent findings, maintaining a well-balanced plant-based diet may be beneficial in all stages of life, especially in preventing HDP. Such a diet can help lower blood pressure, reduce the risk of heart disease, and improve cholesterol levels. Moreover, maintaining a well-balanced diet can provide adequate nutrients if combined with supplementation with folic acid, iron, zinc, calcium, iodine, vitamin D, vitamin B12, and omega-3 fatty acids

References

Patterns and Perinatal Outcomes: A Systematic Review and Meta-Analysis of Cohort Studies. Adv. Nutr. 12, 1332–1352. https://doi.org/10.1093/advances/nmaa156.

Achamrah, N., Ditisheim, A., 2018. Nutritional approach to preeclampsia prevention. Curr. Opin. Clin. Nutr. Metab. Care 21, 168–173. https://doi.org/10.1097/MCO.0000000000000462.

Arvizu, M., Stuart, J.J., Rich-Edwards, J.W., Gaskins, A.J., Rosner, B., Chavarro, J.E., 2020. Prepregnancy adherence to dietary recommendations for the prevention of cardiovascular disease in relation to risk of hypertensive disorders of pregnancy. Am. J. Clin. Nutr. 112, 1429–1437. https://doi.org/10.1093/ajcn/nqaa214.

Avnon, T., Paz Dubinsky, E., Lavie, I., Ben-Mayor Bashi, T., Anbar, R., Yogev, Y., 2021. The impact of a vegan diet on pregnancy outcomes. J. Perinatol. 41, 1129–1133. https://doi.org/10.1038/s41372-020-00804-x.

Baroni, L., Rizzo, G., Goggi, S., Giampieri, F., Battino, M., 2021. Vegetarian diets during pregnancy: effects on the mother’s health. A systematic review. Food Funct. 12, 466–493. https://doi.org/10.1039/d0fo01991g.

Cífková, R., 2023. Hypertension in Pregnancy: A Diagnostic and Therapeutic Overview. High Blood Press. Cardiovasc. Prev. 30, 289–303. https://doi.org/10.1007/s40292-023-00582-5.

Garovic, V.D., Dechend, R., Easterling, T., Karumanchi, S.A., Baird, S.M.M., Magee, L.A., Rana, S., Vermunt, J. V., August, P., 2022. Hypertension in Pregnancy: Diagnosis, Blood Pressure Goals, and Pharmacotherapy: A Scientific Statement From the American Heart Association. Hypertension 79, E21–E41. https://doi.org/10.1161/HYP.0000000000000208.

Ikem, E., Halldorsson, T.I., Birgisdóttir, B.E., Rasmussen, M.A., Olsen, S.F., Maslova, E., 2019. Dietary patterns and the risk of pregnancy-associated hypertension in the Danish National Birth Cohort: a prospective longitudinal study. BJOG An Int. J. Obstet. Gynaecol. 126, 663–673. https://doi.org/10.1111/1471-0528.15593.

Jiang, F., Li, Y., Xu, P., Li, J., Chen, X., Yu, H., Gao, B., Xu, B., Li, X., Chen, W., 2019. The efficacy of the Dietary Approaches to Stop Hypertension diet with respect to improving pregnancy outcomes in women with hypertensive disorders. J. Hum. Nutr. Diet. 32, 713–718. https://doi.org/10.1111/jhn.12654.

Katsiki, N., Godosis, D., Komaitis, S., Hatzitolios, A., 2010. Hypertension in pregnancy: classification, diagnosis and treatment. Aristotle Univ. Med. J. 37.

Khedun, S.M., Maharaj, B., Moodley, J., 2000. Effects of Antihypertensive Drugs on the Unborn Child What is Known, and How Should This Influence Prescribing? Paediatr. Drugs 2, 419–436. https://doi.org/10.2165/00128072-200103110-00003

Kibret, K.T., Chojenta, C., Gresham, E., Tegegne, T.K., Loxton, D., 2019. Maternal dietary patterns and risk of adverse pregnancy (hypertensive disorders of pregnancy and gestational diabetes mellitus) and birth (preterm birth and low birth weight) outcomes: A systematic review and meta-analysis. Public Health Nutr. 22, 506–520. https://doi.org/10.1017/S1368980018002616

Kinshella, M.L.W., Omar, S., Scherbinsky, K., Vidler, M., Magee, L.A., Von Dadelszen, P., Moore, S.E., Elango, R., 2021. Maternal Dietary Patterns and Pregnancy Hypertension in Low- A nd Middle-Income Countries: A Systematic Review and Meta-analysis. Adv. Nutr. 12, 2387–2400. https://doi.org/10.1093/advances/nmab057

Miedziaszczyk, M., Ciabach, P., Grześkowiak, E., Szałek, E., 2021. The safety of a vegan diet during pregnancy. Postepy Hig. Med. Dosw. 75, 91–100. https://doi.org/10.5604/01.3001.0014.9343.

Pashapour, S., Golmohammadlou, S., Behroozi-Lak, T., Ghasemnejad-Berenji, H., Sadeghpour, S., Ghasemnejad-Berenji, M., 2019. Relationship between low maternal vitamin D status and the risk of severe preeclampsia: A case control study. Pregnancy Hypertens. 15, 161–165. https://doi.org/10.1016/j.preghy.2019.01.003.

Perry, A., Stephanou, A., Rayman, M.P., 2022. Dietary factors that affect the risk of pre-eclampsia. BMJ Nutr. Prev. Heal. 5, 118–133. https://doi.org/10.1136/bmjnph-2021-000399.

Tan, C., Zhao, Y., Wang, S., 2019. Is a vegetarian diet safe to follow during pregnancy? A systematic review and meta-analysis of observational studies. Crit. Rev. Food Sci. Nutr. 59, 2586–2596. https://doi.org/10.1080/10408398.2018.1461062.

Yisahak, S.F., Hinkle, S.N., Mumford, S.L., Li, M., Andriessen, V.C., Grantz, K.L., Zhang, C., Grewal, J., 2021. Vegetarian diets during pregnancy, and maternal and neonatal outcomes. Int. J. Epidemiol. 50, 165–178. https://doi.org/10.1093/ije/dyaa200.

Zaragoza-Martí, A., Ruiz-Ródenas, N., Herranz-Chofre, I., Sánchez-SanSegundo, M., Serrano Delgado, V. de la C., Hurtado-Sánchez, J.A., 2022. Adherence to the Mediterranean Diet in Pregnancy and Its Benefits on Maternal-Fetal Health: A Systematic Review of the Literature. Front. Nutr. 9, 1–12. https://doi.org/10.3389/fnut.2022.813942.

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2024-11-30

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