2006
DOI: 10.1530/eje.1.02193
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Hypothalamic–pituitary–adrenal axis activity in adults who were prenatally exposed to the Dutch famine

Abstract: Objective: The hypothalamic-pituitary-adrenal (HPA) axis has been proposed to be susceptible to fetal programming, the process by which an adverse fetal environment elicits permanent physiological and metabolic alterations predisposing to disease in later life. It is hypothesized that fetal exposure to poor circumstances alters the set point of the HPA axis, leading to increased HPA axis activity and subsequent increased cortisol concentrations. In this study, we tested the hypothesis that prenatal exposure to… Show more

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Cited by 55 publications
(25 citation statements)
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“…For example, it has been proposed that glucocorticoids and insulin stimulate the consumption of highly calorie-dense foods ("comfort foods"), which, in turn, would protect the hypothalamic-pituitary-adrenal axis from potential dysfunction (32). Individuals with a history of IUGR show an increased adrenal response to acute stress (33,34). These features, combined with the known factor of insulin resistance, would exaggerate earlier tendencies to consume palatable, "comfort" foods over time.…”
Section: Iugr and Feeding Impulsivitymentioning
confidence: 99%
“…For example, it has been proposed that glucocorticoids and insulin stimulate the consumption of highly calorie-dense foods ("comfort foods"), which, in turn, would protect the hypothalamic-pituitary-adrenal axis from potential dysfunction (32). Individuals with a history of IUGR show an increased adrenal response to acute stress (33,34). These features, combined with the known factor of insulin resistance, would exaggerate earlier tendencies to consume palatable, "comfort" foods over time.…”
Section: Iugr and Feeding Impulsivitymentioning
confidence: 99%
“…Furthermore, associations between birth weight and elevated cortisol response to stimulation or suppression tests have been found [4,5]. However, these findings have not been uniform and controversy exists [3,6,7,8,9,10]. …”
Section: Introductionmentioning
confidence: 99%
“…Developmental maturation of the hypothalamic-pituitary-adrenal axis has been shown to be susceptible to fetal programming. Thus, it is hypothesized that an adverse fetal environment alters the ''set-point'' of the hypothalamicpituitary-adrenal axis, leading to increased activity of the hypothalamic-pituitary-adrenal axis and subsequent increased cortisol concentrations (15). Related recent work has also demonstrated similar ''developmental programming of hypothalamic feeding circuits'' (16) and of maternal care-giving behavior on the hypothalamic glucocorticoid receptor (17).…”
mentioning
confidence: 99%