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Early Life Programming of Vascular Aging and Cardiometabolic Events : The McDonald Lecture 2022

Nilsson, Peter M. LU (2023) In Artery Research 29(2). p.28-33
Abstract

The early life programming of adult health and disease (Developmental Origins of Adult Health and Disease; DOHaD) concept has attracted increased attention during recent years. In this review evidence is presented for epidemiological associations between early life factors (birth weight, prematurity) and cardiometabolic traits and risk of disease in adult life. Even if not all studies concur, the evidence in general is supporting such links. This could be due to either nature or nurture. There is evidence to state that genetic markers influencing birth weight could also be of importance for offspring hypertension or risk of coronary heart disease, this supporting the nature argument. On the other hand, several studies, both historical... (More)

The early life programming of adult health and disease (Developmental Origins of Adult Health and Disease; DOHaD) concept has attracted increased attention during recent years. In this review evidence is presented for epidemiological associations between early life factors (birth weight, prematurity) and cardiometabolic traits and risk of disease in adult life. Even if not all studies concur, the evidence in general is supporting such links. This could be due to either nature or nurture. There is evidence to state that genetic markers influencing birth weight could also be of importance for offspring hypertension or risk of coronary heart disease, this supporting the nature argument. On the other hand, several studies, both historical and experimental, have found that the change of maternal dietary intake or famine in pregnancy may cause permanent changes in offspring body composition as well as in hemodynamic regulation. Taken together, this also supports the strategy of preventive maternal and child health care, starting already during the preconception period, for lowering the risk of adult cardiometabolic disease in the affected offspring. Further studies are needed to better understand the mediating mechanisms, for example concerning arterial function, hemodynamic regulation, renal function, and neuroendocrine influences, related to the development of early vascular aging (EVA) and cardiovascular disease manifestations.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Birth weight, Early life, Epidemiology, Genes, Nature, Nurture
in
Artery Research
volume
29
issue
2
pages
6 pages
publisher
Elsevier
external identifiers
  • scopus:85161010269
ISSN
1872-9312
DOI
10.1007/s44200-023-00031-7
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2023, The Author(s).
id
cf8151f8-7398-4377-b958-e987bfe353a6
date added to LUP
2023-08-21 14:28:09
date last changed
2023-08-21 14:28:58
@article{cf8151f8-7398-4377-b958-e987bfe353a6,
  abstract     = {{<p>The early life programming of adult health and disease (Developmental Origins of Adult Health and Disease; DOHaD) concept has attracted increased attention during recent years. In this review evidence is presented for epidemiological associations between early life factors (birth weight, prematurity) and cardiometabolic traits and risk of disease in adult life. Even if not all studies concur, the evidence in general is supporting such links. This could be due to either nature or nurture. There is evidence to state that genetic markers influencing birth weight could also be of importance for offspring hypertension or risk of coronary heart disease, this supporting the nature argument. On the other hand, several studies, both historical and experimental, have found that the change of maternal dietary intake or famine in pregnancy may cause permanent changes in offspring body composition as well as in hemodynamic regulation. Taken together, this also supports the strategy of preventive maternal and child health care, starting already during the preconception period, for lowering the risk of adult cardiometabolic disease in the affected offspring. Further studies are needed to better understand the mediating mechanisms, for example concerning arterial function, hemodynamic regulation, renal function, and neuroendocrine influences, related to the development of early vascular aging (EVA) and cardiovascular disease manifestations.</p>}},
  author       = {{Nilsson, Peter M.}},
  issn         = {{1872-9312}},
  keywords     = {{Birth weight; Early life; Epidemiology; Genes; Nature; Nurture}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{28--33}},
  publisher    = {{Elsevier}},
  series       = {{Artery Research}},
  title        = {{Early Life Programming of Vascular Aging and Cardiometabolic Events : The McDonald Lecture 2022}},
  url          = {{http://dx.doi.org/10.1007/s44200-023-00031-7}},
  doi          = {{10.1007/s44200-023-00031-7}},
  volume       = {{29}},
  year         = {{2023}},
}