Healthy lifestyle reduces cardiovascular risk in women with genetic predisposition to hypertensive disorders of pregnancy

Abstract The genetic risk for hypertensive disorders of pregnancy is linked with the development of atherosclerotic cardiovascular disease. However, the effects of lifestyle and metabolic syndrome on atherosclerotic cardiovascular disease have not been evaluated. Here, we assess the long-term associ...

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Main Authors: Sang‑Hyuk Jung, Haemin Kim, Young Mi Jung, Manu Shivakumar, Brenda Xiao, Jaeyoung Kim, Beomjin Jang, Jae-Seung Yun, Hong-Hee Won, Chan-Wook Park, Joong Shin Park, Jong Kwan Jun, Dokyoon Kim, Seung Mi Lee
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-56107-2
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author Sang‑Hyuk Jung
Haemin Kim
Young Mi Jung
Manu Shivakumar
Brenda Xiao
Jaeyoung Kim
Beomjin Jang
Jae-Seung Yun
Hong-Hee Won
Chan-Wook Park
Joong Shin Park
Jong Kwan Jun
Dokyoon Kim
Seung Mi Lee
author_facet Sang‑Hyuk Jung
Haemin Kim
Young Mi Jung
Manu Shivakumar
Brenda Xiao
Jaeyoung Kim
Beomjin Jang
Jae-Seung Yun
Hong-Hee Won
Chan-Wook Park
Joong Shin Park
Jong Kwan Jun
Dokyoon Kim
Seung Mi Lee
author_sort Sang‑Hyuk Jung
collection DOAJ
description Abstract The genetic risk for hypertensive disorders of pregnancy is linked with the development of atherosclerotic cardiovascular disease. However, the effects of lifestyle and metabolic syndrome on atherosclerotic cardiovascular disease have not been evaluated. Here, we assess the long-term association between these factors and atherosclerotic cardiovascular disease in women with genetic risk for hypertensive disorders of pregnancy. We evaluate the genetic risk for hypertensive disorders of pregnancy using a genome-wide polygenic risk score derived from a large-scale GWAS. The incidence of atherosclerotic cardiovascular disease is evaluated according to genetic risk, lifestyle, and metabolic syndrome. Individuals with a very high genetic risk for hypertensive disorders of pregnancy have a 53.0% higher chance of developing atherosclerotic cardiovascular disease than those with a low genetic risk. However, the risk of developing atherosclerotic cardiovascular disease is reduced by up to 64.6% through the maintenance of an ideal metabolic syndrome status and a healthy lifestyle in the high genetic risk group (top 20%), and by up to 65.4% in the low genetic risk group (bottom 20%). These findings emphasize that maintaining a healthy lifestyle in women is equally effective at reducing the risk of atherosclerotic cardiovascular disease independent of genetic risk for hypertensive disorders of pregnancy.
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spelling doaj-art-d86b476b61664366b0b144fd56dc3e932025-02-09T12:44:05ZengNature PortfolioNature Communications2041-17232025-02-0116111110.1038/s41467-025-56107-2Healthy lifestyle reduces cardiovascular risk in women with genetic predisposition to hypertensive disorders of pregnancySang‑Hyuk Jung0Haemin Kim1Young Mi Jung2Manu Shivakumar3Brenda Xiao4Jaeyoung Kim5Beomjin Jang6Jae-Seung Yun7Hong-Hee Won8Chan-Wook Park9Joong Shin Park10Jong Kwan Jun11Dokyoon Kim12Seung Mi Lee13Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of PennsylvaniaDepartment of Obstetrics and Gynecology, Seoul National University College of MedicineDepartment of Obstetrics and Gynecology, Seoul National University College of MedicineDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of PennsylvaniaDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of PennsylvaniaSamsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Samsung Medical CenterSamsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Samsung Medical CenterDepartment of Internal Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of KoreaSamsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Samsung Medical CenterDepartment of Obstetrics and Gynecology, Seoul National University College of MedicineDepartment of Obstetrics and Gynecology, Seoul National University College of MedicineDepartment of Obstetrics and Gynecology, Seoul National University College of MedicineDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of PennsylvaniaDepartment of Obstetrics and Gynecology, Seoul National University College of MedicineAbstract The genetic risk for hypertensive disorders of pregnancy is linked with the development of atherosclerotic cardiovascular disease. However, the effects of lifestyle and metabolic syndrome on atherosclerotic cardiovascular disease have not been evaluated. Here, we assess the long-term association between these factors and atherosclerotic cardiovascular disease in women with genetic risk for hypertensive disorders of pregnancy. We evaluate the genetic risk for hypertensive disorders of pregnancy using a genome-wide polygenic risk score derived from a large-scale GWAS. The incidence of atherosclerotic cardiovascular disease is evaluated according to genetic risk, lifestyle, and metabolic syndrome. Individuals with a very high genetic risk for hypertensive disorders of pregnancy have a 53.0% higher chance of developing atherosclerotic cardiovascular disease than those with a low genetic risk. However, the risk of developing atherosclerotic cardiovascular disease is reduced by up to 64.6% through the maintenance of an ideal metabolic syndrome status and a healthy lifestyle in the high genetic risk group (top 20%), and by up to 65.4% in the low genetic risk group (bottom 20%). These findings emphasize that maintaining a healthy lifestyle in women is equally effective at reducing the risk of atherosclerotic cardiovascular disease independent of genetic risk for hypertensive disorders of pregnancy.https://doi.org/10.1038/s41467-025-56107-2
spellingShingle Sang‑Hyuk Jung
Haemin Kim
Young Mi Jung
Manu Shivakumar
Brenda Xiao
Jaeyoung Kim
Beomjin Jang
Jae-Seung Yun
Hong-Hee Won
Chan-Wook Park
Joong Shin Park
Jong Kwan Jun
Dokyoon Kim
Seung Mi Lee
Healthy lifestyle reduces cardiovascular risk in women with genetic predisposition to hypertensive disorders of pregnancy
Nature Communications
title Healthy lifestyle reduces cardiovascular risk in women with genetic predisposition to hypertensive disorders of pregnancy
title_full Healthy lifestyle reduces cardiovascular risk in women with genetic predisposition to hypertensive disorders of pregnancy
title_fullStr Healthy lifestyle reduces cardiovascular risk in women with genetic predisposition to hypertensive disorders of pregnancy
title_full_unstemmed Healthy lifestyle reduces cardiovascular risk in women with genetic predisposition to hypertensive disorders of pregnancy
title_short Healthy lifestyle reduces cardiovascular risk in women with genetic predisposition to hypertensive disorders of pregnancy
title_sort healthy lifestyle reduces cardiovascular risk in women with genetic predisposition to hypertensive disorders of pregnancy
url https://doi.org/10.1038/s41467-025-56107-2
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