Mother’s lifetime nutrition and the size, shape and efficiency of the placenta

Abstract Background Studies have shown that the shape and size of the placenta at birth predict blood pressure in later life. The influences that determine placental morphology are largely unknown. We have examined the role of mother’s body size. Methods We studied 522 neonates who were born in a ma...

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Veröffentlicht in:Placenta (Eastbourne) 2011-11, Vol.32 (11), p.806-810
Hauptverfasser: Winder, N.R, Krishnaveni, G.V, Veena, S.R, Hill, J.C, Karat, C.L.S, Thornburg, K.L, Fall, C.H.D, Barker, D.J.P
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container_end_page 810
container_issue 11
container_start_page 806
container_title Placenta (Eastbourne)
container_volume 32
creator Winder, N.R
Krishnaveni, G.V
Veena, S.R
Hill, J.C
Karat, C.L.S
Thornburg, K.L
Fall, C.H.D
Barker, D.J.P
description Abstract Background Studies have shown that the shape and size of the placenta at birth predict blood pressure in later life. The influences that determine placental morphology are largely unknown. We have examined the role of mother’s body size. Methods We studied 522 neonates who were born in a maternity hospital in Mysore, South India. The weight of the placenta and the length and breadth of its surface, were measured after delivery. Results Higher maternal fat mass predicted a larger placental surface ( p  = 0.02), while larger maternal head circumference predicted a more oval placental surface ( p  = 0.03). Higher maternal fat mass and larger maternal head circumference were associated with greater placental efficiency, indicated by lower ratios of the length ( p  = 0.0003 and p  = 0.0001 respectively) and breadth ( p  = 0.0002 and p  
doi_str_mv 10.1016/j.placenta.2011.09.001
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The influences that determine placental morphology are largely unknown. We have examined the role of mother’s body size. Methods We studied 522 neonates who were born in a maternity hospital in Mysore, South India. The weight of the placenta and the length and breadth of its surface, were measured after delivery. Results Higher maternal fat mass predicted a larger placental surface ( p  = 0.02), while larger maternal head circumference predicted a more oval placental surface ( p  = 0.03). Higher maternal fat mass and larger maternal head circumference were associated with greater placental efficiency, indicated by lower ratios of the length ( p  = 0.0003 and p  = 0.0001 respectively) and breadth ( p  = 0.0002 and p  &lt; 0.0001) of the surface to birthweight. In a sub-sample of 51 mothers whose own birthweight was available, higher maternal birthweight was related to lower ratios of the length and breadth of the surface to birthweight ( p  = 0.01 and 0.002). Maternal height was unrelated to placental size or shape. Conclusions Higher maternal fat mass, reflecting the mother’s current nutritional state, and larger maternal head circumference, reflecting the mother’s fetal/infant growth, are associated with changes in the shape and size of the placental surface and greater placental efficiency. We suggest that these associations reflect effects of the mother’s nutrition at different stages of her lifecourse on the development of the placenta and on materno-placento-fetal transfer of nutrients.</description><identifier>ISSN: 0143-4004</identifier><identifier>EISSN: 1532-3102</identifier><identifier>DOI: 10.1016/j.placenta.2011.09.001</identifier><identifier>PMID: 21924491</identifier><identifier>CODEN: PLACDF</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adult ; Biological and medical sciences ; Birth Weight - physiology ; Birthweight ; Efficiency ; Embryology: invertebrates and vertebrates. 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Psychology ; Humans ; India - epidemiology ; Infant, Newborn ; Internal Medicine ; Male ; Maternal body composition ; Maternal Nutritional Physiological Phenomena - physiology ; Mothers ; Nutrition Disorders - complications ; Nutrition Disorders - epidemiology ; Nutrition Disorders - physiopathology ; Nutritional Status - physiology ; Obstetrics and Gynecology ; Organ Size ; Placenta ; Placenta - anatomy &amp; histology ; Placenta - physiology ; Placental efficiency ; Placentation ; Pregnancy ; Pregnancy Complications - epidemiology ; Pregnancy Complications - etiology ; Pregnancy Complications - physiopathology ; Prenatal Exposure Delayed Effects - epidemiology ; Prenatal Exposure Delayed Effects - physiopathology ; Young Adult</subject><ispartof>Placenta (Eastbourne), 2011-11, Vol.32 (11), p.806-810</ispartof><rights>Elsevier Ltd</rights><rights>2011 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Ltd. 