title: Current thoughts on maternal nutrition and fetal programming of the metabolic syndrome.
abstract: Chronic diseases such as type 2 diabetes and cardiovascular disease are the leading cause of death and disability worldwide. Although the metabolic syndrome has been defined in various ways, the ultimate importance of recognizing this combination of disorders is that it helps identify individuals at high risk for both type 2 diabetes and cardiovascular disease. Evidence from observational and experimental studies links adverse exposures in early life, particularly relating to nutrition, to chronic disease susceptibility in adulthood. Such studies provide the foundation and framework for the relatively new field of developmental origins of health and disease (DOHaD). Although great strides have been made in identifying the putative concepts and mechanisms relating specific exposures in early life to the risk of developing chronic diseases in adulthood, a complete picture remains obscure. To date, the main focus of the field has been on perinatal undernutrition and specific nutrient deficiencies; however, the current global health crisis of overweight and obesity demands that perinatal overnutrition and specific nutrient excesses be examined. This paper assembles current thoughts on the concepts and mechanisms behind the DOHaD as they relate to maternal nutrition, and highlights specific contributions made by macro- and micronutrients.
authors.affiliation: Department of Biomedical Sciences and Pathobiology, Virginia Tech, Blacksburg, VA 24061, USA; Department of Pathology, Campbell University School of Osteopathic Medicine, Buies Creek, NC 27506, USA.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Brenseke
authors.forename: M Renee
authors.initials: MR
authors.lastname: Prater
authors.forename: Javiera
authors.initials: J
authors.lastname: Bahamonde
authors.forename: J Claudio
authors.initials: JC
authors.lastname: Gutierrez
mesh_terms: D002318:Cardiovascular Diseases / Q000209:etiology*; D003924:Diabetes Mellitus, Type 2 / Q000209:etiology*; D004198:Disease Susceptibility; D057890:Epigenomics; D005247:Feeding Behavior / Q000502:physiology; D005260:Female; D047109:Fetal Development / Q000502:physiology*; D006801:Humans; D039382:Maternal Nutritional Physiological Phenomena; D008431:Maternal-Fetal Exchange; D024821:Metabolic Syndrome / Q000209:etiology*; D018977:Micronutrients / Q000378:metabolism; D009752:Nutritional Status; D050177:Overweight / Q000150:complications; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects / Q000209:etiology / Q000517:prevention & control; D012307:Risk Factors
chemical_list: D018977:Micronutrients