Maternal nutrition during gestation and carotid arterial compliance in the adult offspring: the Dutch famine birth cohort

OBJECTIVEExperimental evidence indicates that maternal undernutrition during gestation may program hypertension in the offspring. We investigated whether maternal undernutrition leads to increased arterial stiffness. METHODSWe measured carotid artery lumen diameter (LD), distensibility (DC), stiffne...

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Veröffentlicht in:Journal of hypertension 2007-03, Vol.25 (3), p.533-540
Hauptverfasser: Painter, Rebecca C, de Rooij, Susanne R, Bossuyt, Patrick M, de Groot, Eric, Stok, Wim J, Osmond, Clive, Barker, David J, Bleker, Otto P, Roseboom, Tessa J
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container_end_page 540
container_issue 3
container_start_page 533
container_title Journal of hypertension
container_volume 25
creator Painter, Rebecca C
de Rooij, Susanne R
Bossuyt, Patrick M
de Groot, Eric
Stok, Wim J
Osmond, Clive
Barker, David J
Bleker, Otto P
Roseboom, Tessa J
description OBJECTIVEExperimental evidence indicates that maternal undernutrition during gestation may program hypertension in the offspring. We investigated whether maternal undernutrition leads to increased arterial stiffness. METHODSWe measured carotid artery lumen diameter (LD), distensibility (DC), stiffness (β), and compliance (CC) by M-mode ultrasound in 673 individuals, aged 56–61 years, who had been born as term singletons around the time of the 1944–45 Dutch famine. RESULTSMaternal famine exposure had no effect on any of the measures of carotid size or stiffness in the offspring. Low maternal weight at the end of pregnancy and low birth weight were associated with decreased LD (0.01 mm/kg maternal weight, sex-adjusted P < 0.001; 0.1 mm/kg birth weight, sex-adjusted P = 0.08) and CC (0.002 mm/kPa per kg maternal weight, sex-adjusted P = 0.001; 0.03 mm/kPa per kg birth weight, sex-adjusted P = 0.03), but neither was associated with increased β, or decreased DC. These effects were not attenuated by adjusting for maternal protein/carbohydrate ratio in the third trimester. The association of low birth weight with increased CC diminished after adjusting for maternal weight. The association of maternal weight with CC was smaller when adjusted for LD. CONCLUSIONOur findings suggest that small maternal size, not poor maternal diet, in late gestation programs decreased arterial compliance in the adult offspring by affecting vessel size rather than vessel wall stiffness.
doi_str_mv 10.1097/HJH.0b013e328012135b
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We investigated whether maternal undernutrition leads to increased arterial stiffness. METHODSWe measured carotid artery lumen diameter (LD), distensibility (DC), stiffness (β), and compliance (CC) by M-mode ultrasound in 673 individuals, aged 56–61 years, who had been born as term singletons around the time of the 1944–45 Dutch famine. RESULTSMaternal famine exposure had no effect on any of the measures of carotid size or stiffness in the offspring. Low maternal weight at the end of pregnancy and low birth weight were associated with decreased LD (0.01 mm/kg maternal weight, sex-adjusted P &lt; 0.001; 0.1 mm/kg birth weight, sex-adjusted P = 0.08) and CC (0.002 mm/kPa per kg maternal weight, sex-adjusted P = 0.001; 0.03 mm/kPa per kg birth weight, sex-adjusted P = 0.03), but neither was associated with increased β, or decreased DC. These effects were not attenuated by adjusting for maternal protein/carbohydrate ratio in the third trimester. The association of low birth weight with increased CC diminished after adjusting for maternal weight. The association of maternal weight with CC was smaller when adjusted for LD. CONCLUSIONOur findings suggest that small maternal size, not poor maternal diet, in late gestation programs decreased arterial compliance in the adult offspring by affecting vessel size rather than vessel wall stiffness.</description><identifier>ISSN: 0263-6352</identifier><identifier>EISSN: 1473-5598</identifier><identifier>DOI: 10.1097/HJH.0b013e328012135b</identifier><identifier>PMID: 17278968</identifier><identifier>CODEN: JOHYD3</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adult ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Carotid Arteries - physiology ; Carotid Arteries - ultrastructure ; Cohort Studies ; Diabetes. Impaired glucose tolerance ; Elasticity ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Hypertension - etiology ; Infant, Low Birth Weight - physiology ; Infant, Newborn ; Male ; Malnutrition - complications ; Medical sciences ; Middle Aged ; Pregnancy ; Prenatal Exposure Delayed Effects ; Prenatal Nutritional Physiological Phenomena ; Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. 