Introduction:

Cardiometabolic vulnerability due to body fat can be a useful indicator during pregnancy and after delivery, in the prevention of cardiovascular events.

Objective:

To describe possible associations of cardiometabolic vulnerability due to body adiposity with changes in blood pressure in the short-term postpartum.

Methods:

A cross-sectional descriptive observational study was carried out from January 2017 to August 2018, in 119 women at Chiqui Gómez Lubián community clinic. The sustained weight test was applied, the mean and standard deviation of the calculated systolic, diastolic and mean arterial pressure were determined at rest and two minutes after the first reading. The quantitative changes in blood pressure at rest and with subsequent physical stimulation were analyzed, according to cardiometabolic vulnerability due to body fat, 18 months after delivery. These women were classified into three groups according to their vascular response to physical stimulation, evaluated by changes in blood pressure: normoreactive, hyperreactive and with a hypertensive response. The Kruskal-Wallis test was applied for the comparison of independent samples.

Results:

Increase in mean blood pressure values in women with VGlobal Extrema AGA / CA (DBP, PAS_2min, DBP_2min and MAP-2min) and with VAGI (TAS and TAM). 36.4% of the women with a hyperreactive response, had VAGI and 45.5% had VAGA. The only case with a hypertensive response had VGlobal Extrema AGA / CA.

Conclusions:

The early characterization of cardiometabolic vulnerability due to body adiposity can alert about changes in vascular reactivity which leads to later cardiovascular events.

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