Risk Perception for Developing Cardiometabolic Disease Among Women Diagnosed with Preeclampsia and Gestational Diabetes Mellitus

Background: Adverse pregnancy outcomes (APO), including preeclampsia (PE) and gestational diabetes mellitus (GDM), increase the future risk of developing cardiometabolic disease (CMD), such as cardiovascular disease and type 2 diabetes mellitus (T2DM). CVD is the leading cause of death among women....

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Main Authors: Constance Busvine, Sarah Halmer, Alena Rosenauer, Susanne Schubert, Sascha Klee, Alexander Lösch, Martin Wiesholzer, Barbara Wichert-Schmitt, Birgit Pfaller
Format: Article
Language:English
Published: Mary Ann Liebert 2024-04-01
Series:Women's Health Reports
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Online Access:https://www.liebertpub.com/doi/10.1089/whr.2024.0090
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author Constance Busvine
Sarah Halmer
Alena Rosenauer
Susanne Schubert
Sascha Klee
Alexander Lösch
Martin Wiesholzer
Barbara Wichert-Schmitt
Birgit Pfaller
author_facet Constance Busvine
Sarah Halmer
Alena Rosenauer
Susanne Schubert
Sascha Klee
Alexander Lösch
Martin Wiesholzer
Barbara Wichert-Schmitt
Birgit Pfaller
author_sort Constance Busvine
collection DOAJ
description Background: Adverse pregnancy outcomes (APO), including preeclampsia (PE) and gestational diabetes mellitus (GDM), increase the future risk of developing cardiometabolic disease (CMD), such as cardiovascular disease and type 2 diabetes mellitus (T2DM). CVD is the leading cause of death among women. Despite the well-established relationship between APO and CMD, women’s awareness is limited. We aimed to assess and compare risk perception for future CMD among women with PE and GDM. Methods: Women diagnosed with PE and GDM between 2015 and 2020 at the University Hospital St. Pölten were identified. Telephone interviews were conducted to assess women’s risk perception of future CMD. Results: Of the 161 women included in the study, approximately half had a high risk perception of future CMD. Women with PE (n = 46) were less aware of their long-term risks than those with GDM (n = 115), and 43.5% were unaware of any association between APO and CMD. Risk perception increased among all the participants when they considered their future CMD risk without lifestyle changes. Women with high risk perceptions were three times more likely to plan on modifying their lifestyle behaviors in the future to mitigate their CMD risk. Conclusion: This study demonstrated a lack of risk perception for future CMD among women with APO, underscoring the need for improved patient education during and after pregnancy. To increase risk perception, it is crucial to educate women about the long-term risks associated with APO, emphasize the severity of CMD, and promote lifestyle interventions.
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spelling doaj-art-12a4aeffd2f043748009b7a8260156a22025-08-20T01:50:53ZengMary Ann LiebertWomen's Health Reports2688-48442024-04-015184985910.1089/whr.2024.0090Risk Perception for Developing Cardiometabolic Disease Among Women Diagnosed with Preeclampsia and Gestational Diabetes MellitusConstance Busvine0Sarah Halmer1Alena Rosenauer2Susanne Schubert3Sascha Klee4Alexander Lösch5Martin Wiesholzer6Barbara Wichert-Schmitt7Birgit Pfaller8Karl Landsteiner University of Health Sciences, Krems, Austria.Karl Landsteiner University of Health Sciences, Krems, Austria.Department of Internal Medicine 1, University Hospital St. Pölten, St. Pölten, Austria.Karl Landsteiner University of Health Sciences, Krems, Austria.Division of Biostatistics and Data Science, Karl Landsteiner University of Health Sciences, Krems, Austria.Karl Landsteiner University of Health Sciences, Krems, Austria.Karl Landsteiner University of Health Sciences, Krems, Austria.Medical Faculty, Department of Cardiology and Medical Intensive Care, Kepler University Hospital, Johannes Kepler University, Linz, Austria.Karl Landsteiner University of Health Sciences, Krems, Austria.Background: Adverse pregnancy outcomes (APO), including preeclampsia (PE) and gestational diabetes mellitus (GDM), increase the future risk of developing cardiometabolic disease (CMD), such as cardiovascular disease and type 2 diabetes mellitus (T2DM). CVD is the leading cause of death among women. Despite the well-established relationship between APO and CMD, women’s awareness is limited. We aimed to assess and compare risk perception for future CMD among women with PE and GDM. Methods: Women diagnosed with PE and GDM between 2015 and 2020 at the University Hospital St. Pölten were identified. Telephone interviews were conducted to assess women’s risk perception of future CMD. Results: Of the 161 women included in the study, approximately half had a high risk perception of future CMD. Women with PE (n = 46) were less aware of their long-term risks than those with GDM (n = 115), and 43.5% were unaware of any association between APO and CMD. Risk perception increased among all the participants when they considered their future CMD risk without lifestyle changes. Women with high risk perceptions were three times more likely to plan on modifying their lifestyle behaviors in the future to mitigate their CMD risk. Conclusion: This study demonstrated a lack of risk perception for future CMD among women with APO, underscoring the need for improved patient education during and after pregnancy. To increase risk perception, it is crucial to educate women about the long-term risks associated with APO, emphasize the severity of CMD, and promote lifestyle interventions.https://www.liebertpub.com/doi/10.1089/whr.2024.0090preeclampsiagestational diabetes mellitusrisk perceptioncardiometabolic disease
spellingShingle Constance Busvine
Sarah Halmer
Alena Rosenauer
Susanne Schubert
Sascha Klee
Alexander Lösch
Martin Wiesholzer
Barbara Wichert-Schmitt
Birgit Pfaller
Risk Perception for Developing Cardiometabolic Disease Among Women Diagnosed with Preeclampsia and Gestational Diabetes Mellitus
Women's Health Reports
preeclampsia
gestational diabetes mellitus
risk perception
cardiometabolic disease
title Risk Perception for Developing Cardiometabolic Disease Among Women Diagnosed with Preeclampsia and Gestational Diabetes Mellitus
title_full Risk Perception for Developing Cardiometabolic Disease Among Women Diagnosed with Preeclampsia and Gestational Diabetes Mellitus
title_fullStr Risk Perception for Developing Cardiometabolic Disease Among Women Diagnosed with Preeclampsia and Gestational Diabetes Mellitus
title_full_unstemmed Risk Perception for Developing Cardiometabolic Disease Among Women Diagnosed with Preeclampsia and Gestational Diabetes Mellitus
title_short Risk Perception for Developing Cardiometabolic Disease Among Women Diagnosed with Preeclampsia and Gestational Diabetes Mellitus
title_sort risk perception for developing cardiometabolic disease among women diagnosed with preeclampsia and gestational diabetes mellitus
topic preeclampsia
gestational diabetes mellitus
risk perception
cardiometabolic disease
url https://www.liebertpub.com/doi/10.1089/whr.2024.0090
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