(Abstracted from BMJ 2017;358:j3024)
Hypertensive disorders of pregnancy (HDPs: preeclampsia and gestational hypertension) are associated with earlier onset of chronic hypertension and a higher risk of ischemic heart disease and stroke and affect between 5% and 10% of parous women. There is little guidance for the prevention of chronic hypertension among women with a history of HDPs, and the role of lifestyle in the progression from HDPs to chronic hypertension is unclear, including whether established lifestyle interventions are as effective in women with a history of HDPs as in the general population.
Connors Center for Women's Health and Gender Biology, Brigham and Women's Hospital (S.T., J.J.S., L.J.T., J.W.R.-E.); Harvard Medical School (S.T., E.B.R., J.W.R.-E.), Boston, MA; Lund University Diabetes Center, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden (S.T., P.W.F.); Departments of Epidemiology (J.J.S., L.J.T., E.R.B., J.W.R.-E.) and Nutrition (E.B.R., P.W.F.), Harvard T. H. Chan School of Public Health; and Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital (E.B.R.), Boston, MA