Maternal lipid levels in preeclampsia : singleton vs. twin pregnancies

OBJECTIVE: To compare the maternal lipid levels in preeclampsia (PE) patients between singleton and twin pregnancies.

METHODS: In this retrospective study, pregnant women with PE were divided into singleton group (n = 702) and twin group (n = 198). Serum lipids which include total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) were measured and the TC/HDL-C ratio, TG/HDL-C ratio, and LDL-C/HDL-C ratio were calculated and compared between the two groups. Covariance analysis was used to correct the potential factors affecting serum lipid levels such as maternal age, pre-pregnancy body mass index, gestational weight gain, etc.

RESULTS: The levels of TC, TG, LDL-C, and TC/HDL-C ratio, TG/HDL-C ratio, LDL-C/HDL-C ratio in twin PE were significantly higher than those in singleton PE group, and there was no significant difference in the level of HDL-C between the two groups. In late-onset PE patients, the lipid levels of TC, TG, LDL-C, and TC/HDL-C ratio, TG/HDL-C ratio, LDL-C/HDL-C ratio in twin PE group were significantly higher than those in singleton PE group, with no significant difference in the level of HDL-C. However, in early-onset PE patients, there were no significant differences in the lipid levels between the two groups.

CONCLUSIONS: There were more obvious lipid disturbances such as higher levels of TC, TG, LDL-C, and TC/HDL-C ratio, TG/HDL-C ratio, LDL-C/HDL-C ratio in twin PE group than singleton PE group. The differences of lipid levels appeared mainly in late-onset PE group, while the lipid levels in twin PE group were similar to those in singleton PE group during pregnancy in early-onset PE group.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians - 35(2022), 25 vom: 08. Dez., Seite 6132-6139

Sprache:

Englisch

Beteiligte Personen:

Jing, Wang [VerfasserIn]
Gu, Xunke [VerfasserIn]
Yang, Jing [VerfasserIn]
Wei, Yuan [VerfasserIn]
Zhao, YangYu [VerfasserIn]

Links:

Volltext

Themen:

Cholesterol, HDL
Cholesterol, LDL
Early-onset preeclampsia
Journal Article
Late-onset preeclampsia
Lipid
Preeclampsia
Singleton pregnancy
Triglycerides
Twin pregnancy

Anmerkungen:

Date Completed 23.11.2022

Date Revised 23.11.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14767058.2021.1907335

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM323826512