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Pregnancy-associated Hypertensive Disorders and Adult Cognitive Function Among Danish Conscripts
The authors examined the association of gestational hypertensive disorders (hypertension, preeclampsia, eclampsia) with adult cognitive function among men born in 1978–1983 in a well-defined geographic area of northern Denmark. Data from the Danish Medical Birth Registry, the Danish National Registr...
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Published in: | American journal of epidemiology 2009-10, Vol.170 (8), p.1025-1031 |
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creator | Ehrenstein, Vera Rothman, Kenneth J. Pedersen, Lars Hatch, Elizabeth E. Sørensen, Henrik Toft |
description | The authors examined the association of gestational hypertensive disorders (hypertension, preeclampsia, eclampsia) with adult cognitive function among men born in 1978–1983 in a well-defined geographic area of northern Denmark. Data from the Danish Medical Birth Registry, the Danish National Registry of Patients, and draft board records were linked. Cognitive function was measured at conscription by using the Boerge Prien group intelligence test. Test scores were converted to the conventional IQ scale (mean = 100 (standard deviation, 15)). Low cognitive function was defined as IQ |
doi_str_mv | 10.1093/aje/kwp223 |
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Data from the Danish Medical Birth Registry, the Danish National Registry of Patients, and draft board records were linked. Cognitive function was measured at conscription by using the Boerge Prien group intelligence test. Test scores were converted to the conventional IQ scale (mean = 100 (standard deviation, 15)). Low cognitive function was defined as IQ <85. Of the 17,457 men who underwent intelligence testing, 891 (5.1%) were born after a pregnancy involving hospitalization for a gestational hypertensive disorder. Compared with conscripts born after normotensive pregnancy, conscripts exposed to maternal gestational hypertension had an adjusted prevalence ratio for low cognitive function of 1.34 (95% confidence interval (CI): 1.01, 1.77). For those exposed to mild preeclampsia and severe preeclampsia/eclampsia, adjusted prevalence ratios were 1.34 (95% CI: 1.09, 1.65) and 1.10 (95% CI: 0.48, 2.51), respectively. The corresponding adjusted mean differences in IQ scores were −2.0 (95% CI: −4.0, 0.0), −3.2 (95% CI: −4.7, −1.8), and −2.0 (95% CI: −7.2, 3.2). In this study, prenatal exposure to gestational hypertensive disorders was associated with slightly reduced adult cognitive performance among male conscripts.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kwp223</identifier><identifier>PMID: 19726495</identifier><identifier>CODEN: AJEPAS</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>Adult ; Analysis. Health state ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Cognition ; Cognition & reasoning ; Denmark ; Diseases of mother, fetus and pregnancy ; Epidemiology ; Female ; Follow-Up Studies ; General aspects ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Hypertension ; Hypertension, Pregnancy-Induced ; Infant, Newborn ; Infant, Small for Gestational Age ; Intelligence ; Intelligence Tests ; Male ; Maternal & child health ; Medical sciences ; Military Personnel ; pre-eclampsia ; Pregnancy ; Pregnancy. Fetus. Placenta ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Young Adult</subject><ispartof>American journal of epidemiology, 2009-10, Vol.170 (8), p.1025-1031</ispartof><rights>American Journal of Epidemiology © The Author 2009. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org. 2009</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Oxford Publishing Limited(England) Oct 15, 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c543t-409cb10dcd3005f100e9e866f9cdbe7b1b3129c546bf63f474b409e89146e5cb3</citedby><cites>FETCH-LOGICAL-c543t-409cb10dcd3005f100e9e866f9cdbe7b1b3129c546bf63f474b409e89146e5cb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22009841$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19726495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ehrenstein, Vera</creatorcontrib><creatorcontrib>Rothman, Kenneth J.</creatorcontrib><creatorcontrib>Pedersen, Lars</creatorcontrib><creatorcontrib>Hatch, Elizabeth E.</creatorcontrib><creatorcontrib>Sørensen, Henrik Toft</creatorcontrib><title>Pregnancy-associated Hypertensive Disorders and Adult Cognitive Function Among Danish Conscripts</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>The authors examined the association of gestational hypertensive disorders (hypertension, preeclampsia, eclampsia) with adult cognitive function among men born in 1978–1983 in a well-defined geographic area of northern Denmark. Data from the Danish Medical Birth Registry, the Danish National Registry of Patients, and draft board records were linked. Cognitive function was measured at conscription by using the Boerge Prien group intelligence test. Test scores were converted to the conventional IQ scale (mean = 100 (standard deviation, 15)). Low cognitive function was defined as IQ <85. Of the 17,457 men who underwent intelligence testing, 891 (5.1%) were born after a pregnancy involving hospitalization for a gestational hypertensive disorder. Compared with conscripts born after normotensive pregnancy, conscripts exposed to maternal gestational hypertension had an adjusted prevalence ratio for low cognitive function of 1.34 (95% confidence interval (CI): 1.01, 1.77). For those exposed to mild preeclampsia and severe preeclampsia/eclampsia, adjusted prevalence ratios were 1.34 (95% CI: 1.09, 1.65) and 1.10 (95% CI: 0.48, 2.51), respectively. The corresponding adjusted mean differences in IQ scores were −2.0 (95% CI: −4.0, 0.0), −3.2 (95% CI: −4.7, −1.8), and −2.0 (95% CI: −7.2, 3.2). In this study, prenatal exposure to gestational hypertensive disorders was associated with slightly reduced adult cognitive performance among male conscripts.