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Updated: Jun 28, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Birth weight and metabolic syndrome in adults: meta-analysis]
Vera Maria Freitas da Silveira1, Bernardo Lessa Horta
1Programa de Pós graduação em Epidemiologia, Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, RS, Brasil. veramfs@terra.com.br
Insights
Low birth weight significantly increases the risk of developing metabolic syndrome in adulthood. This meta-analysis confirms a strong association between reduced fetal growth and later metabolic health issues.
Area of Science:
- Epidemiology
- Public Health
- Developmental Origins of Health and Disease (DOHaD)
Background:
- Metabolic syndrome is a cluster of conditions increasing the risk of heart disease, stroke, and diabetes.
- Intrauterine growth and birth weight are potential early life determinants of adult metabolic health.
Purpose of the Study:
- To systematically review and meta-analyze existing evidence on the association between birth weight and metabolic syndrome in adults.
Main Methods:
- A comprehensive literature search was conducted in PubMed and LILACS databases (1966-2006).
- Eleven eligible studies providing odds ratios were included in the meta-analysis.
- Search terms included "birth weight" and "metabolic syndrome" and related concepts.
Main Results:
- A significant inverse relationship was observed between birth weight and metabolic syndrome across most studies.
- Individuals with low birth weight had a 2.53 times higher odds of developing metabolic syndrome compared to normal birth weight individuals.
- Results remained significant even after accounting for potential publication bias and in analyses of larger studies.
Conclusions:
- Low birth weight is a critical risk factor for the development of metabolic syndrome in adulthood.
- Early life factors, such as fetal growth, have long-lasting implications for metabolic health.
- Further research may explore specific interventions targeting individuals with low birth weight.
Objectives:
To assess published evidences of the effect of birth weight on metabolic syndrome in adults.
Methods:
PubMed and LILACS databases were searched for articles published from 1966 through May 2006. The terms used were: "birth weight", "birthweight", "intra-uterine growth restriction (IUGR)", "fetal growth retardation", "metabolic syndrome", "syndrome X", "Reaven's X syndrome". Two hundred and twenty-four studies reporting estimates of the association between birth weight and metabolic syndrome or its components were considered eligible. Eleven studies provided odds ratios and were included in the meta-analysis.
Results:
All but two studies reported an inverse relationship between birth weight and metabolic syndrome. A comparison between low birth weight vs. normal birth weight subjects showed the random effects odds ratio for metabolic syndrome was 2.53 (95% CI: 1.57;4.08). The funnel plot graphic suggests a publication bias but, even in the studies with more than 400 subjects, the results remained significant (pooled odds ratio: 2.37 (95% CI: 1.15;4.90).
Conclusions:
Low birth weight increases the risk of metabolic syndrome in adults.
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