Adverse cardiometabolic profile of women 6 months and 2 years after gestational hypertension

Diabetes Obes MetabPublished Longitudinal cohort sub-study

Authors' conclusion

Evidence of cardiometabolic dysfunction, including obesity, percent fat mass, dyslipidaemia and markers of insulin resistance, was present at 6 months after GH. By 2 years postpartum, over one-third of these women meet metabolic syndrome criteria. Further studies are required to characterise targets for early postpartum intervention to mitigate future cardiometabolic health outcomes.

Study context

Population
Postpartum women assessed 6 months and 2 years after gestational hypertension (GH) or normotensive pregnancy
Comparison
Women after gestational hypertension vs after normotensive pregnancy
  • Normotensive pregnancyn = 118reference
Primary endpoint
Body composition and cardiometabolic parameters
Follow-up
6 months and 2 years postpartum
Methodological detailssub-study of the Postpartum Physiology, Psychology and Paediatric cohort study
  • Sub-study of the Postpartum Physiology, Psychology and Paediatric cohort study

Primary result

As reported in the abstract

Percent fat mass · 6 months

P < 0.001

Further findings

OutcomeGHP value
Weight · 6 monthsGH vs Controls81.4 kgP < 0.001
Obesity rates · 6 monthsGH vs Controls52%P < 0.001
HOMA-IR · 6 monthsGH vs Controls1.94 (interval 1.22–3.80)P < 0.001
LDL-C · 2 years postpartumGH vs Controls2.7 (interval 2.4–3.2) mmol/LP = 0.04, q = 0.07
Metabolic syndrome rates · 2 years postpartumGH vs Controls36%P = 0.001
  • Weight: Controls 63.5 kg
  • Obesity rates: Controls 18%
  • HOMA-IR: Controls 0.97 (interval 0.62–1.43)
  • LDL-C: Controls 2.3 (interval 1.9–2.8) mmol/L
  • Metabolic syndrome rates: Controls 4%

Other parameters · 6 months

GH: lower breastfeeding rates, markedly higher systolic and diastolic BP, lower HDL-C, higher TG and insulin vs controls

LDL-C · 2 years postpartum

Metabolic differences persisted at 2 years postpartum

Change over time

Percent fat mass, waist-to-hip ratio and total cholesterol improved for all women over time

Original publication

Adverse cardiometabolic profile of women 6 months and 2 years after gestational hypertension. Diabetes Obes Metab. Published 3 November 2025. doi:10.1111/dom.70205

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