4.6 Review

The Relationship between Obesity and Pre-Eclampsia: Incidental Risks and Identification of Potential Biomarkers for Pre-Eclampsia

Journal

CELLS
Volume 11, Issue 9, Pages -

Publisher

MDPI
DOI: 10.3390/cells11091548

Keywords

pre-eclampsia; obesity; biomarkers; adipokines; adiponectin; leptin; ROS; angiogenic factors

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Obesity has been on the rise in the US and globally, with the prevalence increasing by 2% per decade since 1975. Maternal obesity rates have also increased worldwide, leading to obstetric complications such as gestational diabetes, high blood pressure, and pre-eclampsia. This literature review aims to explore the relationship between obesity and predictive biomarkers for pre-eclampsia in order to improve future prediction and prevention of the condition in at-risk women.
Obesity has been steadily increasing over the past decade in the US and worldwide. Since 1975, the prevalence of obesity has increased by 2% per decade, unabated despite new and more stringent guidelines set by WHO, CDC, and other public health organizations. Likewise, maternal obesity has also increased worldwide over the past several years. In the United States, pre-pregnancy rates have increased proportionally across all racial groups. Obesity during pregnancy has been directly linked to obstetric complications including gestational diabetes, HTN, hematomas, pre-eclampsia, and congenital defects. In the particular case of pre-eclampsia, the incidence rate across the globe is 2.16%, but the condition accounts for 30% of maternal deaths, and a robust body of evidence underscored the relationship between obesity and pre-eclampsia. More recently, attention has focused on the identification of reliable biomarkers predictive of an elevated risk for pre-eclampsia. The aim of this literature review is to elucidate the relationship between obesity and these predictive biomarkers for future prediction and prevention of pre-eclampsia condition in women at risk.

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