2009
DOI: 10.1038/nrendo.2009.195
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Nutritional programming of the metabolic syndrome

Abstract: The primary markers of the metabolic syndrome are central obesity, insulin resistance and hypertension. In this review, we consider the effect of changes in maternal nutrition during critical windows in fetal development on an individual's subsequent predisposition to the metabolic syndrome. The fetal origins of obesity, cardiovascular disease and insulin resistance have been investigated in a wide range of epidemiological and animal studies; these investigations highlight adaptations made by the nutritionally… Show more

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Cited by 327 publications
(254 citation statements)
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“…Given that brain methylation cannot be studied in vivo in humans, and that epigenetic changes relevant for developmental programming can be part of a general response of the entire organism, 20,37 we used pyrosequencing to analyze rs6265 methylation in peripheral blood mononuclear cells (PBMCs) of 259 healthy humans. This site is differentially methylated in human PBMCs and, as predictable, methylation was affected by rs6265 genotype, given that only the Val allele has a CpG in this position (ANOVA: ND259; F 2,256 D1601.2; P < 0.001 ÃÃÃ ; ValVal > ValMet > MetMet; Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Given that brain methylation cannot be studied in vivo in humans, and that epigenetic changes relevant for developmental programming can be part of a general response of the entire organism, 20,37 we used pyrosequencing to analyze rs6265 methylation in peripheral blood mononuclear cells (PBMCs) of 259 healthy humans. This site is differentially methylated in human PBMCs and, as predictable, methylation was affected by rs6265 genotype, given that only the Val allele has a CpG in this position (ANOVA: ND259; F 2,256 D1601.2; P < 0.001 ÃÃÃ ; ValVal > ValMet > MetMet; Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Classic examples include fetal programming effects, such as maternal stress or undernutrition leading to fetal growth retardation, compromises in fetal cerebral development, catch-up growth, and early onset of insulin resistance and adult cardiometabolic diseases (1,2,45,46). It has been suggested that telomere length may, in part, underlie this association (47)(48)(49).…”
Section: Discussionmentioning
confidence: 99%
“…The fetal or developmentally programmed genesis of adult sickness hypothesis settled that environmental factors and maternal lifestyles, particularly adverse nutritional disturbances, proceed in early life to drive the risks for the onset of metabolic diseases and excessive weight gain in later life stages (23) . Indeed, maternal nutrition can programme gene expression patterns to the embryo that persist into adulthood and may contribute to the appearance of typical metabolic syndrome features such as hypertension, insulin resistance, hyperlipaemia and abdominal obesity (24) . The parental conditions and lifestyles, which may involve maternal size/obesity, famine at perinatal periods, the use of nutritional supplements, alcohol or drug abuse as well as the administration of therapeutical agents in this critical period may alter specific processes with an impact on embryonic, placental and fetal growth, organogenesis or regulatory set points for system functions affecting adiposity, where inflammatory and immunologically mediated processes may be involved (25) .…”
Section: The Developmental Origins Of Health and Disease Hypothesis Amentioning
confidence: 99%