The Long‐term impact of intrauterine growth restriction in a diverse US cohort of children: The EPOCH study. (17th September 2013)

• Record Type: Journal Article
• Authors: Crume, Tessa L.; Scherzinger, Ann; Stamm, Elizabeth; McDuffie, Robert; Bischoff, Kimberly J.; Hamman, Richard F.; Dabelea, Dana
• Is Part Of: Obesity. Volume 22:Number 2(2014:Feb.)
• Page Start: 608
• Page End: 615
• Publication Date: 2013-09-17
• Subjects: Obesity -- Periodicals; 616.398005
• DOI: 10.1002/oby.20565
• Languages: English
• ISSNs: 1930-7381

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="oby20565-sec-0001" sec-type="section"> <title>Objective</title> <p>To explore the long‐term impact of intrauterine growth restriction (IUGR) among a diverse, contemporary cohort of US children.</p> </sec> <sec id="oby20565-sec-0002" sec-type="section"> <title>Design and Methods</title> <p>A retrospective cohort of 42 children exposed to IUGR and 464 unexposed who were members of Kaiser Permanente of Colorado. Height and weight measurements since birth and measures of abdominal adiposity and insulin‐resistance were measured at an average age of 10.6 (±1.3) years.</p> </sec> <sec id="oby20565-sec-0003" sec-type="section"> <title>Results</title> <p>Infants born IUGR experienced "catch‐up growth" in the first 12 months of life at a rate of 3.58 kg/m<sup>2</sup> compared to 2.36 kg/m<sup>2</sup> in unexposed infants (<italic>P</italic> = 0.01). However, after 1 year of age, no differences in BMI growth velocity were observed. Nevertheless children exposed to IUGR had higher waist circumference (67.0 vs. 65.3 cm, <italic>P</italic> = 0.03), higher insulin (15.2 vs. 11.0 μU/ml, <italic>P</italic> = 0.0002), higher HOMA‐IR (2.8 vs. 2.3, <italic>P</italic> = 0.03), and lower adiponectin levels (9.0 vs. 12.0 μg/ml, <italic>P</italic> = 0.003) in adolescence, independent of other childhood and maternal factors.</p> </sec> <sec id="oby20565-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Our data from a contemporary US cohort suggests that children exposed to IUGR have increased abdominal fat and increased insulin resistance biomarkers despite no differences in BMI growth patterns beyond 12 months of age. These data provide further support for the fetal programming hypothesis.</p> </sec> </abstract>