Mohammed N, Nuruddin R, Shoukat Ali A
1Department of Obstetrics and Gynaecology, Maternal Fetal Medicine Unit,The Aga Khan University,Karachi,Pakistan.
2Department of Community Health Sciences,The Aga Khan University,Karachi,Pakistan.
J Dev Orig Health Dis. 2019 Apr;10(2):141-143. doi: 10.1017/S2040174418000636.
Adverse intrauterine environment could serve as an important stimulus for postnatal altered health status and for increased susceptibility to long-term non-communicable diseases (NCDs). The notion is now recognized as the Developmental Origins of Health and Disease (DOHaD), which was first proposed by Sir David Barker. Since then, several scientific disciplines have strived to measure the magnitude of the early fetal programming and later risk of diseases. Pakistan, with striking figures of morbidity and mortality from NCDs, is currently tackling with double burden of diseases and requires planned efforts to counteract the threat of NCDs. Considering the growing needs and available evidences, Pakistan DOHaD Society was officially instigated in September 2016. The Society aims to explicitly address the association of life in utero with future health and disease and to endorse early screening and interventions to reduce the burden of NCDs, mental health issues and learning disorders along the life course. It has shown significant progress toward investigating the influence of adverse in utero environment such as diabetes, maternal under-nutrition and pre-eclampsia on fetal programming under two major research lines, that is, cardiovascular and cerebrovascular programming. The Society has been successful in disseminating its research findings through several esteemed international scientific conferences. Pakistan DOHaD Society encourages scientific community for collaborative research aimed at improving the quality of life during early childhood, adolescence and adulthood through provision of appropriate pre-pregnancy and antenatal interventions targeted to address at-risk in utero conditions.
不良的子宫内环境可能成为出生后健康状况改变以及对长期非传染性疾病(NCDs)易感性增加的重要刺激因素。这一概念现在被称为健康与疾病的发育起源(DOHaD),最初由大卫·巴克爵士提出。从那时起,多个科学学科一直在努力衡量早期胎儿编程的程度以及后期疾病风险。巴基斯坦非传染性疾病的发病率和死亡率惊人,目前正在应对双重疾病负担,需要有计划地努力应对非传染性疾病的威胁。考虑到不断增长的需求和现有证据,巴基斯坦健康与疾病的发育起源协会于2016年9月正式成立。该协会旨在明确解决子宫内生活与未来健康和疾病之间的关联,并支持早期筛查和干预措施,以减轻一生当中非传染性疾病、心理健康问题和学习障碍的负担。在两条主要研究线路,即心血管编程和脑血管编程方面,该协会在调查糖尿病、母亲营养不足和先兆子痫等不良子宫内环境对胎儿编程的影响方面已取得显著进展。该协会已成功地通过多个备受推崇的国际科学会议传播其研究结果。巴基斯坦健康与疾病的发育起源协会鼓励科学界开展合作研究,旨在通过提供适当的孕前和产前干预措施,针对子宫内的高危状况,改善儿童早期、青少年期和成年期的生活质量。