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The influences that determine placental morphology are largely unknown. We have examined the role of mother’s body size. Methods We studied 522 neonates who were born in a maternity hospital in Mysore, South India. The weight of the placenta and the length and breadth of its surface, were measured after delivery. Results Higher maternal fat mass predicted a larger placental surface ( p  = 0.02), while larger maternal head circumference predicted a more oval placental surface ( p  = 0.03). Higher maternal fat mass and larger maternal head circumference were associated with greater placental efficiency, indicated by lower ratios of the length ( p  = 0.0003 and p  = 0.0001 respectively) and breadth ( p  = 0.0002 and p  &lt; 0.0001) of the surface to birthweight. In a sub-sample of 51 mothers whose own birthweight was available, higher maternal birthweight was related to lower ratios of the length and breadth of the surface to birthweight ( p  = 0.01 and 0.002). Maternal height was unrelated to placental size or shape. Conclusions Higher maternal fat mass, reflecting the mother’s current nutritional state, and larger maternal head circumference, reflecting the mother’s fetal/infant growth, are associated with changes in the shape and size of the placental surface and greater placental efficiency. We suggest that these associations reflect effects of the mother’s nutrition at different stages of her lifecourse on the development of the placenta and on materno-placento-fetal transfer of nutrients.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth Weight - physiology</subject><subject>Birthweight</subject><subject>Efficiency</subject><subject>Embryology: invertebrates and vertebrates. Teratology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>India - epidemiology</subject><subject>Infant, Newborn</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Maternal body composition</subject><subject>Maternal Nutritional Physiological Phenomena - physiology</subject><subject>Mothers</subject><subject>Nutrition Disorders - complications</subject><subject>Nutrition Disorders - epidemiology</subject><subject>Nutrition Disorders - physiopathology</subject><subject>Nutritional Status - physiology</subject><subject>Obstetrics and Gynecology</subject><subject>Organ Size</subject><subject>Placenta</subject><subject>Placenta - anatomy &amp; histology</subject><subject>Placenta - physiology</subject><subject>Placental efficiency</subject><subject>Placentation</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Pregnancy Complications - etiology</subject><subject>Pregnancy Complications - physiopathology</subject><subject>Prenatal Exposure Delayed Effects - epidemiology</subject><subject>Prenatal Exposure Delayed Effects - physiopathology</subject><subject>Young Adult</subject><issn>0143-4004</issn><issn>1532-3102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUsuO1DAQtBCInV34hVUuiAsJbttJJpcVqxULSItAAs6WY7cZDxl7sDMrDSd-g9_jS3DmsTwuXGzJXV1V7mpCzoFWQKF5vqzWg9LoR1UxClDRrqIU7pEZ1JyVHCi7T2YUBC8FpeKEnKa0pJR2AthDcsKgY0J0MCPv34ZxgfHn9x-pGJzF0a2w8JsxutEFXyhvilwvkvuGz4q0UGvcvaG1Tjv0elsEu0Mc7TwiD6waEj4-3Gfk0_XLj1evy5t3r95cXd6UumEwln1NlbCswYYJBnOBvAMutK1pzewcFG9xbqkBY3qtWqNN0zW9MTA3ujdQ1_yMXOx515t-hWbSjmqQ6-hWKm5lUE7-XfFuIT-HW8kZ47wTmeDpgSCGrxtMo1y5pHEYlMewSbKjrGl5tpORzR6pY0gpor1TASqnNORSHr8vpzQk7WROIzee_-nxru04_gx4cgCopNVgo_Lapd840dZt205eX-xxmCd66zDKtJs-GhdRj9IE938vF_9Q6MF5l1W_4BbTMmyiz3lJkIlJKj9MuzOtDkA-RMP4L8Rewtk</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Winder, N.R</creator><creator>Krishnaveni, G.V</creator><creator>Veena, S.R</creator><creator>Hill, J.C</creator><creator>Karat, C.L.S</creator><creator>Thornburg, K.L</creator><creator>Fall, C.H.D</creator><creator>Barker, D.J.P</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20111101</creationdate><title>Mother’s lifetime nutrition and the size, shape and efficiency of the placenta</title><author>Winder, N.R ; Krishnaveni, G.V ; Veena, S.R ; Hill, J.C ; Karat, C.L.S ; Thornburg, K.L ; Fall, C.H.D ; Barker, D.J.P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c621t-b50a4f26e6242184e39134cf5052f81a37e8f0d1ddbca7dcd696bdd18dcbd1553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth Weight - physiology</topic><topic>Birthweight</topic><topic>Efficiency</topic><topic>Embryology: invertebrates and vertebrates. Teratology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>India - epidemiology</topic><topic>Infant, Newborn</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Maternal body