Developmental biology: Support mothers to secure future public health

Barker, D. J. P.; Barker, Mary; Fleming, Tom P.; Lampl, Michelle

doi:10.1038/504209a

Cited by 85 publications

(82 citation statements)

References 10 publications

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“…First or recurrent teenage pregnancy can be reduced by 15-37% through implementation of comprehensive targeted strategies [272]. Preconception health is, therefore, not only related to obstetric and medical risk factors, such as chronic diseases, but also to lifestyle, education, working conditions, experience of violence, geography, and the socioeconomic status of women [265,266,275]. Preconception care, therefore, encompasses a multisectoral approach as highlighted in the Sustainable Development Goals (SDGs) to improve overall health, life choices, and opportunities for women, and can be delivered successfully at all tiers of the health system [266] (Fig.…”

Section: Consensus Recommendationsmentioning

confidence: 99%

The Impact of Kidney Development on the Life Course: A Consensus Document for Action

Brenner

Charlton

Luyckx

et al. 2017

Nephron

120

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Hypertension and chronic kidney disease (CKD) have a significant impact on global morbidity and mortality. The Low Birth Weight and Nephron Number Working Group has prepared a consensus document aimed to address the relatively neglected issue for the developmental programming of hypertension and CKD. It emerged from a workshop held on April 2, 2016, including eminent internationally recognized experts in the field of obstetrics, neonatology, and nephrology. Through multidisciplinary engagement, the goal of the workshop was to highlight the association between fetal and childhood development and an increased risk of adult diseases, focusing on hypertension and CKD, and to suggest possible practical solutions for the future. The recommendations for action of the consensus workshop are the results of combined clinical experience, shared research expertise, and a review of the literature. They highlight the need to act early to prevent CKD and other related noncommunicable diseases later in life by reducing low birth weight, small for gestational age, prematurity, and low nephron numbers at birth through coordinated interventions. Meeting the current unmet needs would help to define the most cost-effective strategies and to optimize interventions to limit or interrupt the developmental programming cycle of CKD later in life, especially in the poorest part of the world.

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Section: Consensus Recommendationsmentioning

confidence: 99%

The Impact of Kidney Development on the Life Course: A Consensus Document for Action

Brenner

Charlton

Luyckx

et al. 2017

Nephron

120

View full text Add to dashboard Cite

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“…At inclusion, in median gestational week 15 (range: [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20], the women answered an FFQ. The study design was cross-sectional as the women reported how often they consumed the different drinks at inclusion and in retrospect how often they drank the different beverages before they got pregnant.…”

Section: Population and Study Designmentioning

confidence: 99%

“…There is also emerging knowledge on the effect of toxic dietary substances and non-nutrients on fetal health (4)(5)(6)(7)(8) . Thus, women's nutrition both prepregnancy and in pregnancy is an important public health issue (9) and this time period is regarded as a 'window of opportunity' when most women are highly motivated for dietary improvements (10,11) . The Norwegian public health authorities give general advice on a balanced and healthy diet.…”

mentioning

confidence: 99%

Changes in beverage consumption from pre-pregnancy to early pregnancy in the Norwegian Fit for Delivery study

Skreden

Bere

Sagedal

et al. 2014

Public Health Nutr.

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Objective: To describe changes in consumption of different types of beverages from pre-pregnancy to early pregnancy, and to examine associations with maternal age, educational level and BMI. Design: Cross-sectional design. Participants answered an FFQ at inclusion into a randomized controlled trial, the Fit for Delivery (FFD) trial, in median gestational week 15 (range: 9-20), reporting current consumption and in retrospect how often they drank the different beverages pre-pregnancy. Setting: Eight local antenatal clinics in southern Norway from September 2009 to February 2013. Subjects: Five hundred and seventy-five healthy pregnant nulliparous women. Results: Pre-pregnancy, 27 % reported drinking alcohol at least once weekly, compared with none in early pregnancy (P < 0·001). The percentage of women drinking coffee (38 % v. 10 %, P < 0·001), sugar-sweetened beverages (10 % v. 6 %, P = 0·011) and artificially sweetened beverages (12 % v. 9 %, P = 0·001) at least daily decreased significantly from pre-pregnancy to early pregnancy, while the percentage of women who reported to drink water (85 % v. 92 %, P < 0·001), fruit juice (14 % v. 20 %, P = 0·001) and milk (37 % v. 42 %, P = 0·001) at least daily increased significantly. From pre-pregnancy to early pregnancy higher educated women reduced their consumption frequency of coffee significantly more than women with lower education. Older women reduced their consumption frequency of coffee and artificially sweetened beverages and increased their consumption frequency of fruit juice and milk significantly more than younger women. Conclusions: There is a significant change in beverage consumption from pre-pregnancy to early pregnancy among Norwegian nulliparous women.

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“…Questions about the long shadow of the uterine environment are part of a burgeoning field known as developmental origins of health and disease (DOHaD) 1 . For example, one study revealed 2 that 45% of children born to women with type 2 diabetes develop diabetes by their mid-twenties, compared with 9% of children whose mothers developed diabetes after pregnancy.…”

mentioning

confidence: 99%