Obstet Gynecol Sci.  2021 Nov;64(6):473-483. 10.5468/ogs.21154.

Fetal programming: could intrauterin life affect health status in adulthood?

Affiliations
  • 1Department of Nutrition and Dietetics, Health Science Faculty, Istanbul Gelisim University, Istanbul, Turkey
  • 2Department of Nutrition and Dietetics, Health Science Faculty, Baskent University, Ankara, Turkey

Abstract

Intrauterine life is one of the most important periods of life. As the development of the fetus continues, the mechanisms that affect adult health also begin to mature. With the hypothesis denoted “fetal programming,” it is thought that the presence of endocrinological disorders, toxins, infectious agents, the nutritional status of a mother, and nutrients related to placental functionality all have an effect on future life. Therefore, the fetus must adapt to the environment for survival. These adaptations may be involved the redistribution of metabolic, hormonal, or cardiac outputs in an effort to protect the brain, which is one of the important organs, as well as the slowing of growth to meet nutritional requirements. Unlike lifestyle changes or treatments received in adult life, the early developmental period tends to have a lasting effect on the structure and functionality of the body. In this review, fetal programming and the effects of fetal programming are discussed.

Keyword

Fetal programming; Preventive health care; Maternal nutrition

Figure

  • Fig. 1 Effects of nutrition on generations.

  • Fig. 2 Summary of fetal programming effects on adult diseases. PHLDA2, pleckstrin homology-like domain, family A, member 2.


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