Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-20T01:24:35.975Z Has data issue: false hasContentIssue false

Early nutrition and risk of disease in the adult

Published online by Cambridge University Press:  01 April 2001

Benjamin Caballero*
Affiliation:
Center for Human Nutrition, Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD 21205, USA
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The differentiation of key metabolic systems that occurs during intrauterine life is greatly influenced by environmental nutritional conditions, which in turn are related to maternal nutritional status. In postnatal life, childhood exposure to slow-acting environmental factors, primarily through the diet, will begin to condition adult susceptibility to diseases. Examples of these dietary factors are intake of saturated fat, sodium, calcium, etc. For example, bone calcium accumulation during childhood and adolescence will be a major determinant of risk of osteoporosis later in life. Similarly, a high intake of saturated fat during childhood may promote the process of atherosclerosis in persons with genetic susceptibility, thus accelerating the clinical manifestations of coronary heart disease in adult life.

These findings, although still not completely clarified, constitute a significant opportunity for preventive intervention. While preventive intervention in adult life may reduce risk, this is usually difficult and results are often limited. One example would be obesity. In contrast, interventions early in life, aimed at reducing these early risk factors, could potentially result in major reductions in the incidence of several diseases of adults.

Type
School health and community nutrition
Copyright
Copyright © CABI Publishing 2001

References

1 Chen, LC, Chowdhury, A, Huffman, SL. Anthropometric assessment of energy protein malnutrition and subsequent risk of mortality among preschool aged children. Am. J. Clin. Nutr. 1980; 33:1836–45.10.1093/ajcn/33.8.1836CrossRefGoogle ScholarPubMed
2 Kielmann, AA, McCord, C. Weight-for-age as an index of risk of death in children. Lancet 1978; 1:1247–50.CrossRefGoogle ScholarPubMed
3 Levy, LD, Durie, PR, Pencharz, PB, Corey, ML. Effects of long-term nutritional rehabilitation on body composition and clinical status in malnourished children and adolescents with cystic fibrosis. J. Pediatr. 1985; 107:225–30.10.1016/S0022-3476(85)80130-XCrossRefGoogle ScholarPubMed
4 Lucas, A. Programming by early nutrition: an experimental approach. J. Nutr. 1998; 128:401S–6S.10.1093/jn/128.2.401SCrossRefGoogle ScholarPubMed
5 Goldberg, GR, Prentice, AM. Maternal and fetal determinants of adult diseases. Nutr. Rev. 1994; 52:191200.10.1111/j.1753-4887.1994.tb01420.xCrossRefGoogle ScholarPubMed
6 Gaskin, PS, Walker, SP, Forrester, TE, Grantham-McGregor, S. Early linear growth retardation and later blood pressure. Eur. J. Clin. Nutr. 2000; 54:563–7.10.1038/sj.ejcn.1601057CrossRefGoogle ScholarPubMed
7 Gennser, G, Rymark, P, Isberg, PE. Low birth weight and risk of high blood pressure in adulthood. Br. Med. J. 1988; 296:1498–500.CrossRefGoogle ScholarPubMed
8 Phipps, K, Barker, DJP, Hales, CN, Fall, CH, Osmond, C, Clark, PMS. Fetal growth and impaired glucose tolerance in men and women. Diabetologia 1993; 36:225–8.10.1007/BF00399954CrossRefGoogle ScholarPubMed
9 Godfrey, KM, Redman, CWG, Barker, DJP, Osmond, C. The effect of maternal anaemia and iron deficiency on the ratio of fetal weight to placental weight. J. Obstet. Gynaecol. Res. 1991; 98:886–91.Google ScholarPubMed
10 Barker, DJP. The effects of nutrition of the fetus and neonate on cardiovascular disease in later life. Proc. Nutr. Soc. 1992; 51:135–44.CrossRefGoogle Scholar
11 Law, CM, Barker, DJP, Bull, AR, Osmond, C. Maternal and fetal influences on blood pressure. Arch. Dis. Child. 1991; 66:1291–5.10.1136/adc.66.11.1291CrossRefGoogle ScholarPubMed
12 Phillips, DIW, Barker, DJP, Hales, CN, Hirst, S, Osmond, C. Thinness at birth and insulin resistance in adult life. Diabetologia 1994; 37:150–4.CrossRefGoogle ScholarPubMed
13 Law, CM, Barker, DJP, Osmond, C, Fall, CH. Early growth and abdominal fatness in adult life. J. Epidemiol. Community Health 1992; 46:184–6.10.1136/jech.46.3.184CrossRefGoogle ScholarPubMed
14 Popkin, BM, Richards, MK, Monteiro, CA. Stunting is associated with overweight in children of four nations that are undergoing the nutrition transition. J. Nutr. 1996; 126:3009–16.10.1093/jn/126.12.3009CrossRefGoogle ScholarPubMed
15 Curhan, GC, Willett, WC, Rimm, EB, Spiegelman, D, Ascherio, AL, Stampfer, MJ. Birth weight and adult hypertension, diabetes mellitus, and obesity in US men. Circulation 1996; 94:3246–50.CrossRefGoogle ScholarPubMed
16 Schroeder, DG, Martorell, R, Flores, R. Infant and child growth and fatness and fat distribution in Guatemalan adults. Am. J. Epidemiol. 1999; 149:177–85.10.1093/oxfordjournals.aje.a009784CrossRefGoogle ScholarPubMed
17 von Kries, R, Koletzko, B, Sauerwald, T, von Mutius, E, Barnert, D, Grunert, V, van Hoss, H. Breast feeding and obesity: cross sectional study. Br. Med. J. 1999; 319:147–50.10.1136/bmj.319.7203.147CrossRefGoogle ScholarPubMed