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We investigated whether maternal undernutrition leads to increased arterial stiffness. METHODSWe measured carotid artery lumen diameter (LD), distensibility (DC), stiffness (β), and compliance (CC) by M-mode ultrasound in 673 individuals, aged 56–61 years, who had been born as term singletons around the time of the 1944–45 Dutch famine. RESULTSMaternal famine exposure had no effect on any of the measures of carotid size or stiffness in the offspring. Low maternal weight at the end of pregnancy and low birth weight were associated with decreased LD (0.01 mm/kg maternal weight, sex-adjusted P &lt; 0.001; 0.1 mm/kg birth weight, sex-adjusted P = 0.08) and CC (0.002 mm/kPa per kg maternal weight, sex-adjusted P = 0.001; 0.03 mm/kPa per kg birth weight, sex-adjusted P = 0.03), but neither was associated with increased β, or decreased DC. These effects were not attenuated by adjusting for maternal protein/carbohydrate ratio in the third trimester. The association of low birth weight with increased CC diminished after adjusting for maternal weight. The association of maternal weight with CC was smaller when adjusted for LD. CONCLUSIONOur findings suggest that small maternal size, not poor maternal diet, in late gestation programs decreased arterial compliance in the adult offspring by affecting vessel size rather than vessel wall stiffness.</description><subject>Adult</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Carotid Arteries - physiology</subject><subject>Carotid Arteries - ultrastructure</subject><subject>Cohort Studies</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Elasticity</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. 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Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Carotid Arteries - physiology</topic><topic>Carotid Arteries - ultrastructure</topic><topic>Cohort Studies</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Elasticity</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Hypertension - etiology</topic><topic>Infant, Low Birth Weight - physiology</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Malnutrition - complications</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pregnancy</topic><topic>Prenatal Exposure Delayed Effects</topic><topic>Prenatal Nutritional Physiological Phenomena</topic><topic>Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Painter, Rebecca C</creatorcontrib><creatorcontrib>de Rooij, Susanne R</creatorcontrib><creatorcontrib>Bossuyt, Patrick M</creatorcontrib><creatorcontrib>de Groot, Eric</creatorcontrib><creatorcontrib>Stok, Wim J</creatorcontrib><creatorcontrib>Osmond, Clive</creatorcontrib><creatorcontrib>Barker, David J</creatorcontrib><creatorcontrib>Bleker, Otto P</creatorcontrib><creatorcontrib>Roseboom, Tessa J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Painter, Rebecca C</au><au>de Rooij, Susanne R</au><au>Bossuyt, Patrick M</au><au>de Groot, Eric</au><au>Stok, Wim J</au><au>Osmond, Clive</au><au>Barker, David J</au><au>Bleker, Otto P</au><au>Roseboom, Tessa J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal nutrition during gestation and carotid arterial compliance in the adult offspring: the Dutch famine birth cohort</atitle><jtitle>Journal of hypertension</jtitle><addtitle>J Hypertens</addtitle><date>2007-03</date><risdate>2007</risdate><volume>25</volume><issue>3</issue><spage>533</spage><epage>540</epage><pages>533-540</pages><issn>0263-6352</issn><eissn>1473-5598</eissn><coden>JOHYD3</coden><abstract>OBJECTIVEExperimental evidence indicates that maternal undernutrition during gestation may program hypertension in the offspring. We investigated whether maternal undernutrition leads to increased arterial stiffness. METHODSWe measured carotid artery lumen diameter (LD), distensibility (DC), stiffness (β), and compliance (CC) by M-mode ultrasound in 673 individuals, aged 56–61 years, who had been born as term singletons around the time of the 1944–45 Dutch famine. RESULTSMaternal famine exposure had no effect on any of the measures of carotid size or stiffness in the offspring. Low maternal weight at the end of pregnancy and low birth weight were associated with decreased LD (0.01 mm/kg maternal weight, sex-adjusted P &lt; 0.001; 0.1 mm/kg birth weight, sex-adjusted P = 0.08) and CC (0.002 mm/kPa per kg maternal weight, sex-adjusted P = 0.001; 0.03 mm/kPa per kg birth weight, sex-adjusted P = 0.03), but neither was associated with increased β, or decreased DC. These effects were not attenuated by adjusting for maternal protein/carbohydrate ratio in the third trimester. The association of low birth weight with increased CC diminished after adjusting for maternal weight. The association of maternal weight with CC was smaller when adjusted for LD. CONCLUSIONOur findings suggest that small maternal size, not poor maternal diet, in late gestation programs decreased arterial compliance in the adult offspring by affecting vessel size rather than vessel wall stiffness.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>17278968</pmid><doi>10.1097/HJH.0b013e328012135b</doi><tpages>8</tpages></addata></record>
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subjects Adult
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Carotid Arteries - physiology
Carotid Arteries - ultrastructure
Cohort Studies
Diabetes. Impaired glucose tolerance
Elasticity
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Fundamental and applied biological sciences. Psychology
Humans
Hypertension - etiology
Infant, Low Birth Weight - physiology
Infant, Newborn
Male
Malnutrition - complications
Medical sciences
Middle Aged
Pregnancy
Prenatal Exposure Delayed Effects
Prenatal Nutritional Physiological Phenomena
Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports
title Maternal nutrition during gestation and carotid arterial compliance in the adult offspring: the Dutch famine birth cohort
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