Health SciencesMedicinePediatrics, Perinatology and Child Health

Birth, Development, and Health

The conditions a fetus encounters in the womb — the availability of nutrients, the hormonal environment, the mother's metabolic state — can quietly shape an individual's risk for hypertension, diabetes, and other chronic diseases decades later, a phenomenon researchers call fetal programming. Work in this area has shown that low birth weight, often a marker of poor in utero nutrition, is associated with accelerated catch-up growth after birth and subsequent metabolic disruption, with epigenetic modifications serving as one plausible molecular bridge between early experience and adult physiology. A central open question is how glucocorticoid signaling during critical developmental windows programs the hypothalamic-pituitary-adrenal axis and cardiovascular system in ways that persist into adulthood. Researchers are also working to distinguish which early interventions — nutritional, pharmacological, or behavioral — can safely interrupt these developmental trajectories without introducing new risks.

Works
141,514
Total citations
2,129,479
Keywords
Fetal ProgrammingEarly-Life ConditionsMetabolic SyndromeEpigenetic MechanismsIn Utero NutritionCatch-Up Growth

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