{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:59:26Z","timestamp":1792612766901,"version":"4.5.0"},"reference-count":63,"publisher":"Georg Thieme Verlag KG","issue":"08","license":[{"start":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T00:00:00Z","timestamp":1628467200000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geburtshilfe Frauenheilkd."],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Women have a markedly increased lifetime risk for cardiovascular morbidity and mortality following hypertensive disorders of pregnancy. Arterial stiffness is regarded as a target parameter for reducing cardiovascular risk and can be modified by lifestyle changes.<\/jats:p><jats:p>\n          Methods In a prospective, randomised, controlled interventional study, starting 6 weeks postpartum, the effect of nutritional intervention combined with an intensive 6-month cardiovascular exercise programme on arterial stiffness was investigated by means of pulse wave velocity (PWV) in 38 women with severe hypertensive disorder of pregnancy (preeclampsia with or without pre-existing hypertension and\/or HELLP syndrome). A reference group was formed with postpartum women without pregnancy complications or known cardiovascular risk and the arterial stiffness was studied by means of PWV at the time of delivery. The PWV was measured in the intervention and control groups within a week after delivery and after 32 weeks (6 weeks +\u20096 months). A feasibility analysis was performed in addition.<\/jats:p><jats:p>\n          Results 29 of 38 women with severe hypertensive disorder of pregnancy and 38 postpartum women in the reference group were included in the analysis (intervention group n\u2009=\u200914; control group n\u2009=\u200915; reference group n\u2009=\u200938). Adherence to a) the nutritional counselling and b) the intensive cardiovascular exercise programme was 73% and 79% respectively. A clinically significant difference (d\u2009=\u20090.65) in pulse wave velocity between the intervention and control groups was found after 6\u00a0months (6.36\u2009\u00b1\u20090.76 vs. 7.33\u2009\u00b1\u20092.25\u2009m\/s; group \u00d7 time: p\u2009=\u20090.632). The PWV of the intervention group corresponded to that of the reference group at the end of the study (6.36\u2009\u00b1\u20090.76\u2009m\/s vs. 6.5\u2009\u00b1\u20090.70; d\u2009=\u20090.19), while the results in the control group differed markedly from this (7.33\u2009\u00b1\u20092.25\u2009m\/s; d\u2009=\u20090.56).<\/jats:p><jats:p>\n          Conclusion The study documents the feasibility of lifestyle intervention with physical exercise after delivery (starting 6\u00a0weeks postpartum). The intervention showed a significant clinical effect by reducing arterial stiffness to the level of the reference group. Before this intervention can be included in the standard of care and prevention, follow-up studies must confirm these results and the medium-term effects on cardiovascular risk.<\/jats:p>","DOI":"10.1055\/a-1345-8733","type":"journal-article","created":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:01:34Z","timestamp":1628553694000},"page":"966-978","source":"Crossref","is-referenced-by-count":24,"title":["Cardiovascular Risk Reduction in Women Following Hypertensive Disorders of Pregnancy \u2013 a Prospective, Randomised, Controlled Interventional Study"],"prefix":"10.1055","volume":"81","author":[{"given":"Marcus","family":"Riemer","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik und Poliklinik f\u00fcr Geburtshilfe und Pr\u00e4natalmedizin Halle, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle, Germany"},{"name":"Klinik f\u00fcr Geburtshilfe, Krankenhaus St.\u00a0Elisabeth und St.\u00a0Barbara Halle, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Schulze","sequence":"additional","affiliation":[{"name":"Department f\u00fcr Orthop\u00e4die, Unfall- und Wiederherstellungschirurgie, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Wagner","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik und Poliklinik f\u00fcr Geburtshilfe und Pr\u00e4natalmedizin Halle, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manon","family":"Richter","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Leistungsdiagnostik und Gesundheitsf\u00f6rderung, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gertrud","family":"Ayerle","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Gesundheits- und Pflegewissenschaft, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Simm","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Herz- und Thoraxchirurgie Halle, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Seeger","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Geburtshilfe, Krankenhaus St.\u00a0Elisabeth und St.