Walker Cheryl K, VandeVoort Catherine A, Li Chin-Shang, Chaffin Charles L, Capitanio John P
Department of Obstetrics and Gynecology, School of Medicine, University of California, Davis, California.
Medical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California, Davis, California.
Dev Psychobiol. 2018 Sep;60(6):629-638. doi: 10.1002/dev.21744. Epub 2018 Jun 13.
Growing evidence identifies maternal adiposity as a potentially modifiable risk factor for adverse neurodevelopment. This retrospective cohort analysis examined whether maternal prepregnancy adiposity and gestational weight gain were associated with behavioral outcomes in 173 rhesus macaque infants at the California National Primate Research Center. Dams conceived indoors, had uncomplicated pregnancies, delivered vaginally, and reared infants indoors. Infants underwent standardized biobehavioral analysis at 90-120 days of age from 3/2001-5/2015. Offspring of mothers with greater baseline adiposity or gestational weight gain exhibited a pattern of poor adaptability characterized by greater emotionality as the assessments proceeded, blunted affective response to a human intruder challenge, and reduced interest in novel stimuli which is associated with poorer social functioning later in life. They also had lower cortisol levels following dexamethasone suppression, perhaps a response to cortisol excess during gestation. These results amplify growing public health concerns implicating maternal adiposity in impaired fetal neurobehavioral programming.
越来越多的证据表明,孕妇肥胖是不良神经发育的一个潜在可改变风险因素。这项回顾性队列分析研究了加利福尼亚国家灵长类动物研究中心173只恒河猴婴儿的母亲孕前肥胖和孕期体重增加是否与行为结果相关。母猴在室内受孕,孕期无并发症,经阴道分娩,并在室内抚养幼猴。2001年3月至2015年5月期间,对90至120日龄的幼猴进行了标准化的生物行为分析。基线肥胖程度较高或孕期体重增加较多的母亲所生的后代表现出适应能力差的模式,其特征是随着评估的进行情绪更加激动,对人类入侵者挑战的情感反应迟钝,对新刺激的兴趣降低,而这与日后较差的社会功能有关。在接受地塞米松抑制后,它们的皮质醇水平也较低,这可能是对孕期皮质醇过多的一种反应。这些结果加剧了越来越多的公共卫生担忧,即孕妇肥胖会影响胎儿神经行为编程。