2014, Number 1
In utero programming: a challenge
Language: Spanish
References: 19
Page: 94-101
PDF size: 93.40 Kb.
ABSTRACT
Introduction: recent epidemiological studies of different populations have shown that pre- and postnatal nutrition may influence adult susceptibility to suffer from glucose intolerance, hypertension, coronary heart disease and obesity. The theory that fetal environmental factors and in particular maternal nutrition exert an influence upon the susceptibility to suffer from certain conditions in adulthood, has achieved great support, especially because the topic has gradually gained space in molecular biology. The biochemical changes occurring during the intrauterine and prenatal stages of life involve a continuous supply by the mother of plastic and energy substrates, as well as their integration. Poor maternal nutrition, a deficient environment, and bad conditions at birth and during childhood, may result in the risk to suffer from atherosclerosis in adulthood.Methods: Based on knowledge about in utero programming obtained from an exhaustive review, data about atherosclerotic risk factors drawn from research previously conducted, and information acquired about the topic.
Development: The relationship described between body measurements at birth and coronary heart disease was irrespective of gestational age in the various studies conducted in Sheffield. This problem may be confirmed not only by maternal malnutrition, but other well-known factors as well, cause low weight at birth. Alongside the mother's nutritional status, other pregnancy-related factors should also be considered, such as multiple births, chromosomal anomalies, congenital malformations, maternal age, parity and others.
Conclusions: In utero macro- and microdetermining factors during pregnancy cause atherosclerotic risk factors not only in adulthood, but since school age. Body measurement at birth is not determining if no injury occurs during the embryogenetic and fetal stages and during childhood.
REFERENCES
Rodríguez Vargas N, Martínez Pérez TP, Martínez García R, Garriga Reyes M, Ortega Soto M. Hipertensión arterial en el escolar con antecedente de macrosomía o alto peso al nacer. Rev Cubana Invest Bioméd [revista en la Internet]. 2009 Jun [citado 2013 ene 16];28(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 03002009000200005&lng=es
Rodríguez Vargas N, Martínez Pérez TP, Martínez García R, Garriga Reyes M, Ortega Soto M. Obesidad en el escolar con antecedente de macrosomía o alto peso al nacer. Rev Cubana Invest Bioméd [revista en la Internet]. 2009 Jun [citado 2013 ene 04];28(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 03002009000200009&lng=es