\u00a0Barbara Halle, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9","family":"Schwesig","sequence":"additional","affiliation":[{"name":"Department f\u00fcr Orthop\u00e4die, Unfall- und Wiederherstellungschirurgie, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Tchirikov","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik und Poliklinik f\u00fcr Geburtshilfe und Pr\u00e4natalmedizin Halle, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregor","family":"Seliger","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik und Poliklinik f\u00fcr Geburtshilfe und Pr\u00e4natalmedizin Halle, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,8,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1038\/hr.2016.126","article-title":"Epidemiology of hypertensive disorders in pregnancy: prevalence, risk factors, predictors and prognosis","volume":"40","author":"M Umesawa","year":"2017","journal-title":"Hypertens Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1299","DOI":"10.1097\/AOG.0b013e3181a45b25","article-title":"Hypertensive disorders and severe obstetric morbidity in the United States","volume":"113","author":"E V Kuklina","year":"2009","journal-title":"Obstet Gynecol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.1016\/S0140-6736(06)68397-9","article-title":"WHO analysis of causes of maternal death: a systematic review","volume":"367","author":"K S Khan","year":"2006","journal-title":"Lancet"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e323","DOI":"10.1016\/S2214-109X(14)70227-X","article-title":"Global causes of maternal death: a WHO systematic analysis","volume":"2","author":"L Say","year":"2014","journal-title":"Lancet Glob Health"},{"issue":"S 01","key":"ref5","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1111\/1471-0528.12633","article-title":"Maternal complications and perinatal mortality: findings of the World Health Organization Multicountry Survey on Maternal and Newborn Health","volume":"121","author":"J P Vogel","year":"2014","journal-title":"BJOG"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.116.003497","article-title":"Preeclampsia and Future Cardiovascular Health: A Systematic Review and Meta-Analysis","author":"P Wu","year":"2017","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1050","DOI":"10.1161\/CIRCULATIONAHA.118.038080","article-title":"Preeclampsia and Cardiovascular Disease in a Large UK Pregnancy Cohort of Linked Electronic Health Records: A CALIBER Study","volume":"140","author":"L J Leon","year":"2019","journal-title":"Circulation"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"800","DOI":"10.1056\/NEJMoa0706790","article-title":"Preeclampsia and the risk of end-stage renal disease","volume":"359","author":"B E Vikse","year":"2008","journal-title":"N Engl J Med"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"3289","DOI":"10.1093\/ndt\/gfq169","article-title":"Previous preeclampsia and risk for progression of biopsy-verified kidney disease to end-stage renal disease","volume":"25","author":"B E Vikse","year":"2010","journal-title":"Nephrol Dial Transplant"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1151","DOI":"10.1016\/S0140-6736(17)32152-9","article-title":"Global, regional, and national age-sex specific mortality for 264 causes of death, 1980\u20132016: a systematic analysis for the Global Burden of Disease Study 2016","volume":"390","author":"M Naghavi","year":"2017","journal-title":"Lancet"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1055\/a-1170-5145","article-title":"Hydroxychloroquine as a Preventive and Therapeutic Option in Preeclampsia \u2013 a Literature Review","volume":"80","author":"D Deharde","year":"2020","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"516.e1","DOI":"10.1016\/j.ajog.2014.04.025","article-title":"Cardiovascular effects of aerobic exercise training in formerly preeclamptic women and healthy parous control subjects","volume":"211","author":"R R Scholten","year":"2014","journal-title":"Am J Obstet Gynecol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"96","DOI":"10.7326\/0003-4819-134-2-200101160-00009","article-title":"Physical activity and risk for cardiovascular events in diabetic women","volume":"134","author":"F B Hu","year":"2001","journal-title":"Ann Intern Med"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1971","DOI":"10.1001\/jama.2018.16998","article-title":"Physical Activity Guidelines for Health and Prosperity in the United States","volume":"320","author":"B P Giroir","year":"2018","journal-title":"JAMA"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"2315","DOI":"10.1093\/eurheartj\/ehw106","article-title":"2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR)","volume":"37","author":"M F