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Impact of maternal obesity on offspring obesity and cardiometabolic disease risk
Amanda J Drake1, Rebecca M Reynolds
1Endocrinology Unit, Queen's Medical Research Institute, Centre for Cardiovascular Sciences, University of Edinburgh, 47 Little France Crescent, Edinburgh, EH16 6TJ, UK.
Insights
Maternal obesity during pregnancy increases offspring
Area of Science:
- Reproductive Health
- Pediatric Health
- Metabolic Disorders
Background:
- Rising prevalence of maternal obesity globally.
- Established short-term pregnancy complications.
- Emerging evidence of long-term offspring health risks.
Purpose of the Study:
- Investigate long-term health consequences of maternal obesity on offspring.
- Explore mechanisms linking maternal obesity to offspring disease risk.
- Identify potential targets for prevention and intervention.
Main Methods:
- Review of animal and human studies.
- Analysis of offspring outcomes including obesity, body composition, and cardiometabolic health.
- Examination of potential biological pathways involved.
Main Results:
- Maternal obesity linked to increased offspring risk of obesity and altered body composition.
- Offspring exhibit cardiometabolic dysregulation: impaired glucose/insulin homeostasis, hypertension, vascular dysfunction.
- Potential mechanisms involve effects on offspring adipose tissue, pancreas, muscle, liver, vasculature, and brain development.
Conclusions:
- Maternal obesity has profound, lasting adverse effects on offspring health.
- Understanding these programming mechanisms is crucial for future interventions.
- Aims to improve health for current and future generations through targeted strategies.
Abstract:
The prevalence of obesity among pregnant women is increasing. In addition to the short-term complications of obesity during pregnancy in both mother and child, it is now recognised that maternal obesity has long-term adverse outcomes for the health of her offspring in later life. Evidence from both animal and human studies indicates that maternal obesity increases the risk for the offspring in developing obesity and altering body composition in child- and adulthood and, additionally, it also has an impact on the offspring's cardiometabolic health with dysregulation of metabolism including glucose/insulin homoeostasis, and development of hypertension and vascular dysfunction. Potential mechanisms include effects on the development and function of adipose tissue, pancreas, muscle, liver, the vasculature and the brain. Further studies are required to elucidate the mechanisms underpinning the programming of disease risk in the offspring as a consequence of maternal obesity. The ultimate aim is to identify potential targets, which may be amenable to prevention or early intervention in order to improve the health of this and future generations.
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