</description><subject>Adult</subject><subject>Analysis. Health state</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Cognition</subject><subject>Cognition & reasoning</subject><subject>Denmark</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension, Pregnancy-Induced</subject><subject>Infant, Newborn</subject><subject>Infant, Small for Gestational Age</subject><subject>Intelligence</subject><subject>Intelligence Tests</subject><subject>Male</subject><subject>Maternal & child health</subject><subject>Medical sciences</subject><subject>Military Personnel</subject><subject>pre-eclampsia</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Young Adult</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNqF0U1v1DAQBmALgehSuPADUIQEB6RQf8WJj9vdlgVVAqlFIC7GcSaLt1k72E5h_z2udtVKHOA0h3k8o_GL0HOC3xIs2YnewMn1r5FS9gDNCK9FKWglHqIZxpiWkgp6hJ7EuMGYEFnhx-iIyJoKLqsZ-v4pwNppZ3aljtEbqxN0xWo3Qkjgor2BYmmjDx2EWGjXFfNuGlKx8Gtn0233fHImWe-K-da7dbHUzsYfue-iCXZM8Sl61OshwrNDPUafz8-uFqvy4uO794v5RWkqzlLJsTQtwZ3pGMZVTzAGCY0QvTRdC3VLWkaozFa0vWA9r3mbn0AjCRdQmZYdo9f7uWPwPyeISW1tNDAM2oGfohK1aDgh5L-QZtNQ2mT48i-48VNw-QhFWdUIzpnI6M0emeBjDNCrMditDjtFsLpNR-V01D6djF8cJk7tFrp7eogjg1cHoKPRQx9yMDbeOUoxlvmKe-en8d8Ly72zMcHvO6nDdf4PVldq9fWb-nC5uLxqTr-oJfsD8560cA</recordid><startdate>20091015</startdate><enddate>20091015</enddate><creator>Ehrenstein, Vera</creator><creator>Rothman, Kenneth J.</creator><creator>Pedersen, Lars</creator><creator>Hatch, Elizabeth E.</creator><creator>Sørensen, Henrik Toft</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U1</scope><scope>7X8</scope></search><sort><creationdate>20091015</creationdate><title>Pregnancy-associated Hypertensive Disorders and Adult Cognitive Function Among Danish Conscripts</title><author>Ehrenstein, Vera ; Rothman, Kenneth J. ; Pedersen, Lars ; Hatch, Elizabeth E. ; Sørensen, Henrik Toft</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c543t-409cb10dcd3005f100e9e866f9cdbe7b1b3129c546bf63f474b409e89146e5cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Analysis. Health state</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Cognition</topic><topic>Cognition & reasoning</topic><topic>Denmark</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension, Pregnancy-Induced</topic><topic>Infant, Newborn</topic><topic>Infant, Small for Gestational Age</topic><topic>Intelligence</topic><topic>Intelligence Tests</topic><topic>Male</topic><topic>Maternal & child health</topic><topic>Medical sciences</topic><topic>Military Personnel</topic><topic>pre-eclampsia</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ehrenstein, Vera</creatorcontrib><creatorcontrib>Rothman, Kenneth J.</creatorcontrib><creatorcontrib>Pedersen, Lars</creatorcontrib><creatorcontrib>Hatch, Elizabeth E.</creatorcontrib><creatorcontrib>Sørensen, Henrik Toft</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Risk Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ehrenstein, Vera</au><au>Rothman, Kenneth J.</au><au>Pedersen, Lars</au><au>Hatch, Elizabeth E.</au><au>Sørensen, Henrik Toft</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pregnancy-associated Hypertensive Disorders and Adult Cognitive Function Among Danish Conscripts</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>2009-10-15</date><risdate>2009</risdate><volume>170</volume><issue>8</issue><spage>1025</spage><epage>1031</epage><pages>1025-1031</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><coden>AJEPAS</coden><abstract>The authors examined the association of gestational hypertensive disorders (hypertension, preeclampsia, eclampsia) with adult cognitive function among men born in 1978–1983 in a well-defined geographic area of northern Denmark. Data from the Danish Medical Birth Registry, the Danish National Registry of Patients, and draft board records were linked. Cognitive function was measured at conscription by using the Boerge Prien group intelligence test. Test scores were converted to the conventional IQ scale (mean = 100 (standard deviation, 15)). Low cognitive function was defined as IQ <85. Of the 17,457 men who underwent intelligence testing, 891 (5.1%) were born after a pregnancy involving hospitalization for a gestational hypertensive disorder. Compared with conscripts born after normotensive pregnancy, conscripts exposed to maternal gestational hypertension had an adjusted prevalence ratio for low cognitive function of 1.34 (95% confidence interval (CI): 1.01, 1.77). For those exposed to mild preeclampsia and severe preeclampsia/eclampsia, adjusted prevalence ratios were 1.34 (95% CI: 1.09, 1.65) and 1.10 (95% CI: 0.48, 2.51), respectively. The corresponding adjusted mean differences in IQ scores were −2.0 (95% CI: −4.0, 0.0), −3.2 (95% CI: −4.7, −1.8), and −2.0 (95% CI: −7.2, 3.2). In this study, prenatal exposure to gestational hypertensive disorders was associated with slightly reduced adult cognitive performance among male conscripts.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>19726495</pmid><doi>10.1093/aje/kwp223</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Analysis. Health state Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Cognition Cognition & reasoning Denmark Diseases of mother, fetus and pregnancy Epidemiology Female Follow-Up Studies General aspects Gestational Age Gynecology. Andrology. Obstetrics Humans Hypertension Hypertension, Pregnancy-Induced Infant, Newborn Infant, Small for Gestational Age Intelligence Intelligence Tests Male Maternal & child health Medical sciences Military Personnel pre-eclampsia Pregnancy Pregnancy. Fetus. Placenta Public health. Hygiene Public health. Hygiene-occupational medicine Young Adult |
title | Pregnancy-associated Hypertensive Disorders and Adult Cognitive Function Among Danish Conscripts |
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