Prevalence of diabetes and obesity in association with prematurity and growth restriction
Gretchen Kopec, Prem S Shekhawat, Maroun J Mhanna Department of Pediatrics, MetroHealth Medical Centre, Case Western Reserve University, Cleveland, OH, USA Abstract: Intrauterine growth restriction (IUGR) is when fetuses and newborn infants have not reached their true growth potent...
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Dove Medical Press
2017
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oai:doaj.org-article:e9358e0b38434abab4376627298b0ee32021-12-02T00:09:48ZPrevalence of diabetes and obesity in association with prematurity and growth restriction1178-7007https://doaj.org/article/e9358e0b38434abab4376627298b0ee32017-07-01T00:00:00Zhttps://www.dovepress.com/prevalence-of-diabetes-and-obesity-in-association-with-prematurity-and-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Gretchen Kopec, Prem S Shekhawat, Maroun J Mhanna Department of Pediatrics, MetroHealth Medical Centre, Case Western Reserve University, Cleveland, OH, USA Abstract: Intrauterine growth restriction (IUGR) is when fetuses and newborn infants have not reached their true growth potential as genetically defined. Fetuses with IUGR develop in a less than ideal environment that leads to epigenetic changes and marks infants’ metabolism for the rest of their lives. Epigenetic changes affect insulin-like growth factor-1 (IGF-1) levels and lead to insulin resistance and ultimately to a metabolic syndrome. The metabolic syndrome is a constellation of illnesses that raise one’s risk for type 2 diabetes mellitus, coronary artery disease, and ischemic heart disease, including hypertension, dyslipidemia, central obesity, insulin resistance, and inflammation. The association between IUGR or prematurity and long-term insulin resistance, obesity, hypertension, and metabolic syndrome remains unclear. While studies have shown an association, others have not supported such association. If alteration of intrauterine growth can ultimately lead to the development of metabolic derangements in childhood and adulthood, and if such association is true, then early interventions targeting the health of pregnant women will ensure the health of the population to follow. Keywords: diabetes, obesity, low birth weight infants, metabolic syndromeKopec GShekhawat PSMhanna MJDove Medical PressarticleDiabetesObesityLow Birth Weight InfantsMetabolic syndromeSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 10, Pp 285-295 (2017) |
institution |
DOAJ |
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DOAJ |
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EN |
topic |
Diabetes Obesity Low Birth Weight Infants Metabolic syndrome Specialties of internal medicine RC581-951 |
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Diabetes Obesity Low Birth Weight Infants Metabolic syndrome Specialties of internal medicine RC581-951 Kopec G Shekhawat PS Mhanna MJ Prevalence of diabetes and obesity in association with prematurity and growth restriction |
description |
Gretchen Kopec, Prem S Shekhawat, Maroun J Mhanna Department of Pediatrics, MetroHealth Medical Centre, Case Western Reserve University, Cleveland, OH, USA Abstract: Intrauterine growth restriction (IUGR) is when fetuses and newborn infants have not reached their true growth potential as genetically defined. Fetuses with IUGR develop in a less than ideal environment that leads to epigenetic changes and marks infants’ metabolism for the rest of their lives. Epigenetic changes affect insulin-like growth factor-1 (IGF-1) levels and lead to insulin resistance and ultimately to a metabolic syndrome. The metabolic syndrome is a constellation of illnesses that raise one’s risk for type 2 diabetes mellitus, coronary artery disease, and ischemic heart disease, including hypertension, dyslipidemia, central obesity, insulin resistance, and inflammation. The association between IUGR or prematurity and long-term insulin resistance, obesity, hypertension, and metabolic syndrome remains unclear. While studies have shown an association, others have not supported such association. If alteration of intrauterine growth can ultimately lead to the development of metabolic derangements in childhood and adulthood, and if such association is true, then early interventions targeting the health of pregnant women will ensure the health of the population to follow. Keywords: diabetes, obesity, low birth weight infants, metabolic syndrome |
format |
article |
author |
Kopec G Shekhawat PS Mhanna MJ |
author_facet |
Kopec G Shekhawat PS Mhanna MJ |
author_sort |
Kopec G |
title |
Prevalence of diabetes and obesity in association with prematurity and growth restriction |
title_short |
Prevalence of diabetes and obesity in association with prematurity and growth restriction |
title_full |
Prevalence of diabetes and obesity in association with prematurity and growth restriction |
title_fullStr |
Prevalence of diabetes and obesity in association with prematurity and growth restriction |
title_full_unstemmed |
Prevalence of diabetes and obesity in association with prematurity and growth restriction |
title_sort |
prevalence of diabetes and obesity in association with prematurity and growth restriction |
publisher |
Dove Medical Press |
publishDate |
2017 |
url |
https://doaj.org/article/e9358e0b38434abab4376627298b0ee3 |
work_keys_str_mv |
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