Piepoli","year":"2016","journal-title":"Eur Heart J"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1136\/bmj.309.6960.993","article-title":"Randomised controlled trial of health promotion in general practice for patients at high cardiovascular risk","volume":"309","author":"M E Cupples","year":"1994","journal-title":"BMJ"},{"key":"ref19","volume-title":"Diet, Nutrition, and the Prevention of Chronic Diseases: Report of a Joint WHO\/FAO Expert Consultation","author":"World Health Organization","year":"2003"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"3639","DOI":"10.2174\/0929867324666170428103206","article-title":"Diet and Cardiovascular Disease: Effects of Foods and Nutrients in Classical and Emerging Cardiovascular Risk Factors","volume":"26","author":"L Badimon","year":"2019","journal-title":"Curr Med Chem"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"330S","DOI":"10.3945\/an.113.005389","article-title":"Mediterranean diet and cardiovascular health: Teachings of the PREDIMED study","volume":"5","author":"E Ros","year":"2014","journal-title":"Adv Nutr"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1089\/jwh.2015.5414","article-title":"Preeclampsia and Vascular Function: A Window to Future Cardiovascular Disease Risk","volume":"25","author":"D Enkhmaa","year":"2016","journal-title":"J Womens Health (Larchmt)"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"484.e1","DOI":"10.1016\/j.ajog.2016.05.047","article-title":"Pregnancy as a window to future health: maternal placental syndromes and short-term cardiovascular outcomes","volume":"215","author":"M A Cain","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1053\/j.semperi.2015.05.009","article-title":"Pregnancy as a window to future health: Excessive gestational weight gain and obesity","volume":"39","author":"L A Gilmore","year":"2015","journal-title":"Semin Perinatol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1016\/j.ajog.2016.06.060","article-title":"Pregnancy as a window to future health: short-term costs and consequences","volume":"215","author":"J M Catov","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1111\/jch.12380","article-title":"Vascular stiffness is a biomarker of global cardiovascular risk","volume":"16","author":"G E Sander","year":"2014","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"932","DOI":"10.1161\/01.ATV.0000160548.78317.29","article-title":"Mechanisms, pathophysiology, and therapy of arterial stiffness","volume":"25","author":"S J Zieman","year":"2005","journal-title":"Arterioscler Thromb Vasc Biol"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1002\/uog.17565","article-title":"Assessment of arterial function in pregnancy: recommendations of the International Working Group on Maternal Hemodynamics","volume":"50","author":"F L Foo","year":"2017","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1097\/00004872-200501000-00025","article-title":"Stiffness of the arterial wall, joints and skin in women with a history of pre-eclampsia","volume":"23","author":"A Elvan-Taspinar","year":"2005","journal-title":"J Hypertens"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.preghy.2014.10.145","article-title":"Preeclampsia and arterial stiffness \u2013 A 10-year follow up of previous preeclamptic women","volume":"5","author":"M Christensen","year":"2015","journal-title":"Pregnancy Hypertension: An International Journal of Women\u02bcs Cardiovascular Health"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1055\/a-1091-8630","article-title":"HELLP Syndrome or Acute Fatty Liver of Pregnancy: A Differential Diagnostic Challenge: Common Features and Differences","volume":"80","author":"W Rath","year":"2020","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"900","DOI":"10.1055\/s-0035-1557924","article-title":"Diagnosis and Treatment of Hypertensive Pregnancy Disorders. Guideline of DGGG (S1-Level, AWMF Registry No.\u2009015\/018, December 2013)","volume":"75","author":"H Stepan","year":"2015","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1097\/HJH.0b013e32835a8eb1","article-title":"Evaluation of the Vicorder, a novel cuff-based device for the noninvasive estimation of central blood pressure","volume":"31","author":"G Pucci","year":"2013","journal-title":"J Hypertens"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1258\/vasc.2011.ra0054","article-title":"Pulse wave velocity and the non-invasive methods used to assess it: Complior, SphygmoCor, Arteriograph and Vicorder","volume":"20","author":"J M Davies","year":"2012","journal-title":"Vascular"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1038\/hr.2012.144","article-title":"The Vicorder device compared with SphygmoCor in the assessment of carotid-femoral pulse wave velocity in patients with peripheral