Antenatal corticosteroid exposure at term increases adult adiposity: an experimental study in sheep

Mary J Berry1, Anne L Jaquiery, Mark H Oliver

  • 1Liggins Institute, University of Auckland, Auckland, New Zealand.

Insights

Antenatal corticosteroids given during early-term gestation may lead to increased weight and fat mass in female offspring. Further research is needed to determine if early-term corticosteroid exposure impacts adult adiposity in humans.

Area of Science:

  • Reproductive Medicine
  • Developmental Biology
  • Endocrinology

Background:

  • Clinical guidelines recommend antenatal corticosteroids for early-term elective cesarean sections (37-38 weeks) to mitigate neonatal respiratory issues.
  • The long-term health effects of term-equivalent corticosteroid exposure on offspring are not well understood and may differ from preterm exposure.

Purpose of the Study:

  • To investigate the long-term effects of antenatal corticosteroid exposure at term gestation on offspring body composition.

Main Methods:

  • Singleton-bearing ewes (n=64) were randomized to receive either a clinical dose of corticosteroids at term or no treatment.
  • Adult offspring body composition was evaluated using dual-energy X-ray absorptiometry.

Main Results:

  • Female offspring exposed to corticosteroids in utero exhibited increased relative weight and fat mass compared to controls.
  • These effects on body composition were not observed in male offspring.

Conclusions:

  • Antenatal corticosteroid administration at early-term gestation may influence offspring body composition, specifically increasing adiposity in females.
  • Human studies are necessary to confirm whether early-term corticosteroid exposure contributes to adult adiposity.