[Early origins of arterial hypertension and cardiovascular diseases]

Umberto Simeoni1, Isabelle Ligi, Isabelle Grandvuillemin

  • 1Médecine néonatale, Pôle parents-enfants, Hôpital de la Conception, AP-HM et UMR 608, Inserm - 147 bid Baille 13005 Marseille, Aix-Marseille Université. UmbertoSimeoni@ap-hm.fr

Insights

Early life environmental exposures can lead to lifelong health issues, including hypertension and obesity. Understanding developmental programming is key to preventing adult diseases through early interventions.

Area of Science:

  • Developmental biology
  • Environmental health
  • Preventive medicine

Context:

  • Most adult mortality causes in industrialized nations originate in early development.
  • The conception-to-infancy period is highly sensitive to environmental factors, causing physiological malprogramming.
  • Perinatal insults are linked to adult conditions like obesity, cancer, and behavioral disorders.

Purpose:

  • To review the mechanisms of early developmental programming of adult diseases, using hypertension as a model.
  • To explore the continuum from normal development to disease, the role of nutrition, and early biomarkers.
  • To highlight the global challenge of developmental origins of health and disease (DOHaD) in emerging economies.

Summary:

  • Early life insults, particularly impacting the kidney and vasculature, can program long-term health outcomes.
  • Nutritional and epigenetic factors play crucial roles in the developmental origins of cardiovascular and metabolic disorders.
  • Research focuses on early nutritional and lifestyle interventions to mitigate lifelong disease risks.

Impact:

  • Informs strategies for preventing chronic diseases by targeting early life stages.
  • Highlights the importance of DOHaD research in addressing global health challenges.
  • Emphasizes the need for early nutritional and lifestyle interventions for lifelong health and well-being.

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