Skip to main content

Advertisement

Log in

Association of maternal and paternal risk factors with risk of congenital heart disease in infants: a case–control study

  • Original Article
  • Published:
Irish Journal of Medical Science (1971 -) Aims and scope Submit manuscript

Abstract

Objective

We aimed to explore maternal and paternal risk factors with risk of congenital heart disease in infants.

Methods

A total of 125 congenital heart disease (CHD) infants and 125 controls were included in Heping Hospital Affiliated to Changzhi Medical College, Shanxi, China. Subjects were diagnosed between Jan 1, 2016 and Dec 31, 2021 in the present study. All the characteristics were collected with questionnaire by face-to-face interview, including maternal and paternal risk factors. Conditional logistic regression was conducted to explore the risk factors with risk of congenital heart disease in infants.

Results

For maternal risk factors, we found that age, number of pregnancies, systolic blood pressure (SBP), diastolic blood pressure (DBP), and body mass index (BMI) were risk factors for CHD infants, and the ORs (95%CIs) were 1.15 (1.06–1.23) for age, 1.13 (1.02–1.29) for SBP, 1.06 (1.02–1.18) for DBP, 1.22 (1.16–1.31) for BMI. Compared with one pregnancy, the ORs (95%CIs) were 1.17 (1.05–1.29) for two pregnancies and 1.25 (1.16–1.47) for more pregnancies. For paternal risk factors, we found that age (OR = 1.07, 95%CI = 1.01–1.19), smoking (OR = 1.11, 95%CI = 1.03–1.27), drinking (OR = 1.04, 95%CI = 1.02–1.19), and BMI (OR = 1.15, 95%CI = 1.03–1.28) were risk factors for CHD infants.

Conclusion

We found that age, number of pregnancies, SBP, DBP, and BMI are maternal risk factors for CHD infants. And age, smoking, drinking, and BMI are paternal risk factors for CHD infants.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Data availability

Data could be available on reasonable request from the corresponding author.

References

  1. Griffin EL, Nees SN, Morton SU et al (2023) Evidence-based assessment of congenital heart disease genes to enable returning results in a genomic study. Circ Genom Prec Med e003791

  2. Mery CM, Well A, Taylor K et al (2023) Examining the Real-life journey of individuals and families affected by single-ventricle congenital heart disease. J Am Heart Assoc e027556

  3. Simões EAF, Madhi SA, Muller WJ et al (2023) Efficacy of nirsevimab against respiratory syncytial virus lower respiratory tract infections in preterm and term infants, and pharmacokinetic extrapolation to infants with congenital heart disease and chronic lung disease: a pooled analysis of randomised controlled trials. The Lancet Child & Adolescent Health 7:180–189

    Article  Google Scholar 

  4. Tsao PC, Chiang SH, Shiau YS et al (2023) Comparing strategies for critical congenital heart disease newborn screening. Pediatrics

  5. Lammers AE, Diller GP, Lober R et al (2021) Maternal and neonatal complications in women with congenital heart disease: a nationwide analysis. Eur Heart J 42:4252–4260

    Article  CAS  PubMed  Google Scholar 

  6. Kuehn BM (2020) New guideline emphasizes need for life-long care for congenital heart disease. Circulation 142:2276–2277

    Article  PubMed  Google Scholar 

  7. Liu D, Liu QQ, Guan LH et al (2016) BMPR2 mutation is a potential predisposing genetic risk factor for congenital heart disease associated pulmonary vascular disease. Int J Cardiol 211:132–136

    Article  PubMed  Google Scholar 

  8. Lee TM, Bacha EA (2016) Copy number variants in congenital heart disease: a new risk factor impacting outcomes? J Thorac Cardiovasc Surg 151:1152–1153

    Article  PubMed  Google Scholar 

  9. Jenkins KJ, Correa A, Feinstein JA et al (2007) Noninherited risk factors and congenital cardiovascular defects: current knowledge: a scientific statement from the American Heart Association Council on Cardiovascular Disease in the Young: endorsed by the American Academy of Pediatrics. Circulation 115:2995–3014

