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Effect of low birth weight on women's health
Barbara T Alexander1, John Henry Dasinger1, Suttira Intapad1
1Department of Physiology and Biophysics and the Women's Health Research Center, University of Mississippi Medical Center, Jackson, Mississippi.
Insights
Low birth weight increases the risk of chronic diseases like hypertension and diabetes in both men and women. It is also linked to earlier menopause, highlighting the need for further research on women
Area of Science:
- Reproductive Health
- Developmental Biology
- Chronic Disease Epidemiology
Background:
- The developmental origins of health and disease (DOHaD) theory posits that low birth weight (LBW), indicative of poor fetal growth, elevates the risk of adult chronic noncommunicable diseases.
- While LBW's association with conditions like hypertension, type 2 diabetes mellitus, and osteoporosis is established, the differential impact on women's health compared to men remains unclear.
- Investigating the mechanisms linking fetal programming to later-life disease, considering sex and age influences, is crucial for understanding long-term health trajectories.
Purpose of the Study:
- To review the existing literature on the impact of low birth weight on women's health.
- To explore potential mechanisms underlying the increased risk of chronic diseases programmed by a poor fetal environment in females.
- To provide insights into how sex and age modulate the risk of chronic disease across a woman's lifespan.
Main Methods:
- A comprehensive literature search was conducted using PubMed.
- Keywords included "low birth weight," "women's health," "female," and "sex differences."
- Additional search terms encompassed various chronic diseases and physiological parameters such as blood pressure, hypertension, renal and cardiovascular function, obesity, glucose intolerance, type 2 diabetes, osteoporosis, bone health, reproductive senescence, menopause, and aging.
Main Results:
- Low birth weight is significantly associated with major chronic diseases, including hypertension, cardiovascular disease, impaired glucose homeostasis, and type 2 diabetes mellitus.
- Individuals with low birth weight also exhibit impaired bone mass, leading to osteoporosis.
- Furthermore, low birth weight is linked to an increased risk of early reproductive aging and menopause.
Conclusions:
- Low birth weight is a critical risk factor for developing chronic diseases in both men and women.
- The association between low birth weight and an increased risk of early menopause in women warrants further investigation.
- Additional research is necessary to fully elucidate the long-term effects of sex and age on developmental programming of adult health and disease in women throughout their lifespan.
Purpose:
The theory of the developmental origins of health and disease hypothesizes that low birth weight (≤5.5 lb) indicative of poor fetal growth is associated with an increased risk of chronic, noncommunicable disease in later life, including hypertension, type 2 diabetes mellitus, and osteoporosis. Whether women are at greater risk than men is not clear. Experimental studies that mimic the cause of slow fetal growth are being used to examine the underlying mechanisms that link a poor fetal environment with later chronic disease and investigate how sex and age affect programmed risk. Thus, the aims of this review are to summarize the current literature related to the effect of low birth weight on women's health and provide insight into potential mechanisms that program increased risk of chronic disease across the lifespan.
Methods:
A search of PubMed was performed with the keywords low birth weight, women's health, female, and sex differences; additional terms included blood pressure, hypertension, renal, cardiovascular, obesity, glucose intolerance, type 2 diabetes, osteoporosis, bone health, reproductive senescence, menopause, and aging.
Findings:
The major chronic diseases associated with low birth weight include high blood pressure and cardiovascular disease, impaired glucose homeostasis and type 2 diabetes, impaired bone mass and osteoporosis, and early reproductive aging.
Implications:
Low birth weight increases the risk of chronic disease in men and women. Low birth weight is also associated with increased risk of early menopause. Further studies are needed to fully address the effect of sex and age on the developmental programming of adult health and disease in women across their lifespan.
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