Metabolism and Investigation Unit, Reina Sofia University Hospital, Maimonides Institute of Biomedicine Research of Cordoba (IMIBIC), University of Cordoba, 14004 Cordoba, Spain.
Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), RD21/0012/0008, Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain.
Nutrients. 2024 May 24;16(11):1608. doi: 10.3390/nu16111608.
Children with a history of extrauterine growth restriction (EUGR), later at prepubertal age, exhibit an increased metabolic risk including risen insulin resistance and low-grade inflammation. However, the progression of such metabolic changes after puberty and the lasting health implications have not yet been investigated. The objective of this study was to ascertain whether young adults with a history of EUGR faced increased vulnerability to metabolic disorders. A study was conducted comparing a group of adults with a history of EUGR with a healthy reference group. A total of 110 young adults (36 from the EUGR group and 74 from the control group) were included. Anthropometric variables, blood pressure (BP), general biochemical parameters, plasma inflammatory biomarkers, and adipokines were assessed. Compared to the reference group, the EUGR group had a shorter height and body weight with higher lean mass and waist circumference, as well as a greater percentage of individuals with high BP. In addition, EUGR patients had higher values of insulin, HOMA-IR, nerve growth factor, and leptin, and lower levels of adiponectin and resistin. The present study suggests that young adults with a history of EUGR present increased metabolic risk factors therefore, clinical follow-up should be considered.
患有宫外生长受限(EUGR)病史的儿童,在青春期前,表现出代谢风险增加,包括胰岛素抵抗和低度炎症。然而,青春期后这些代谢变化的进展以及持续的健康影响尚未得到研究。本研究的目的是确定患有 EUGR 病史的年轻人是否更容易出现代谢紊乱。进行了一项研究,比较了一组有 EUGR 病史的成年人和一个健康的对照组。共纳入 110 名年轻成年人(EUGR 组 36 名,对照组 74 名)。评估了人体测量变量、血压(BP)、一般生化参数、血浆炎症生物标志物和脂肪因子。与对照组相比,EUGR 组的身高和体重较低,瘦体重和腰围较高,且有更多的人患有高血压。此外,EUGR 患者的胰岛素、HOMA-IR、神经生长因子和瘦素水平较高,而脂联素和抵抗素水平较低。本研究表明,有 EUGR 病史的年轻成年人存在较高的代谢风险因素,因此应考虑进行临床随访。