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Table 1 Definitions of individual maternal cardiovascular health (CVH) metrics

From: Maternal cardiovascular health in early pregnancy and the risk of congenital heart defects in offspring

CVH metric

Ideal

Intermediate

Poor

Physical activity (PA)

Moderate or vigorous PA per week

Low-intensity PA per week

Without any PA

Smoke

Never or quit > 12 months

Quit ≤ 12 months

Current smoker

Sleep health

Sleep duration ≥ 7 h and < 9 h

Sleep duration ≥ 5 h and < 7 h, or ≥ 9 h

Sleep duration < 5 h

Body mass index (BMI)a

BMI ≥ 18.5 and < 25 before pregnancy, and a maximal gestational weight gain of 2 kg in early pregnancy

All others “nonideal”

Blood pressure (BP)b

No history of hypertension, and the systolic blood pressure (SBP) < 120 mmHg and the diastolic blood pressure (DBP) < 80 mmHg

SBP ≥ 120 and < 140 mmHg, or DBP ≥ 80 and < 90 mmHg

A history of hypertension, or SBP ≥ 140 mmHg or DBP ≥ 90 mmHg

Blood lipid

Total cholesterol of (TC) < 200 mg/dL

TC ≥ 200 and < 240 mg/dL

TC ≥ 240 mg/dL

Blood glucose

No history of diabetes, and the fasting plasma glucose (FPG) < 100 mg/dL

FPG ≥ 100 and < 126 mg/dL

A history of diabetes, or FPG ≥ 126 mg/d

  1. BMI body mass index, BP blood pressure, CHD congenital heart disease, CVH cardiovascular health, DBP diastolic blood pressure, FPG fasting plasma glucose, PA physical activity, SBP systolic blood pressure, TC total cholesterol
  2. aBMI = weight (kg)/(height [m])2
  3. bWe defined the BP metrics according to Chinese guideline