Liggins Institute, University of Auckland, Auckland 1023, New Zealand.
Pediatr Res. 2011 Sep;70(3):261-6. doi: 10.1203/PDR.0b013e3182242deb.
Periconceptional undernutrition and twin conception alter intrauterine growth and metabolism and are associated with later adverse metabolic outcomes. The contribution of postnatal growth to these outcomes is less well defined. We investigated whether maternal periconceptional undernutrition or twin conception altered postnatal growth regulation in ways that could lead to metabolic disease. Single and twin offspring of ewes undernourished (UN) from 61 d before until 30 d after mating, fed to achieve and maintain 10-15% weight loss (UN), were compared with offspring of maintenance-fed controls (N). At 2 h and 1, 6, and 12 wk after birth, lambs were weighed and plasma hormone and metabolite concentrations analyzed. Milk intake, measured by deuterium oxide dilution, was inversely related to birth weight only in N singles, although twins had the greatest postnatal growth velocity. Positive associations were seen between milk intake, growth velocity, and leptin concentrations in N, but not UN, offspring. We conclude that periconceptional undernutrition alters the relationships between regulators of postnatal growth, including nutrient intake and key hormonal axes, in both singles and twins without affecting size at birth or postnatal growth velocity. Dissociation of growth from its key regulators is one possible mechanism underlying adverse metabolic outcomes after periconceptional undernutrition.
孕期营养不良和双胎妊娠改变宫内生长和代谢,并与后期不良代谢结局相关。产后生长对这些结局的贡献则不太明确。我们研究了孕期营养不良或双胎妊娠是否通过改变产后生长调节而导致代谢疾病。从配种前 61 天至配种后 30 天,对母羊进行限饲(体重减轻 10-15%),研究其单胎和双胎后代,与维持正常体重的母羊的后代(对照,N)进行比较。在产后 2 小时、1 周、6 周和 12 周时,对羔羊称重并检测血浆激素和代谢物浓度。通过氘氧化稀释法测量乳汁摄入量,仅在 N 组的单胎羔羊中,乳汁摄入量与出生体重呈负相关,尽管双胎羔羊的产后生长速度最快。在 N 组的后代中,乳汁摄入量、生长速度和瘦素浓度之间存在正相关,但在 UN 组的后代中则没有。综上,我们得出结论,孕期营养不良改变了包括营养摄入和关键激素轴在内的产后生长调节因子之间的关系,在单胎和双胎中均如此,而不影响出生时的大小或产后生长速度。生长与关键调节因子的分离可能是孕期营养不良后出现不良代谢结局的机制之一。