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Updated: Mar 10, 2026

Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
LDL cholesterol in early pregnancy and offspring cardiovascular disease risk factors
Jacob J Christensen1, Kjetil Retterstøl1, Kristin Godang2
1Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway; The Lipid Clinic, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Insights
Maternal high LDL cholesterol (LDL-C) in pregnancy is linked to higher offspring LDL-C by age 6-13. This may increase children's future cardiovascular disease risk.
Area of Science:
- Obstetrics and Gynecology
- Pediatrics
- Cardiovascular Disease Research
Background:
- Maternal health during pregnancy significantly impacts offspring's long-term health.
- Established links exist between maternal conditions (obesity, diabetes) and offspring cardiovascular disease (CVD) risk.
- The association between elevated maternal LDL cholesterol (LDL-C) during pregnancy and offspring CVD risk is understudied.
Purpose of the Study:
- To investigate the relationship between high maternal LDL-C in pregnancy and CVD risk factors in offspring aged 6-13 years.
- To compare CVD risk indicators in children born to mothers with high versus low pregnancy LDL-C levels.
Main Methods:
- Recruited children aged 6-13 from a pregnancy cohort based on maternal LDL-C levels (high: >90th percentile, low: <10th percentile).
- Measured cardiovascular disease risk factors in the selected children.
- Analyzed maternal plasma LDL-C at 14-16 weeks gestation.
Main Results:
- Maternal LDL-C was significantly higher in the hypercholesterolemic group (4.0 mmol/L) compared to the hypocholesterolemic group (1.4 mmol/L).
- Offspring of mothers with hypercholesterolemia had higher plasma LDL-C by 0.4 mmol/L.
- No significant differences were observed in birth weight, other CVD risk factors, or dietary intake between the groups.
Conclusions:
- Elevated maternal LDL-C in early pregnancy is associated with increased LDL-C in offspring aged 6-13 years.
- Children exposed to high maternal LDL-C may face a heightened risk of cardiovascular disease.
- Early intervention and cholesterol management in pregnant women could mitigate future offspring cardiovascular risk.
Background:
Vast amounts of data show associations between maternal obesity, dysglycemia, diabetes, and undernutrition during pregnancy and increased cardiovascular disease risk in offspring. However, elevated maternal LDL cholesterol (LDL-C) in pregnancy and offspring cardiovascular disease (CVD) risk has scarcely been studied.
Objective:
Our objective was to investigate the associations between elevated maternal LDL-C in pregnancy and CVD risk factors in 6-to-13-year-old offspring.
Methods:
We recruited 6-to-13-year-old children whose mothers attended a pregnancy cohort and who had high or low cholesterol in pregnancy, defined as LDL-C over the 90th percentile or below the 10th percentile within the pregnancy cohort, respectively. We measured CVD risk factors in the children in the 2 groups.
Results:
Maternal plasma LDL-C at gestational week 14 to 16 was 4.0 and 1.4 mmol/L in the hypercholesterolemic (n = 27) and hypocholesterolemic (n = 34) groups, respectively (P < .001). Interestingly, offspring plasma LDL-C was 0.4 mmol/L higher in children whose mothers had hypercholesterolemia during pregnancy (P < .01). We found no difference in birthweight or any other clinical or biochemical CVD risk factors or dietary intake between the children at 6-13 years.
Conclusions:
Women with elevated LDL-C during early pregnancy have offspring with higher LDL-C already at the age of 6-13 years. Unless cholesterol-reducing measures are successfully implemented, the affected children may be at increased cardiovascular risk.
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