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Developmental Programming of Body Composition: Update on Evidence and Mechanisms
1Department of Pediatrics, Harvard Medical School, Boston, MA, USA. Elvira.Isganaitis@joslin.harvard.edu.
Current Diabetes Reports
|July 22, 2019
Summary
Prenatal stressors like poor nutrition can alter a child's body composition, increasing risks for obesity and diabetes later in life. This developmental programming affects muscle, bone, and fat mass.
Area of Science:
- Developmental biology
- Nutritional science
- Epidemiology
Background:
- Early life nutritional and environmental stressors can lead to long-term health issues.
- Developmental programming describes adaptations during early development that increase chronic disease risk.
- Altered body composition, including reduced muscle/bone and increased fat mass, is a common phenotype.
Purpose of the Study:
- To review literature linking prenatal factors to future body composition.
- To explore the mechanisms contributing to developmental programming of body composition.
Main Methods:
- Literature review of epidemiological and experimental data.
- Synthesis of recent findings on prenatal exposures and body composition.
- Exploration of molecular and physiological mechanisms.
Main Results:
- Prenatal exposures (e.g., growth restriction, maternal diabetes/obesity) are linked to increased fat mass and reduced muscle/bone density.
- These effects persist from infancy through middle age.
- Mediators include maternal diet, breastmilk, metabolites, appetite regulation, epigenetics, and mitochondrial function.
Conclusions:
- Prenatal environmental disruptions significantly impact long-term body composition.
- Altered body composition is a key factor in developmental programming of obesity and diabetes.
- Understanding these mechanisms is crucial for early intervention strategies.
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