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Arch Dis Child 2000;83:215-219 ( September )
Current topic

Limitations of models used to examine the influence of nutrition during pregnancy and adult disease

Michael E Symonds, Helen Budge, Terence Stephenson

Academic Division of Child Health, School of Human Development, E Floor, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH, UK

Correspondence to: Dr Symonds email: michael.symonds@nottingham.ac.uk

The first 150 words of the full text of this article appear below.

    Introduction

Compromised growth in utero is associated with prematurity and complications after birth. It has been proposed that poor intrauterine growth not only contributes to increased morbidity and mortality during infancy but also has the potential to compromise adult health and wellbeing.1 Over the past decade, epidemiological studies in several countries have shown that size at birth and/or placental weight predict adult health and disease.1-3 It has also been proposed that maternal undernutrition at critical stages of gestation can affect fetal growth and body shape. These effects may be mediated in part by changes in placental growth, as some studies have suggested that fetal:placental weight ratio at birth is a predictor of adult disease.4 Fetal:placental weight ratio in healthy human pregnancies at term is approximately 5:1 but disease states can lead to alterations in this ratio. Intrauterine growth restriction is often accompanied by a light placenta in both humans and sheep,5 . . . [Full text of this article]




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