Pre-pregnancy and pregnancy obesity and neurodevelopmental outcomes in offspring: a systematic review
R J Van Lieshout1, V H Taylor, M H Boyle
1Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada. vanlierj@mcmaster.ca
Insights
Maternal obesity during pregnancy may increase offspring risks for cognitive, behavioral, and emotional issues. This includes attention deficit hyperactivity disorder, eating disorders, and psychotic disorders later in life.
Area of Science:
- Obstetrics and Gynecology
- Pediatric Neurology
- Reproductive Health
Background:
- Maternal obesity during pregnancy is linked to adverse outcomes for both mother and child.
- Emerging evidence suggests a connection between maternal obesity and fetal/newborn central nervous system issues.
Purpose of the Study:
- To systematically review existing studies on the association between maternal overweight/obesity during pregnancy and offspring cognitive, behavioral, and emotional problems.
Main Methods:
- A systematic review of 12 eligible studies was conducted.
- Studies examined a broad spectrum of offspring outcomes across different life stages.
Main Results:
- Eight of the reviewed studies provided evidence of a link between maternal obesity and offspring neurodevelopmental issues.
- Offspring of obese pregnancies may face higher risks for cognitive deficits and ADHD symptoms in childhood.
- Increased risks extend to eating disorders in adolescence and psychotic disorders in adulthood.
Conclusions:
- The findings suggest a potential increased risk for offspring neurodevelopmental, behavioral, and emotional problems associated with maternal obesity.
- Further research is warranted due to existing data limitations and the global obesity epidemic.
Abstract:
Maternal obesity in pregnancy is associated with a number of adverse outcomes for mother and her offspring both perinatally and later in life. This includes recent evidence that suggests that obesity in pregnancy may be associated with central nervous system problems in the foetus and newborn. Here, we systematically review studies that have explored associations between maternal overweight and obesity in pregnancy and cognitive, behavioural and emotional problems in offspring. The 12 studies eligible for this review examined a wide range of outcomes across the lifespan and eight provided evidence of a link. These data suggest that the offspring of obese pregnancies may be at increased risk of cognitive problems and symptoms of attention deficit hyperactivity disorder in childhood, eating disorders in adolescence and psychotic disorders in adulthood. Given the limitations of existing data, these findings warrant further study, particularly in light of the current worldwide obesity epidemic.
Related Concept Videos
Teratogenicity
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Diabetes Mellitus: Type 2 and Gestational
Obesity
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...