arterial disease","volume":"36","author":"Y Shahin","year":"2013","journal-title":"Hypertens Res"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/s12872-016-0224-4","article-title":"Measurement of pulse wave velocity in normal ageing: comparison of Vicorder and magnetic resonance phase contrast imaging","volume":"16","author":"J D Parikh","year":"2016","journal-title":"BMC Cardiovasc Disord"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1079","DOI":"10.1038\/hr.2009.154","article-title":"Validity and repeatability of the Vicorder apparatus: a comparison with the SphygmoCor device","volume":"32","author":"S S Hickson","year":"2009","journal-title":"Hypertens Res"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"A134","DOI":"10.1136\/heartjnl-2019-BCS.158","article-title":"161\u2009The association of non-invasive cardiovascular parameters on adverse outcomes in older patients following non-ST elevation acute coronary syndrome undergoing invasive care","volume":"105","author":"D Chan","year":"2019","journal-title":"Heart"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1197","DOI":"10.1038\/hr.2011.103","article-title":"Measurement of pulse wave velocity in children and young adults: a comparative study using three different devices","volume":"34","author":"E Kis","year":"2011","journal-title":"Hypertension Research"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"1294","DOI":"10.1038\/ajh.2011.147","article-title":"Validating a New Oscillometric Device for Aortic Pulse Wave Velocity Measurements in Children and Adolescents","volume":"24","author":"D Kracht","year":"2011","journal-title":"Am J Hypertens"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"P27","DOI":"10.1186\/1532-429X-13-S1-P27","article-title":"Measuring aortic distensibility with cmr using central pressures estimated in the magnet: comparison with carotid and peripheral pressures","volume":"13","author":"A Redheuil","year":"2011","journal-title":"J Cardiovasc Magn Reson"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1016\/j.artres.2010.10.167","article-title":"A comparison of the Vicorder apparatus with SphygmoCor device for the non-invasive assessment of aortic blood pressure: an invasive validation study","volume":"4","author":"G Pucci","year":"2010","journal-title":"Artery Research"},{"key":"ref44","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-642-76442-4_26","volume-title":"Individual Anaerobic Threshold for Evaluation of Competitive Athletes and Patients with Left Ventricular Dysfunction","author":"H H Dickhuth","year":"1991"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1007\/pl00007377","article-title":"Validation of a short qualitative food frequency list used in several German large scale surveys","volume":"37","author":"G Winkler","year":"1998","journal-title":"Z Ernahrungswiss"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"H759","DOI":"10.1152\/ajpheart.01106.2008","article-title":"Maternal arterial stiffness in pregnancies affected by preeclampsia","volume":"297","author":"C Kaihura","year":"2009","journal-title":"Am J Physiol Heart Circ Physiol"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"e110034","DOI":"10.1371\/journal.pone.0110034","article-title":"Effects of Exercise Modalities on Arterial Stiffness and Wave Reflection: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","volume":"9","author":"A W Ashor","year":"2014","journal-title":"PLoS One"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/0022-3999(92)90024-v","article-title":"Psychotherapy of bulimia nervosa: what is effective? A meta-analysis","volume":"36","author":"A Hartmann","year":"1992","journal-title":"J Psychosom Res"},{"key":"ref50","doi-asserted-by":"crossref","DOI":"10.4324\/9780203771587","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"J Cohen","year":"2013"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/j.edurev.2010.12.001","article-title":"Eta squared and partial eta squared as measures of effect size in educational research","volume":"6","author":"J TE Richardson","year":"2011","journal-title":"Educational Research Review"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"2338","DOI":"10.1093\/eurheartj\/ehq165","article-title":"Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors: \u2018establishing normal and reference values\u2019","volume":"31","author":"Reference Values for Arterial Stiffness\u02bc Collaboration","year":"2010","journal-title":"Eur Heart J"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1038\/ajh.2008.20","article-title":"Secular trends in the rates of preeclampsia, eclampsia, and gestational hypertension, United States, 1987\u20132004","volume":"21","author":"A B Wallis","year":"2008","journal-title":"Am J