The influence of birthweight and intrauterine environment on adiposity and fat distribution in later life View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2003-06-24

AUTHORS

I Rogers

ABSTRACT

OBJECTIVE: To review the literature on the association between birthweight and body mass index (BMI) and obesity in later life.METHODS: Included in the review were papers appearing in Medline since 1966 and identified using the search terms obesity, body fat, waist, body constitution, birthweight and birth weight. Further papers were identified by examining bibliographies.RESULTS: There is good evidence that there is an association between birthweight and subsequent BMI and overweight in young adults and children, which is linear and positive in some studies and J- or U-shaped in others. The evidence is less strong for middle-aged subjects. Studies that have assessed lean body mass (LBM) and fat body mass have tended to find that birthweight is positively associated with LBM and negatively associated with relative adiposity. This suggests that the association between birthweight and BMI/overweight does not necessarily reflect increased adiposity at higher birthweights. On controlling for current body mass there is fairly consistent evidence of a negative association between birthweight and a central pattern of fat distribution as measured by central:peripheral skinfold ratios. It has been suggested that the prenatal period is a ‘critical’ period for the development of adiposity, but it is unclear how far associations between birthweight and subsequent body habitus are genetic in origin and how far they result from intrauterine ‘programming’. Two lines of evidence would suggest that the association is predominantly genetic. Studies of monozygotic twins have found environmentally determined differences in birthweight to be unrelated to subsequent BMI, and the association between birthweight and BMI is substantially reduced on controlling for parental BMI. However, some evidence of an influence of intrauterine environment on later obesity comes from studies of subjects who were exposed in utero to the effects of diabetes, famine conditions or smoking.CONCLUSIONS: The reasons for the positive association between birthweight and BMI remain unclear. More studies including accurate measurement of body composition are needed to assess how far this relation is accounted for by changes in fat mass or by changes in lean mass. Studies with accurate measures of parental BMI would also be useful in assessing the importance of this confounder. More... »

PAGES

755-777

References to SciGraph publications

  • 2000-04. Impact of birth weight on ethnic variations in subcutaneous and central adiposity in American children aged 5–11 years. A study from the Third National Health and Nutrition Examination Survey in INTERNATIONAL JOURNAL OF OBESITY
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  • 1996-11. Birth weight and cardiovascular risk factors in an epidemiological study in DIABETOLOGIA
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  • 2000-06-21. Relation of birth weight to lean and fat thigh tissue in young men in INTERNATIONAL JOURNAL OF OBESITY
  • 2000-01. Birth weight and the insulin resistance syndrome: association of low birth weight with truncal obesity and raised plasminogen activator inhibitor-1 but not with abdominal obesity or plasma lipid disturbances in DIABETOLOGIA
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  • 2001-06. Tall or Short? Twenty Years after Preeclampsia Exposure In Utero: Comparisons of Final Height, Body Mass Index, Waist-to-Hip Ratio, and Age at Menarche among Women, Exposed and Unexposed to Preeclampsia during Fetal Life in PEDIATRIC RESEARCH
  • 1998-06. The relation of weight, length and ponderal index at birth to body mass index and overweight among 18-year-old males in Sweden in EUROPEAN JOURNAL OF EPIDEMIOLOGY
  • 1997-07. Influence of Behavioral and Environmental Factors on the Development of Obesity in Three-year-old Children —A Case-Control Study Based on Toyama Study— in ENVIRONMENTAL HEALTH AND PREVENTIVE MEDICINE
  • 2000-03. Birth weight, climate at birth and the risk of obesity in adult life in INTERNATIONAL JOURNAL OF OBESITY
  • 2000-08. Aetiology of overweight and obesity in children and adolescents in EUROPEAN JOURNAL OF PEDIATRICS
  • 1999-11. Prediction of Male Adult Stature Using Anthropometric Data at Birth: A Nationwide Population-Based Study in PEDIATRIC RESEARCH
  • 1999-11-11. Prevalence of overweight and obesity among school children in Jena (Germany) in INTERNATIONAL JOURNAL OF OBESITY
  • 1994-06. Birthweight and adult health outcomes in a biethnic population in the USA in DIABETOLOGIA
  • Identifiers

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    http://scigraph.springernature.com/pub.10.1038/sj.ijo.0802316

    DOI

    http://dx.doi.org/10.1038/sj.ijo.0802316

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1038689548

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/12821960


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