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Published on: June 28, 2024
Influences of maternal nutritional status on vascular function in the offspring
1Maternal and Fetal Research Unit, Division of Reproductive Health, Endocrinology and Development, King's College, London, UK. lucilla.poston@kcl.ac.uk
Insights
Early life nutrition impacts adult cardiovascular health. Both undernutrition and overnutrition in utero can lead to vascular dysfunction, increasing risks for heart disease and hypertension later in life.
Area of Science:
- Cardiovascular Science
- Developmental Biology
- Nutritional Science
Background:
- Fetal growth restriction and low birthweight are linked to later-life ischemic heart disease and hypertension.
- Maternal nutritional excess during pregnancy is increasingly recognized as a factor initiating cardiovascular risk in offspring.
- Early life vascular disorders may play a role in the development of atherosclerosis and hypertension.
Purpose of the Study:
- To review studies in humans and animals investigating the role of vascular disorders in atherosclerosis and hypertension.
- To examine the impact of early life nutritional deprivation and excess on vascular health.
- To explore the mechanisms linking early nutrition to later cardiovascular disease.
Main Methods:
- Literature review of human and animal studies.
- Analysis of research on maternal nutrition and offspring cardiovascular outcomes.
- Synthesis of findings on endothelial cell function and arterial stiffness.
Main Results:
- Maternal undernutrition and overnutrition are associated with arterial endothelial cell malfunction in offspring.
- Increased stiffness of large arteries is frequently observed, potentially contributing to systolic hypertension.
- Evidence suggests early nutritional imbalance may impair vascular angiogenesis, leading to rarefaction and increased peripheral resistance.
Conclusions:
- Early life nutritional status significantly influences vascular development and function.
- Vascular endothelial dysfunction and arterial stiffness are key pathways linking early nutrition to adult cardiovascular disease.
- Further research is needed on the impact of nutritional imbalance on vascular angiogenesis and peripheral resistance.
Abstract:
Fetal growth restriction leading to low birthweight is associated with increased risk of ischaemic heart disease and hypertension in later life. Increasingly, it is recognised that cardiovascular risk may also be initiated in early life when the fetus and neonate are exposed to maternal nutritional excess. This review summarises the studies in man and animals that have investigated the potential role of vascular disorders in the aetiology of atherosclerosis and hypertension arising from early life nutritional deprivation or excess. Malfunction of the arterial endothelial cell layer in the offspring has been frequently described in association with both maternal under and overnutritional states and may play a permissive role in the origin of these disorders. Also prevalent is evidence for increased stiffness of the large arteries which may contribute to systolic hypertension. Further investigation is required into the intriguing suggestion that early life nutritional imbalance may adversely influence vascular angiogenesis leading to rarefaction and increased peripheral vascular resistance.
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