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Washington, Jul 5:
A new study has found that young women with poor cardiovascular health before pregnancy face a significantly higher risk of developing gestational diabetes and coronary artery calcium (CAC) buildup in midlife—a key indicator of future heart disease. The research, published in JAMA Cardiology, underscores the critical connection between heart health in early adulthood and long-term cardiovascular outcomes.
Researchers analyzed data from over 1,000 women, with an average age of 28.6 years, who participated in the long-running CARDIA study. All participants had at least one singleton birth and no pre-pregnancy diabetes. The findings revealed that women with low or moderate cardiovascular health before pregnancy were more likely to develop gestational diabetes and show evidence of CAC decades later compared to those with better heart health.
Gestational diabetes, a form of high blood sugar first recognized during pregnancy, is already known to increase the risk of developing type 2 diabetes and heart disease later in life. However, this study highlights that poor cardiovascular health before pregnancy is a stronger predictor for both gestational diabetes and midlife heart disease markers than gestational diabetes itself.
Lead author Dr. Natalie Cameron of Northwestern University emphasized the need for early intervention:
“We need to optimize cardiovascular health early in the life course. Patients with gestational diabetes and other adverse pregnancy outcomes should follow up with a primary care provider to maintain heart health after pregnancy,” she said.
The study also calls for improved postpartum care, recommending that healthcare systems ensure smoother transitions from obstetric to long-term primary care for women with high-risk pregnancy outcomes. Thorough pregnancy histories, lifestyle assessments, and routine screening for cardiovascular risk factors are essential steps to reduce long-term risks.
Disclaimer:
This article summarizes findings from recent scientific studies. The information provided is for general awareness and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a healthcare provider for personalized medical guidance.
