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Published on: October 25, 2015
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.
Abstract:
Clinical practice guidelines for elective cesarean section at early-term gestation (37-38 weeks) recommend antenatal corticosteroids to reduce neonatal respiratory morbidity. However, the long-term health implications for offspring exposed to corticosteroids at term are unknown and may differ from the effects of preterm corticosteroid exposure. We therefore randomized singleton-bearing ewes (n = 64) to receive a clinically relevant dose of corticosteroids at term or no treatment. Body composition was assessed in adult offspring using dual-energy X-ray absorptiometry. Relative to skeletal size female, but not male, offspring of steroid-treated ewes had increased weight and a greater fat mass than controls (relative weight: 49.1 ± 1.1 vs. 52.9 ± 1.2 kg/m², p = 0.02; relative fat mass: 5.4 ± 0.7 vs. 3.4 ± 0.7 kg/m², p = 0.04). Whether corticosteroid exposure at early-term gestation increases adult adiposity in humans is unknown and needs further investigation.
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