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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Autores principales: Kopec G, Shekhawat PS, Mhanna MJ
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
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Acceso en línea:https://doaj.org/article/e9358e0b38434abab4376627298b0ee3
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spelling 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
collection DOAJ
language EN
topic Diabetes
Obesity
Low Birth Weight Infants
Metabolic syndrome
Specialties of internal medicine
RC581-951
spellingShingle 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
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AT mhannamj prevalenceofdiabetesandobesityinassociationwithprematurityandgrowthrestriction
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