Helicobacter pylori infection increases the risk of metabolic syndrome in pregnancy: a cohort study

• Published in: Annals of translational medicine Vol. 8; no. 14; p. 875
• Main Authors: Xia, Beilei, Wang, Wenyuan, Lu, Yufeng, Chen, Chen
• Format: Journal Article
• Language: English
• Published: China AME Publishing Company 01.07.2020
• Subjects: Original; Helicobacter pylori (H. pylori); metabolic syndrome (MetS); adverse outcomes; body mass index (BMI); pregnancy
• ISSN: 2305-5839; 2305-5839
• DOI: 10.21037/atm-20-4863

The effects of ( ) infection on metabolic syndrome (MetS) in pregnant women are unclear to date. This study was designed to explore the relationship between infection and MetS during pregnancy. Pregnant women were enrolled in the prospective cohort study, and their demographic data and metabolic parameters were collected. infection was measured using the C13 urea breath test. All enrolled patients were followed up until the last baby was born. Metabolic disorders, including elevated levels of serum triglycerides (TG), high-density lipoprotein (HDL) cholesterol and blood glucose (BG), and adverse pregnancy outcomes, including gestational diabetes mellitus (GDM), preeclampsia, spontaneous preterm birth (SPB), fetal growth restriction (FGR), and uncomplicated pregnancy, were recorded during follow up. There were 320 pregnant women enrolled in this study. They were divided into two groups according to infection, and each group was then divided into two subgroups on whether their BMI was more than 24 or not. The results showed that infection significantly increased the incidence of MetS as well as other metabolic disorders, especially in pregnant women with high BMI. Multivariable logistic regression analysis showed that risk factors of MetS were high BMI and infection. Besides, infection increased the incidence of GDM and preeclampsia and potentially reduced the incidence of uncomplicated pregnancy. infection in pregnant women acts as a crucial risk factor of Mets and affects the incidence of several adverse pregnancy outcomes.