Department of Diabetes, Endocrinology and Metabolism, Royal North Shore Hospital, Sydney 2065, Australia.
Kolling Institute of Medical Research, Sydney 2065, Australia.
Nutrients. 2022 May 21;14(10):2154. doi: 10.3390/nu14102154.
The obesity epidemic has serious implications for women of reproductive age; its rising incidence is associated not just with health implications for the mother but also has transgenerational ramifications for the offspring. Increased incidence of diabetes, cardiovascular disease, obesity, and kidney disease are seen in both the mothers and the offspring. Animal models, such as rodent studies, are fundamental to studying maternal obesity and its impact on maternal and offspring health, as human studies lack rigorous controlled experimental design. Furthermore, the short and prolific reproductive potential of rodents enables examination across multiple generations and facilitates the exploration of interventional strategies to mitigate the impact of maternal obesity, both before and during pregnancy. Given that obesity is a major public health concern, it is important to obtain a greater understanding of its pathophysiology and interaction with reproductive health, placental physiology, and foetal development. This narrative review focuses on the known effects of maternal obesity on the mother and the offspring, and the benefits of interventional strategies, including dietary intervention, before or during pregnancy on maternal and foetal outcomes. It further examines the contribution of rodent models of maternal obesity to elucidating pathophysiological pathways of disease development, as well as methods to reduce the impact of obesity on the mothers and the developing foetus. The translation of these findings into the human experience will also be discussed.
肥胖症流行对育龄妇女有严重影响;其发病率的上升不仅与母亲的健康影响有关,而且对后代也有跨代影响。母亲和后代都有糖尿病、心血管疾病、肥胖症和肾脏病发病率增加的情况。动物模型,如啮齿动物研究,对于研究母体肥胖及其对母婴健康的影响是至关重要的,因为人类研究缺乏严格的对照实验设计。此外,啮齿动物繁殖潜力短而丰富,能够在多个世代中进行检查,并有助于探索干预策略,以减轻母体肥胖在怀孕前和怀孕期间对母婴的影响。鉴于肥胖是一个主要的公共卫生问题,了解其病理生理学及其与生殖健康、胎盘生理学和胎儿发育的相互作用非常重要。本综述重点介绍了母体肥胖对母亲和后代的已知影响,以及在怀孕前或怀孕期间进行干预策略的益处,包括饮食干预,以改善母婴结局。它进一步探讨了母体肥胖的啮齿动物模型对阐明疾病发展的病理生理途径的贡献,以及减轻肥胖对母亲和发育中胎儿影响的方法。还将讨论将这些发现转化为人类经验的问题。