Rowett Institute of Nutrition and Health, University of Aberdeen, Bucksburn, Aberdeen, United Kingdom.
Biol Reprod. 2010 Feb;82(2):320-30. doi: 10.1095/biolreprod.109.080069. Epub 2009 Sep 30.
Nutritional backgrounds prior to pregnancy may interact with subsequent gestational intake to influence pregnancy outcome, particularly in young, growing adolescents. To investigate this interaction, singleton pregnancies were established in two groups of adolescent sheep of identical age but different initial weight and adiposity score, classified as good (G) and poor (P) body mass index (BMI). Thereafter, ewes were offered either an optimal control (C) intake to maintain adiposity throughout pregnancy, undernourished (UN) to maintain weight at conception but deplete maternal body reserves, or overnourished (ON) to promote rapid maternal growth and adiposity, resulting in a 2 x 3 factorial design. Gestation length was independent of BMI and reduced in ON dams. Average placental and lamb birth weights were influenced by initial BMI (G > P) and gestational intake (C > UN > ON), with the highest incidence of growth restriction in ON groups. Metabolic challenges at two thirds of gestation revealed enhanced insulin insensitivity in ON dams (higher glucose postinsulin challenge and higher insulin postglucose challenge), but nevertheless fetal growth was constrained. Initial colostrum yield, total IgG, and nutrient supply were reduced in ON groups, but these low-birth-weight lambs exhibited rapid catch-up growth to weaning. Thus, both maternal BMI at conception and gestational intake have a profound influence on pregnancy outcome in young, putatively growing adolescent sheep and may have implications for the nutritional management of pregnant adolescent humans.
妊娠前的营养背景可能与随后的妊娠摄入相互作用,影响妊娠结局,尤其是在年轻、生长中的青少年中。为了研究这种相互作用,将两组年龄相同但初始体重和体脂评分不同的青少年绵羊单胎妊娠分为良好(G)和不良(P)身体质量指数(BMI)。此后,根据妊娠期保持体脂的最佳控制(C)摄入、维持受孕时体重但耗尽母体储备的营养不足(UN)或促进母体快速生长和体脂的营养过剩(ON),对母羊进行喂养,形成 2 x 3 析因设计。妊娠期与 BMI 无关,且在 ON 组中缩短。平均胎盘和羔羊出生体重受初始 BMI(G > P)和妊娠期摄入(C > UN > ON)影响,ON 组生长受限发生率最高。在妊娠三分之二时的代谢挑战表明,ON 组的母羊胰岛素敏感性降低(胰岛素后葡萄糖挑战时血糖升高和胰岛素后葡萄糖挑战时胰岛素升高),但胎儿生长仍然受到限制。ON 组的初乳产量、总 IgG 和营养供应减少,但这些低出生体重羔羊在断奶时表现出快速追赶生长。因此,在年轻的、假定生长中的青少年绵羊中,妊娠前的 BMI 和妊娠期的摄入对妊娠结局有深远影响,这可能对青少年孕妇的营养管理有影响。