在怀孕和产后的代谢和葡萄糖耐受性:PONCH研究
Ulrika Andersson-Hall1, Anders Bay Nord2, Daniel Malmodin2,3
1Institute of Neuroscience and Physiology, Department of Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
PloS one
|November 7, 2025
概括
怀孕期间的代谢物变化,特别是酸盐和乳酸盐,与妊娠糖尿病和肥胖有关. 分链氨基酸 (BCAA) 在肥胖和妊娠糖尿病中升高,但可能与怀孕引起的胰岛素抵抗没有直接关系.
科学领域:
- 代谢研究的研究.
- 怀孕研究怀孕研究
- 肥胖和糖尿病的研究研究.
背景情况:
- 怀孕涉及显著的生理变化,特别是在肥胖 (OB) 和妊娠糖尿病 (GDM) 的妇女中.
- 了解代谢变化对于管理这些疾病至关重要.
研究的目的:
- 调查怀孕期间肥胖和GDM的女性和没有肥胖和GDM的女性的代谢物改变.
- 为了将这些代谢物变化与肥胖和葡萄糖代谢的临床变量相关联.
主要方法:
- 血清NMR代谢和临床数据从正常体重 (NW) 和OB妇女在怀孕和产后期间收集.
- 孕期糖尿病 (GDM) 参与者在怀孕晚期被评估.
主要成果:
- 怀孕引起的代谢物转移,包括分支链氨基酸 (BCAA) 和氨酸的减少,以及氨酸,糖酸,乳酸和酸盐的增加.
- 在怀孕前,BCAA与体脂肪和胰岛素耐药性相关,而在怀孕期间,pyruvate和乳酸与体脂肪,胰岛素耐药性和adipokines相关.
- 肥胖和GDM与怀孕后期的BCAA,氨酸,乳酸和酸盐水平较高有关.
结论:
- 在肥胖和GDM中增加的BCAA可能不会直接反映怀孕引起的胰岛素抵抗.
- 酸盐和乳酸盐与妊娠期葡萄糖代谢变化有关,可能受到潜在的肥胖的影响.
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