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Updated: May 26, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Metabolic syndrome in children born small-for-gestational age
María Isabel Hernández1, Verónica Mericq
1Institute of Maternal and Child Disease, School of Medicine, University of Chile, Chile.
Insights
Children born small-for-gestational age (SGA) face higher risks of chronic diseases like metabolic syndrome due to early life factors. Interventions focusing on maternal nutrition and healthy infant growth are crucial.
Area of Science:
- Pediatrics
- Endocrinology
- Public Health
Background:
- Birth weight and early growth influence long-term health.
- Small-for-gestational age (SGA) infants are at increased risk for chronic diseases.
- Intrauterine environment and epigenetic programming play a role in metabolic syndrome development.
Purpose of the Study:
- To explore the link between SGA birth, rapid infant weight gain, and chronic disease development.
- To highlight the components of metabolic syndrome and its early onset.
- To identify key intervention points for preventing chronic diseases in SGA individuals.
Main Methods:
- Review of existing literature linking SGA, early growth, and metabolic syndrome.
- Definition of metabolic syndrome criteria (waist circumference, blood pressure, lipids, glucose).
- Examination of early markers like insulin resistance at one year of age.
Main Results:
- SGA birth and rapid infant weight gain are associated with metabolic syndrome.
- Metabolic syndrome components include central obesity, hypertension, dyslipidemia, and hyperglycemia.
- Insulin resistance, obesity, and type 2 diabetes are more common in SGA individuals.
Conclusions:
- Early life factors significantly impact the risk of developing chronic diseases.
- Interventions should focus on maternal nutrition, breastfeeding, and preventing rapid infant weight gain.
- Promoting a healthy lifestyle from infancy is essential for mitigating risks associated with SGA birth.
Abstract:
Being born small-for-gestational age and a rapid increase in weight during early childhood and infancy has been strongly linked with chronic diseases, including metabolic syndrome, which has been related to intrauterine life environment and linked to epigenetic fetal programming. Metabolic syndrome includes waist circumference ≥ 90(th) percentile for age, sex and race, higher levels of blood pressure, triglycerides and fasting glucose, and low levels of HDL-cholesterol. Insulin resistance may be present as early as 1 year of age, and obesity and/or type 2 diabetes are more prevalent in those born SGA than those born AGA. The programming of adaptive responses in children born SGA includes an association with increased blood pressure, changes in endothelial function, arterial properties and coronary disease. Early interventions should be directed to appropriate maternal nutrition, before and during pregnancy, promotion of breast feeding, and prevention of rapid weight gain during infancy, and to promote a healthy lifestyle.
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