Inflammatory markers in relation to maternal lifestyle and adverse pregnancy outcomes in twin pregnancies

Cecilie Holm Christiansen, Mille Kirk, Katharina Worda, Hanne Kristine Hegaard, Line Rode*, Helle Larsen, Anni Holmskov, Kirsten Riis Andreasen, Niels Uldbjerg, Jan Ramb, Lene Sperling, Stefan Hinterberger, Lone Krebs, Helle Zingenberg, Eva Christine Weiss, Isolde Strobl, Lone Laursen, Jeanette Tranberg Christensen, Kristin Skogstrand, Ida VogelElisabeth Krampl-Bettelheim, Ann Tabor, Collaborators – The PREDICT-group

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

1 Citation (Scopus)

Abstract

It is well known that inflammatory markers play an important role in the development and maintenance of healthy pregnancies. However, the literature regarding inflammation in relation to lifestyle and adverse pregnancy outcomes in twin pregnancies is remarkably uncovered. Therefore, this study aimed at evaluating the concentration of inflammatory markers in dried capillary blood spot samples from 523 women with twin pregnancies, included at a median gestational age of 21+1 weeks. The relationship between inflammatory markers and maternal lifestyle (current smoking status and pre-pregnancy body mass index) in addition to adverse pregnancy outcomes (preeclampsia, gestational diabetes mellitus, and small for gestational age) was analyzed. The study showed that active smoking at inclusion was associated with an elevated concentration of interleukin-8. Furthermore, maternal obesity was associated with an elevated concentration of C-reactive protein and monocyte chemoattractant protein-1. Analysis of the data showed no statistically significant variations in the concentration of the assessed inflammatory markers for neither preeclampsia, gestational diabetes mellitus, nor small for gestational age. The current study promotes future research on the pathophysiology of twin pregnancies in relation to adverse pregnancy outcomes, as the literature within the area remains scarce.

Original languageEnglish
Article number104286
JournalJournal of Reproductive Immunology
Volume164
Number of pages7
ISSN0165-0378
DOIs
Publication statusPublished - 2024

Bibliographical note

Publisher Copyright:
© 2024 Elsevier B.V.

Keywords

  • Gestational diabetes
  • Inflammation
  • Preeclampsia
  • Small for gestational age
  • Twin pregnancy

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