{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T16:18:42Z","timestamp":1790180322841,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001631","name":"University College Dublin","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001631","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011272","name":"FP7 Health","doi-asserted-by":"publisher","award":["289346"],"award-info":[{"award-number":["289346"]}],"id":[{"id":"10.13039\/100011272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Maternal obesity is a significant risk factor for hypertensive disorders of pregnancy. High diet quality may protect against this, yet data regarding the relationship between diet quality and blood pressure among pregnant women with raised body mass index (BMI) is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>This is a secondary analysis (<jats:italic>n<\/jats:italic>\u2009=\u2009543) of women with BMI \u226525\u2009kg\/m<jats:sup>2<\/jats:sup> from two randomized controlled trials; PEARS (Pregnancy Exercise and nutrition Research Study with smartphone application support) and ROLO (Randomized cOntrol trial of LOw glycemic index diet to prevent macrosomia in euglycemic women). Blood pressure was measured at 10\u201318\u2009weeks and 28\u2009weeks of pregnancy. Mean arterial pressure was calculated as (diastolic blood pressure  [systolic blood pressure\u2009\u2009diastolic blood pressure]). Diet quality was assessed using 3\u2010day food diaries, and Alternative Healthy Eating Index for Pregnancy (AHEI\u2010P) scores were generated, quantifying alignment of food intakes with dietary guidelines in first and early third trimesters. The cohort was divided based on AHEI\u2010P tertiles to explore differences at an alpha significance value of &lt;0.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of the group was 32.21\u2009\u00b1\u20094.39\u2009years with a median body mass index (BMI) of 28.13 (IQR 3.47) kg\/m<jats:sup>2<\/jats:sup>. Mean arterial pressures in the first and third trimesters were 81.07\u2009\u00b1\u20099.00\u2009mmHg and 82.33\u2009\u00b1\u20097.53\u2009mmHg, respectively. Rates of elevated blood pressure (\u2265120\/80\u2009mmHg) were 22.33% in trimester 1 and 24.48% in early trimester 3. Mean AHEI\u2010P scores in trimester 1 and early trimester 3 were 53.90\u2009\u00b1\u200910.43 and 54.05\u2009\u00b1\u200910.76, respectively. There was no correlation between AHEI\u2010P score and blood pressure and no differences in blood pressure between AHEI\u2010P tertiles at either timepoint (all <jats:italic>P<\/jats:italic>\u2010values\u2009&lt;0.05). A higher proportion of those with elevated early third trimester blood pressure had a BMI of \u226530\u2009kg\/m<jats:sup>2<\/jats:sup> compared with those with normal blood pressure (40.31% vs 28.64%, <jats:italic>P<\/jats:italic>\u2009=\u20090.016).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While diet remains an important factor in maternal health and wellbeing, we did not find a relationship between diet quality as measured by AHEI\u2010P and blood pressure among pregnant women with BMI \u226525\u2009kg\/m<jats:sup>2<\/jats:sup>. High BMI remains a risk factor for hypertensive disorders of pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14821","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T12:33:37Z","timestamp":1709814817000},"page":"1073-1082","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Diet quality and blood pressure among pregnant women with overweight or obesity: A secondary analysis of two randomized controlled trials"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7983-9400","authenticated-orcid":false,"given":"Sorcha","family":"Lynch","sequence":"first","affiliation":[{"name":"UCD Perinatal Research Centre, School of Medicine, National Maternity Hospital University College Dublin  Dublin 2 Ireland"},{"name":"Mater Misericordiae University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Louise","family":"Killeen","sequence":"additional","affiliation":[{"name":"UCD Perinatal Research Centre, School of Medicine, National Maternity Hospital University College Dublin  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"O'Brien","sequence":"additional","affiliation":[{"name":"School of Biological, Health and Sports Science Technological University Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Mullane","sequence":"additional","affiliation":[{"name":"UCD Perinatal Research Centre, School of Medicine, National Maternity Hospital University College Dublin  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8210-2956","authenticated-orcid":false,"given":"Emma","family":"Hokey","sequence":"additional","affiliation":[{"name":"UCD Perinatal Research Centre, School of Medicine, National Maternity Hospital University College Dublin  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Mealy","sequence":"additional","affiliation":[{"name":"UCD Perinatal Research Centre, School of Medicine, National Maternity Hospital University College Dublin  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3477-6494","authenticated-orcid":false,"given":"Fionnuala M.","family":"McAuliffe","sequence":"additional","affiliation":[{"name":"UCD Perinatal Research Centre, School of Medicine, National Maternity Hospital University College Dublin  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2011.01.006"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000208"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13763"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14536"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-200312000-00002"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14556"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/cen.14102"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14540"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573402115666190415154603"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(16)30217-0"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12916"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2017.02.003"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/4856527"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/nxz197"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12521"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12467"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/advances\/nmaa041"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12744"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2005938"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqab325"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0242150"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002582"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e5605"},{"key":"e_1_2_13_25_1","volume-title":"Pobal HP\u2014Deprivation Index Scores\u20142016","author":"Haase T","year":"2017"},{"key":"e_1_2_13_26_1","volume-title":"SLAN 2007: Survey of Lifestyles, Attitudes and Nutrition in Ireland. 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