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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
Main Authors: Ehrenstein, Vera, Rothman, Kenneth J., Pedersen, Lars, Hatch, Elizabeth E., Sørensen, Henrik Toft
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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 &lt;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 &amp; reasoning ; Denmark ; Diseases of mother, fetus and pregnancy ; Epidemiology ; Female ; Follow-Up Studies ; General aspects ; Gestational Age ; Gynecology. Andrology. 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source Oxford Journals Online
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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