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The Effect of Dietary Patterns on Hypertensive Disorders of Pregnancy in North Shewa, Ethiopia: A Propensity Score Matched Case-Control Study

Highlights•Higher dietary diversity score associated with a lower odds of hypertensive disorder of pregnancy.•Having previous history of gestational hypertension increases the risk of hypertensive disorder of pregnancy.•Diet is an amendable factor, and the promotion of diversified diet is an important approach to prevent the occurrence hypertensive disorder of pregnancy.AbstractObjectiveThis study aimed to assess the effect of dietary patterns during pregnancy on HDP. A propensity srocre matched case-control study was conducted with 340 pregnant women (71 cases and 269 controls) in North Shewa Zone, Ethiopia. Data were collected through an interviewer-administered questionnaire and maternal anthropometry measurements. After propensity score maching, a conditional logistic regression model was used to identify the independent predictors of HDP by adjusting for the confounders. A p-value of < 0.05 was statistically significant.ResultsA high dietary diversity score (Adjusted Odd Ratio (AOR) = 0.45; 95% CI: 0.21,0 .93) was associated with a lower odds of HDP. Occupation (merchant) (AOR= 3.71 (95% CI: 1.16, 11.89), having previous history of HDP (AOR= 27.58; 95% CI: 4.53, 168.06) and high hemoglobin level (AOR= 2.26; 95% CI: 1.66, 3.09) were associated with an increased odds of HDP. Diet is an amendable factor, and the promotion of diversified diet is an important approach to prevent the occurrence of HDP. Women should be counselled to diversify their dietary intake to include a high amount of vegetables, legumes, and fruit.


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