composition</topic><topic>Maternal Nutritional Physiological Phenomena - physiology</topic><topic>Mothers</topic><topic>Nutrition Disorders - complications</topic><topic>Nutrition Disorders - epidemiology</topic><topic>Nutrition Disorders - physiopathology</topic><topic>Nutritional Status - physiology</topic><topic>Obstetrics and Gynecology</topic><topic>Organ Size</topic><topic>Placenta</topic><topic>Placenta - anatomy &amp; histology</topic><topic>Placenta - physiology</topic><topic>Placental efficiency</topic><topic>Placentation</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Pregnancy Complications - etiology</topic><topic>Pregnancy Complications - physiopathology</topic><topic>Prenatal Exposure Delayed Effects - epidemiology</topic><topic>Prenatal Exposure Delayed Effects - physiopathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Winder, N.R</creatorcontrib><creatorcontrib>Krishnaveni, G.V</creatorcontrib><creatorcontrib>Veena, S.R</creatorcontrib><creatorcontrib>Hill, J.C</creatorcontrib><creatorcontrib>Karat, C.L.S</creatorcontrib><creatorcontrib>Thornburg, K.L</creatorcontrib><creatorcontrib>Fall, C.H.D</creatorcontrib><creatorcontrib>Barker, D.J.P</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Placenta (Eastbourne)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Winder, N.R</au><au>Krishnaveni, G.V</au><au>Veena, S.R</au><au>Hill, J.C</au><au>Karat, C.L.S</au><au>Thornburg, K.L</au><au>Fall, C.H.D</au><au>Barker, D.J.P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mother’s lifetime nutrition and the size, shape and efficiency of the placenta</atitle><jtitle>Placenta (Eastbourne)</jtitle><addtitle>Placenta</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>32</volume><issue>11</issue><spage>806</spage><epage>810</epage><pages>806-810</pages><issn>0143-4004</issn><eissn>1532-3102</eissn><coden>PLACDF</coden><abstract>Abstract Background Studies have shown that the shape and size of the placenta at birth predict blood pressure in later life. The influences that determine placental morphology are largely unknown. We have examined the role of mother’s body size. Methods We studied 522 neonates who were born in a maternity hospital in Mysore, South India. The weight of the placenta and the length and breadth of its surface, were measured after delivery. Results Higher maternal fat mass predicted a larger placental surface ( p  = 0.02), while larger maternal head circumference predicted a more oval placental surface ( p  = 0.03). Higher maternal fat mass and larger maternal head circumference were associated with greater placental efficiency, indicated by lower ratios of the length ( p  = 0.0003 and p  = 0.0001 respectively) and breadth ( p  = 0.0002 and p  &lt; 0.0001) of the surface to birthweight. In a sub-sample of 51 mothers whose own birthweight was available, higher maternal birthweight was related to lower ratios of the length and breadth of the surface to birthweight ( p  = 0.01 and 0.002). Maternal height was unrelated to placental size or shape. Conclusions Higher maternal fat mass, reflecting the mother’s current nutritional state, and larger maternal head circumference, reflecting the mother’s fetal/infant growth, are associated with changes in the shape and size of the placental surface and greater placental efficiency. We suggest that these associations reflect effects of the mother’s nutrition at different stages of her lifecourse on the development of the placenta and on materno-placento-fetal transfer of nutrients.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>21924491</pmid><doi>10.1016/j.placenta.2011.09.001</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Biological and medical sciences
Birth Weight - physiology
Birthweight
Efficiency
Embryology: invertebrates and vertebrates. Teratology
Female
Fundamental and applied biological sciences. Psychology
Humans
India - epidemiology
Infant, Newborn
Internal Medicine
Male
Maternal body composition
Maternal Nutritional Physiological Phenomena - physiology
Mothers
Nutrition Disorders - complications
Nutrition Disorders - epidemiology
Nutrition Disorders - physiopathology
Nutritional Status - physiology
Obstetrics and Gynecology
Organ Size
Placenta
Placenta - anatomy & histology
Placenta - physiology
Placental efficiency
Placentation
Pregnancy
Pregnancy Complications - epidemiology
Pregnancy Complications - etiology
Pregnancy Complications - physiopathology
Prenatal Exposure Delayed Effects - epidemiology
Prenatal Exposure Delayed Effects - physiopathology
Young Adult
title Mother’s lifetime nutrition and the size, shape and efficiency of the placenta
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