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Published on: January 7, 2018
High birthweight was not associated with altered body composition or impaired glucose tolerance in adulthood
Inger Wahlström Johnsson1, Fredrik Ahlsson1, Jan Gustafsson1
1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Insights
High birthweight in infancy did not correlate with increased body fat or glucose intolerance in adulthood. This study found no significant differences in body composition or insulin sensitivity in adults with higher birthweights.
Area of Science:
- Pediatric Endocrinology
- Metabolic Health
- Human Physiology
Background:
- Birthweight is a key indicator of fetal growth and development.
- Early life factors can influence long-term metabolic health.
- Understanding the long-term implications of high birthweight is crucial for public health.
Purpose of the Study:
- To determine if a high birthweight is linked to greater body fat percentage in adulthood.
- To investigate the association between high birthweight and impaired glucose tolerance later in life.
Main Methods:
- A cohort study compared 27 adults born with high birthweights (≥4500 g) to 27 controls (birthweights within ±1 SD).
- Body composition was assessed using air plethysmography and bioimpedance (three-compartment model).
- Glucose tolerance was evaluated via an oral glucose tolerance test, with insulin sensitivity measured using HOMA-2 and Matsuda indices.
Main Results:
- No significant differences were observed in body mass index (BMI) between the high birthweight group and controls.
- Body composition, including body fat percentage, did not differ between the two groups.
- Insulin sensitivity and glucose tolerance were comparable in adults with high birthweights versus controls.
Conclusions:
- In this cohort, moderately high birthweight was not associated with adverse changes in adult body composition.
- Glucose tolerance and insulin sensitivity were not negatively impacted by a high birthweight in this study population.
- Further research with larger cohorts may be warranted to confirm these findings.
Aim:
To investigate whether a high birthweight was associated with an increased proportion of body fat or with impaired glucose tolerance in adulthood.
Methods:
Our cohort comprised 27 subjects with birthweights of 4500 g or more, and 27 controls with birthweights within ±1 standard deviation scores, born at Uppsala University Hospital 1975-1979. The subjects were 34-40 years old at the time of study. Anthropometric data was collected, and data on body composition was obtained by air plethysmography and bioimpedance and was estimated with a three-compartment model. Indirect calorimetry, blood sampling for fasting insulin and glucose as well as a 75 g oral glucose tolerance test were also performed. Insulin sensitivity was assessed using homoeostasis model assessment 2 and Matsuda index.
Results:
There were no differences in body mass index, body composition or insulin sensitivity between subjects with a high birthweight and controls.
Conclusion:
In this cohort of adult subjects, although limited in size, those born with a moderately high birthweight did not differ from those with birthweights within ±1 standard deviation scores, regarding body composition or glucose tolerance.
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