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- W4367187415 abstract "Hypertension is the most common medical problem during pregnancy, occurring in 2-3% of pregnancies globally. Hypertensive Disorders of Pregnancy (HDP) increase the risk of premature cardiovascular disease (CVD) 2-4-fold within 10 years after birth. Many CV risk factors (e.g., hypertension, dysglycemia, dyslipidemia, and obesity) can be minimized through early health behaviour modifications. However, Canadian women experience major gaps in preventative care after HDP and face many gender-related barriers to participating in lifestyle interventions. Four electronic databases (MEDLINE, EMBASE, CINAHL, Cochrane Library) were searched in October 2022 with a two-concept search strategy of the population (post-HDP women) and intervention (nutrition program/intervention). Original studies which included the correct population, intervention, and which reported cardiovascular risk or risk factors were included. Six studies were identified for inclusion: 4 experimental trials and 2 prospective cohort studies. All studies included a nutrition intervention, 4 of which were embedded in a larger lifestyle intervention program. All studies reported blood pressure as an outcome measure, 3 included cholesterol and blood lipids, and 1 included a CV risk score. However, 5 of the 6 studies did not have significant results. A narrative synthesis was conducted as the data did not permit a meta-analysis. There was substantial heterogeneity between nutrition interventions and reported CV risk outcomes. Overall, there is a significant gap in research and the care of women post-HDP. A standardized tool or set of surrogate outcomes is needed to measure CV risk and increase the impact of future research in post-HDP women." @default.
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- W4367187415 date "2023-05-01" @default.
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- W4367187415 title "Nutrition as a Lifestyle Modification to Decrease Cardiovascular Risk in Women after Hypertensive Disorders of Pregnancy: Systematic Review" @default.
- W4367187415 doi "https://doi.org/10.1016/j.cjca.2023.02.051" @default.
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