Hypertens"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"1323","DOI":"10.1016\/s0140-6736(16)32381-9","article-title":"Future life expectancy in 35 industrialised countries: projections with a Bayesian model ensemble","volume":"389","author":"V Kontis","year":"2017","journal-title":"Lancet"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"2743","DOI":"10.1016\/j.jacc.2019.09.052","article-title":"Long-Term Cardiovascular Risk in Women With Hypertension During Pregnancy","volume":"74","author":"M C Honigberg","year":"2019","journal-title":"J Am Coll Cardiol"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"1208","DOI":"10.1055\/a-0859-0826","article-title":"Influence of Maternal Age on Selected Obstetric Parameters","volume":"79","author":"B Schildberger","year":"2019","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"531539","DOI":"10.1155\/2014\/531539","article-title":"Preeclampsia and future cardiovascular risk: are women and general practitioners aware of this relationship? The experience from a portuguese centre","volume":"2014","author":"P Viana Pinto","year":"2014","journal-title":"Obstet Gynecol Int"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1080\/02646838.2010.541230","article-title":"The effectiveness of a health-based message on pregnant women\u02bcs intentions to exercise postpartum","volume":"29","author":"A Gaston","year":"2011","journal-title":"J Reprod Infant Psychol"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"1318","DOI":"10.1016\/j.jacc.2009.10.061","article-title":"Prediction of cardiovascular events and all-cause mortality with arterial stiffness: a systematic review and meta-analysis","volume":"55","author":"C Vlachopoulos","year":"2010","journal-title":"J Am Coll Cardiol"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1007\/s10389-006-0031-y","article-title":"Health-enhancing physical activity across European Union countries: the Eurobarometer study","volume":"14","author":"M Sj\u00f6str\u00f6m","year":"2006","journal-title":"J Public Health"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"e109343","DOI":"10.1371\/journal.pone.0109343","article-title":"The Growing Price Gap between More and Less Healthy Foods: Analysis of a Novel Longitudinal UK Dataset","volume":"9","author":"N RV Jones","year":"2014","journal-title":"PLoS One"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"1200","DOI":"10.1097\/HJH.0b013e3282fcc36e","article-title":"Low socioeconomic status is a risk factor for preeclampsia: the Generation R Study","volume":"26","author":"L M Silva","year":"2008","journal-title":"J Hypertens"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1055\/s-0037-1618667","article-title":"Soziale Ungleichheit im \u00dcbergewicht","volume":"03","author":"M J M\u00fcller","year":"2009","journal-title":"Adipositas \u2013 Ursachen, Folgeerkrankungen, Therapie"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"633.e1","DOI":"10.1016\/j.ajog.2015.01.005","article-title":"Pregnancy induces persistent changes in vascular compliance in primiparous women","volume":"212","author":"E A Morris","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"ref66","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1002\/uog.17565","article-title":"Assessment of arterial function in pregnancy: recommendations of the International Working Group on Maternal Hemodynamics","volume":"50","author":"F L Foo","year":"2017","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref67","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.preghy.2019.12.005","article-title":"Cardiovascular effects of severe late-onset preeclampsia are reversed within six months postpartum","volume":"19","author":"G Kalapotharakos","year":"2020","journal-title":"Pregnancy Hypertens"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"419.e1","DOI":"10.1016\/j.ajog.2020.03.004","article-title":"Impact of the ACOG guideline regarding low-dose aspirin for prevention of superimposed preeclampsia in women with chronic hypertension","volume":"223","author":"C Banala","year":"2020","journal-title":"Am J Obstet Gynecol"}],"container-title":["Geburtshilfe und Frauenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1345-8733.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:04:10Z","timestamp":1628553850000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1345-8733"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":63,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2021,8,9]]},"published-print":{"date-parts":[[2021,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1345-8733","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0016-5751","1438-8804"],"issn-type":[{"value":"0016-5751","type":"print"},{"value":"1438-8804","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}