Correlation between lipid metabolism levels and pregnancy outcomes
ObjectiveTo establish the reference interval for the serum lipid index in pregnant women and to explore the relationship between lipid metabolism levels and pregnancy outcomes.Design and methodsData were derived from 446 pregnancy women and 317 healthy non-pregnant women. Serum levels of total chole...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1530525/full |
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| author | Jingjing Guo Haifan Qiu Jianping Wang Xiaowei Liu Suipeng Chen Baoqing Li |
| author_facet | Jingjing Guo Haifan Qiu Jianping Wang Xiaowei Liu Suipeng Chen Baoqing Li |
| author_sort | Jingjing Guo |
| collection | DOAJ |
| description | ObjectiveTo establish the reference interval for the serum lipid index in pregnant women and to explore the relationship between lipid metabolism levels and pregnancy outcomes.Design and methodsData were derived from 446 pregnancy women and 317 healthy non-pregnant women. Serum levels of total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), apolipoprotein A1 (ApoA1), apolipoprotein B (ApoB), lipoprotein (a) [Lp(a)], and hypersensitive C-reactive protein (hs-CRP) were measured in both groups. The mean and standard deviation of each index were calculated to establish the reference range of normal serum lipid levels in pregnant women in mid-to-late pregnancy. The associations between serum lipid levels and perinatal outcomes were assessed statistically.ResultsThere were no significant differences in age, pregnancy, or parity between the adverse outcome and normal delivery groups, but the caesarean section rate was significantly higher in the adverse outcome group. The levels of hs-CRP, TG, TC, HDL-C, LDL-C, and ApoA1 were significantly higher in the adverse outcome group. Elevated hs-CRP, TG, and HDL-C levels were risk factors for adverse pregnancy outcomes. According to the receiver operating characteristic curve, the optimal threshold of the combined diagnosis of these three indicators to predict adverse pregnancy outcomes was 0.534, and the area under the curve was 0.822.ConclusionThe establishment of lipid reference intervals in the second and third trimesters of pregnancy can effectively evaluate lipid metabolism in pregnant women, and the measurement of lipid metabolism in pregnant women is helpful in predicting adverse pregnancy outcomes. |
| format | Article |
| id | doaj-art-5ade930d2fdf4340b33397af929c690e |
| institution | DOAJ |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-5ade930d2fdf4340b33397af929c690e2025-08-20T03:12:32ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.15305251530525Correlation between lipid metabolism levels and pregnancy outcomesJingjing Guo0Haifan Qiu1Jianping Wang2Xiaowei Liu3Suipeng Chen4Baoqing Li5Department of Laboratory Medicine, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Laboratory Medicine, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Laboratory Medicine, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Laboratory Medicine, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaObjectiveTo establish the reference interval for the serum lipid index in pregnant women and to explore the relationship between lipid metabolism levels and pregnancy outcomes.Design and methodsData were derived from 446 pregnancy women and 317 healthy non-pregnant women. Serum levels of total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), apolipoprotein A1 (ApoA1), apolipoprotein B (ApoB), lipoprotein (a) [Lp(a)], and hypersensitive C-reactive protein (hs-CRP) were measured in both groups. The mean and standard deviation of each index were calculated to establish the reference range of normal serum lipid levels in pregnant women in mid-to-late pregnancy. The associations between serum lipid levels and perinatal outcomes were assessed statistically.ResultsThere were no significant differences in age, pregnancy, or parity between the adverse outcome and normal delivery groups, but the caesarean section rate was significantly higher in the adverse outcome group. The levels of hs-CRP, TG, TC, HDL-C, LDL-C, and ApoA1 were significantly higher in the adverse outcome group. Elevated hs-CRP, TG, and HDL-C levels were risk factors for adverse pregnancy outcomes. According to the receiver operating characteristic curve, the optimal threshold of the combined diagnosis of these three indicators to predict adverse pregnancy outcomes was 0.534, and the area under the curve was 0.822.ConclusionThe establishment of lipid reference intervals in the second and third trimesters of pregnancy can effectively evaluate lipid metabolism in pregnant women, and the measurement of lipid metabolism in pregnant women is helpful in predicting adverse pregnancy outcomes.https://www.frontiersin.org/articles/10.3389/fmed.2025.1530525/fulladverse pregnancy outcomeinterval of referencelipid metabolismparturientpregnancy |
| spellingShingle | Jingjing Guo Haifan Qiu Jianping Wang Xiaowei Liu Suipeng Chen Baoqing Li Correlation between lipid metabolism levels and pregnancy outcomes Frontiers in Medicine adverse pregnancy outcome interval of reference lipid metabolism parturient pregnancy |
| title | Correlation between lipid metabolism levels and pregnancy outcomes |
| title_full | Correlation between lipid metabolism levels and pregnancy outcomes |
| title_fullStr | Correlation between lipid metabolism levels and pregnancy outcomes |
| title_full_unstemmed | Correlation between lipid metabolism levels and pregnancy outcomes |
| title_short | Correlation between lipid metabolism levels and pregnancy outcomes |
| title_sort | correlation between lipid metabolism levels and pregnancy outcomes |
| topic | adverse pregnancy outcome interval of reference lipid metabolism parturient pregnancy |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1530525/full |
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