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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
The relationship between cortisol concentrations in pregnancy and systemic vascular resistance in childhood
Patricia Helen Carvalho Rondó1, Jesuana Oliveira Lemos, Joilane Alves Pereira
1Nutrition Department, School of Public Health, University of São Paulo, Avenida Dr. Arnaldo 715, São Paulo, SP, CEP-01246-904, Brazil.
Insights
Maternal cortisol levels during pregnancy are linked to higher systemic vascular resistance (SVR) in children, suggesting prenatal glucocorticoid exposure may increase childhood cardiovascular disease risk.
Area of Science:
- Endocrinology
- Pediatrics
- Cardiovascular Health
Background:
- Prenatal exposure to maternal stress hormones, like cortisol, can impact fetal development.
- Childhood cardiovascular health is influenced by early-life environmental factors.
Purpose of the Study:
- To investigate the association between maternal cortisol levels in late pregnancy and childhood systemic vascular resistance (SVR).
- To explore potential links between prenatal glucocorticoid exposure and later cardiovascular risk markers.
Main Methods:
- A cohort study of 130 Brazilian mother-child pairs.
- Maternal salivary cortisol measured via enzyme immunoassay in the third trimester.
- Childhood SVR assessed using the HDI/PulseWave CR-2000 system; child BMI-z scores also recorded.
Main Results:
- Significant association found between maternal cortisol concentrations and childhood SVR (p=0.043).
- Maternal cortisol also associated with child BMI-z score (p=0.027), after adjusting for covariates.
- Adjustments included maternal BMI, birth weight, child's age, and gender.
Conclusions:
- This is the first study to link maternal pregnancy cortisol to childhood SVR.
- Findings suggest prenatal excess glucocorticoid exposure may predispose children to vascular complications and future cardiovascular disease.
Objective:
To assess the relationship between cortisol concentrations in the last trimester of pregnancy and systemic vascular resistance - SVR in childhood.
Materials And Methods:
This study is part of a cohort involving 130 Brazilian pregnant women and their children, ages 5 to 7years. Maternal cortisol was determined in saliva by an enzyme immunoassay utilizing the mean concentration of 9 samples of saliva (3 in each different day), collected at the same time, early in the morning. SVR was assessed by the HDI/PulseWave CR-2000 Cardiovascular Profiling System(R). Socioeconomic and demographic characteristics and life style factors were determined by a questionnaire. The nutritional status of the women and children was assessed by the body mass index - BMI. The association between maternal cortisol and SVR in childhood was calculated by multivariate linear regression analysis.
Results:
There were statistically significant associations between maternal cortisol and SVR (p=0.043) and BMI-z score of the children (p=0.027), controlling for maternal BMI, birth weight, age, and gender of the children.
Conclusion:
As far as we know this is the first study in the literature assessing the association between cortisol concentrations in pregnancy and SVR in childhood. Overall, the data suggest that exposure to excess glucocorticoid in the prenatal period is associated to vascular complications in childhood, predisposing to cardiovascular diseases in later life.
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