    Article  PubMed  Google Scholar 

  10. Rankin J, Chadwick T, Natarajan M et al (2009) Maternal exposure to ambient air pollutants and risk of congenital anomalies. Environ Res 109:181–187

    Article  CAS  PubMed  Google Scholar 

  11. van Driel LM, de Jonge R, Helbing WA et al (2008) Maternal global methylation status and risk of congenital heart diseases. Obstet Gynecol 112:277–283

    Article  PubMed  Google Scholar 

  12. Begić H, Tahirović HF, Dinarević S, Ferković V (2002) Pranjić N [Risk factors for the development of congenital heart defects in children born in the Tuzla Canton]. Med Arh 56:73–77

    PubMed  Google Scholar 

  13. Goldmuntz E (2001) The epidemiology and genetics of congenital heart disease. Clin Perinatol 28:1–10

    Article  CAS  PubMed  Google Scholar 

  14. Hollier LM, Leveno KJ, Kelly MA et al (2000) Maternal age and malformations in singleton births. Obs Gynecol 96:701–6

  15. Verkleij-Hagoort AC, Verlinde M, Ursem NT et al (2006) Maternal hyperhomocysteinaemia is a risk factor for congenital heart disease. BJOG : an international journal of obstetrics and gynaecology 113:1412–1418

    Article  CAS  PubMed  Google Scholar 

  16. Gencheva DG, Nikolov FP, Uchikova EH et al (2022) Hypertension in pregnancy as an early sex-specific risk factor for cardiovascular diseases: evidence and awareness. Folia Med 64:380–387

    Article  Google Scholar 

  17. Choi SK (2021) Editorial: Diabetes, Hypertension and cardiovascular diseases. Front Physiol 12:765767

    Article  PubMed  PubMed Central  Google Scholar 

  18. Sun J, Chen X, Chen H et al (2015) Maternal alcohol consumption before and during pregnancy and the risks of congenital heart defects in offspring: a systematic review and meta-analysis. Congenit Heart Dis 10:E216–E224

    Article  PubMed  Google Scholar 

  19. Karunamuni G, Gu S, Doughman YQ et al (2014) Ethanol exposure alters early cardiac function in the looping heart: a mechanism for congenital heart defects? Am J Physiol Heart Circ Physiol 306:H414–H421

    Article  CAS  PubMed  Google Scholar 

  20. Serrano M, Han M, Brinez P, Linask KK (2010) Fetal alcohol syndrome: cardiac birth defects in mice and prevention with folate. Am J Obstet Gynecol 203(75):e7–e15

    Google Scholar 

  21. Gianicolo EA, Cresci M, Ait-Ali L et al (2010) Smoking and congenital heart disease: the epidemiological and biological link. Curr Pharm Des 16:2572–2577

    Article  CAS  PubMed  Google Scholar 

  22. Edwards JJ, Gelb BD (2016) Genetics of congenital heart disease. Curr Opin Cardiol 31:235–241

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

The contributions of all the participants and all members of study team are greatly acknowledged.

Author information

Authors and Affiliations

Authors

Contributions

JXD and TYH designed the research, conducted the research, and performed statistical analysis. JXD wrote the paper. TYH revised the paper. TYH had primary responsibility for final content. All authors have read and approved the final manuscript.

Corresponding author

Correspondence to Tianyou Hao.

Ethics declarations

Ethics approval

This study was approved by the Ethics and Human Subject Committee of Changzhi Medical College (no. 1754235).

Consent to participate

Written informed consent was obtained from all the participants.

Consent for publication

This is not applicable.

Conflicts of interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dong, J., Hao, T. Association of maternal and paternal risk factors with risk of congenital heart disease in infants: a case–control study. Ir J Med Sci 193, 95–99 (2024). https://doi.org/10.1007/s11845-023-03409-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11845-023-03409-3

Keywords

Navigation