Body Composition of Patients with Hypertensive Complications During Pregnancy

Abstract

Objective: To determine the body composition of women with the diagnoses of gestational hypertension or preeclampsia. Methods: Cross-sectional study, including four groups of patients who were in the third trimester: those with an uncomplicated pregnancy (n = 110), those with a diagnosis of gestational hypertension (n = 38), those with mild preeclampsia (n = 8), and those with severe preeclampsia (n = 11). Their fat mass, fat-free mass, and total body water were estimated by bioelectric impedance. Results: The fat mass was 20 ± 7 kg in the control group and 26 ± 13 kg in the group with gestational hypertension (p < 0.05). The total body water was 36 ± 6 L in the control group, 50 ± 10 L in the patients with gestational hypertension, 52 ± 10 L in those with mild preeclampsia, and 48 ± 9 L in those with severe preeclampsia (p < 0.05). Conclusion: The results suggest that maternal body composition shows significant differences in patients with hypertensive complications during pregnancy. These data may be related to a possible inadequate distribution of the volume of water as a result of alterations in capillary permeability.

Keywords:

• Gestational hypertension
• Preeclampsia
• Body composition
• Bioelectric impedance
• Total body water

Notes

8. IMSS: Norma Técnico Médica para la prevención y manejo de la Preeclampsia-Eclampsia. Dirección de prestaciones Médicas, Coordinación de Salud Reproductiva y Materno Infantil. 1995.