Western-style diet consumption impairs maternal insulin sensitivity and glucose metabolism during pregnancy in a Japanese macaque model

Abstract The prevalence of maternal obesity is increasing in the United States. Offspring born to women with obesity or poor glycemic control have greater odds of becoming obese and developing metabolic disease later in life. Our group has utilized a macaque model to study the metabolic effects of c...

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Autores principales: Joseph M. Elsakr, Sifang Kathy Zhao, Valerie Ricciardi, Tyler A. Dean, Diana L. Takahashi, Elinor Sullivan, Stephanie R. Wesolowski, Carrie E. McCurdy, Paul Kievit, Jacob E. Friedman, Kjersti M. Aagaard, Digna R. Velez  Edwards, Maureen Gannon
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:aa19a82e9f5149fe9535985f2027cb5b2021-12-02T16:07:04ZWestern-style diet consumption impairs maternal insulin sensitivity and glucose metabolism during pregnancy in a Japanese macaque model10.1038/s41598-021-92464-w2045-2322https://doaj.org/article/aa19a82e9f5149fe9535985f2027cb5b2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92464-whttps://doaj.org/toc/2045-2322Abstract The prevalence of maternal obesity is increasing in the United States. Offspring born to women with obesity or poor glycemic control have greater odds of becoming obese and developing metabolic disease later in life. Our group has utilized a macaque model to study the metabolic effects of consumption of a calorically-dense, Western-style diet (WSD; 36.3% fat) during pregnancy. Here, our objective was to characterize the effects of WSD and obesity, alone and together, on maternal glucose tolerance and insulin levels in dams during each pregnancy. Recognizing the collinearity of maternal measures, we adjusted for confounding factors including maternal age and parity. Based on intravenous glucose tolerance tests, dams consuming a WSD showed lower glucose area under the curve during first study pregnancies despite increased body fat percentage and increased insulin area under the curve. However, with (1) prolonged WSD feeding, (2) multiple diet switches, and/or (3) increasing age and parity, WSD was associated with increasingly higher insulin levels during glucose tolerance testing, indicative of insulin resistance. Our results suggest that prolonged or recurrent calorically-dense WSD and/or increased parity, rather than obesity per se, drive excess insulin resistance and metabolic dysfunction. These observations in a highly relevant species are likely of clinical and public health importance given the comparative ease of maternal dietary modifications relative to the low likelihood of successfully reversing obesity in the course of any given pregnancy.Joseph M. ElsakrSifang Kathy ZhaoValerie RicciardiTyler A. DeanDiana L. TakahashiElinor SullivanStephanie R. WesolowskiCarrie E. McCurdyPaul KievitJacob E. FriedmanKjersti M. AagaardDigna R. Velez  EdwardsMaureen GannonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Joseph M. Elsakr
Sifang Kathy Zhao
Valerie Ricciardi
Tyler A. Dean
Diana L. Takahashi
Elinor Sullivan
Stephanie R. Wesolowski
Carrie E. McCurdy
Paul Kievit
Jacob E. Friedman
Kjersti M. Aagaard
Digna R. Velez  Edwards
Maureen Gannon
Western-style diet consumption impairs maternal insulin sensitivity and glucose metabolism during pregnancy in a Japanese macaque model
description Abstract The prevalence of maternal obesity is increasing in the United States. Offspring born to women with obesity or poor glycemic control have greater odds of becoming obese and developing metabolic disease later in life. Our group has utilized a macaque model to study the metabolic effects of consumption of a calorically-dense, Western-style diet (WSD; 36.3% fat) during pregnancy. Here, our objective was to characterize the effects of WSD and obesity, alone and together, on maternal glucose tolerance and insulin levels in dams during each pregnancy. Recognizing the collinearity of maternal measures, we adjusted for confounding factors including maternal age and parity. Based on intravenous glucose tolerance tests, dams consuming a WSD showed lower glucose area under the curve during first study pregnancies despite increased body fat percentage and increased insulin area under the curve. However, with (1) prolonged WSD feeding, (2) multiple diet switches, and/or (3) increasing age and parity, WSD was associated with increasingly higher insulin levels during glucose tolerance testing, indicative of insulin resistance. Our results suggest that prolonged or recurrent calorically-dense WSD and/or increased parity, rather than obesity per se, drive excess insulin resistance and metabolic dysfunction. These observations in a highly relevant species are likely of clinical and public health importance given the comparative ease of maternal dietary modifications relative to the low likelihood of successfully reversing obesity in the course of any given pregnancy.
format article
author Joseph M. Elsakr
Sifang Kathy Zhao
Valerie Ricciardi
Tyler A. Dean
Diana L. Takahashi
Elinor Sullivan
Stephanie R. Wesolowski
Carrie E. McCurdy
Paul Kievit
Jacob E. Friedman
Kjersti M. Aagaard
Digna R. Velez  Edwards
Maureen Gannon
author_facet Joseph M. Elsakr
Sifang Kathy Zhao
Valerie Ricciardi
Tyler A. Dean
Diana L. Takahashi
Elinor Sullivan
Stephanie R. Wesolowski
Carrie E. McCurdy
Paul Kievit
Jacob E. Friedman
Kjersti M. Aagaard
Digna R. Velez  Edwards
Maureen Gannon
author_sort Joseph M. Elsakr
title Western-style diet consumption impairs maternal insulin sensitivity and glucose metabolism during pregnancy in a Japanese macaque model
title_short Western-style diet consumption impairs maternal insulin sensitivity and glucose metabolism during pregnancy in a Japanese macaque model
title_full Western-style diet consumption impairs maternal insulin sensitivity and glucose metabolism during pregnancy in a Japanese macaque model
title_fullStr Western-style diet consumption impairs maternal insulin sensitivity and glucose metabolism during pregnancy in a Japanese macaque model
title_full_unstemmed Western-style diet consumption impairs maternal insulin sensitivity and glucose metabolism during pregnancy in a Japanese macaque model
title_sort western-style diet consumption impairs maternal insulin sensitivity and glucose metabolism during pregnancy in a japanese macaque model
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/aa19a82e9f5149fe9535985f2027cb5b
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