Preeclampsia as an independent predictor of atherosclerosis progression in women with type 1 diabetes : a 5-year prospective study
Mesa, Alex (Institut de Recerca Sant Pau)
Puig-Jové, Carlos (Hospital Universitari MútuaTerrassa)
Pané, Adriana (Hospital Clínic i Provincial de Barcelona)
Vinagre, Irene (Hospital Clínic i Provincial de Barcelona)
López-Quesada, E. (Hospital Universitari MútuaTerrassa)
Meler Barrabés, Eva (Hospital Clínic i Provincial de Barcelona)
Alonso-Carril, N. (Hospital Universitari MútuaTerrassa)
Quirós, Carmen (Hospital Universitari MútuaTerrassa)
Amor Fernández, Antonio J. (Hospital Clínic i Provincial de Barcelona)
Perea, Verónica (Hospital Universitari MútuaTerrassa)
Universitat Autònoma de Barcelona. Departament de Medicina

Data:	2025
Resum:	Background: Preeclampsia (PE) and type 1 diabetes (T1D) are significant risk factors for cardiovascular disease (CVD), but their combined effect on atherosclerosis progression has not been fully explored. This study aimed to evaluate the impact of T1D and PE on the progression of atherosclerosis. Methods: Prospective cohort study of 112 women divided into four groups: T1D + /PE + (n = 28), T1D + /PE- (n = 28), T1D-/PE + (n = 28), and T1D-/PE- (n = 28). Participants underwent an initial assessment and a follow-up visit five years later, which included anthropometric evaluation, blood tests, and carotid ultrasound. Atherosclerosis progression was defined as an increase in carotid plaque number or the occurrence of a cardiovascular event (CVE) during follow-up (fatal or non-fatal ischemic heart disease, fatal or non-fatal stroke, and/or heart failure). Results: A total of 104 women (92. 9%) completed the follow-up (54 with T1D, mean age at inclusion 45. 2 ± 7. 6 years, mean follow-up 5. 3 ± 1. 2 years). An increase in carotid plaques was identified in 34 women (32. 7%), and 3 CVEs (2. 9%) occurred. In women with T1D, a history of PE was associated with a twofold increase in atherosclerosis progression (57. 7% vs 25. 0%, p = 0. 015). In multivariate models adjusted for age, T1D and cardiovascular risk factors, PE [OR 4. 97 (1. 61-15. 29), p = 0. 005] and PE + T1D [OR 7. 69 (1. 25-47. 29), p = 0. 028] were independently associated with atherosclerosis progression. Conclusions: PE was a strong independent predictor of atherosclerosis progression over a 5-year follow-up period, with an additive effect in T1D. These findings highlight preeclampsia as a significant CVD risk enhancer in young women with T1D.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Cardiovascular disease ; Gender ; Preeclampsia ; Type 1 diabetes
Publicat a:	Cardiovascular diabetology, Vol. 24 Núm. 1 (december 2025) , p. 160, ISSN 1475-2840

DOI: 10.1186/s12933-025-02719-3
PMID: 40205402

11 p, 1.3 MB

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