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Relation of fetal growth to adult muscle mass and glucose tolerance

Relation of fetal growth to adult muscle mass and glucose tolerance
Relation of fetal growth to adult muscle mass and glucose tolerance

Recent studies show reduced fetal growth is associated with insulin resistance and a raised prevalence of glucose intolerance in adult life. Because early growth retardation in animal models leads to permanent changes in body composition and a reduction in the mass of muscle, a major insulin sensitive tissue, reduced adult muscle mass could explain the link between impaired fetal growth and glucose intolerance. To investigate this hypothesis, muscle mass has been determined in a group of men and women aged around 50 who were born in Preston, Lancashire and compared with their birthweight or body size at birth and their current insulin resistance and glucose tolerance. Subjects who had lower birthweights were shorter and lighter but their weight adjusted for height (BMI) was similar to that of other subjects. Much of the difference in weight was accounted for by a reduction in muscle mass. Muscle mass as estimated by the urinary creatinine excretion rose from 18.8% of body weight in women who had birthweights of 2.5 kg or less to 24.7% of bodyweight in those with birthweights of 3.4 kg or more. Trends in men were similar. Regression analysis showed that adult muscle mass was predicted by low birthweight (p = 0.004), low placental weight (p = 0.02), and small head circumference (p = 0.02) but not, however, by thinness at birth, the birth measurement most predictive of insulin resistance. In addition there were no significant relationships between muscle mass and insulin resistance or glucose tolerance in either men or women.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult, Age Factors, Birth Weight, Blood Glucose/metabolism, Body Weight, Embryonic and Fetal Development, England, Female, Glucose Tolerance Test, Humans, Infant, Newborn, Male, Middle Aged, Muscle, Skeletal/anatomy & histology, Placenta, Pregnancy, Registries, Regression Analysis, Retrospective Studies, Sex Characteristics
0742-3071
686-90
Phillips, D I
29b73be7-2ff9-4fff-ae42-d59842df4cc6
Phillips, D I
29b73be7-2ff9-4fff-ae42-d59842df4cc6

Phillips, D I (1995) Relation of fetal growth to adult muscle mass and glucose tolerance. Diabetic medicine : a journal of the British Diabetic Association, 12 (8), 686-90. (doi:10.1111/j.1464-5491.1995.tb00570.x).

Record type: Article

Abstract

Recent studies show reduced fetal growth is associated with insulin resistance and a raised prevalence of glucose intolerance in adult life. Because early growth retardation in animal models leads to permanent changes in body composition and a reduction in the mass of muscle, a major insulin sensitive tissue, reduced adult muscle mass could explain the link between impaired fetal growth and glucose intolerance. To investigate this hypothesis, muscle mass has been determined in a group of men and women aged around 50 who were born in Preston, Lancashire and compared with their birthweight or body size at birth and their current insulin resistance and glucose tolerance. Subjects who had lower birthweights were shorter and lighter but their weight adjusted for height (BMI) was similar to that of other subjects. Much of the difference in weight was accounted for by a reduction in muscle mass. Muscle mass as estimated by the urinary creatinine excretion rose from 18.8% of body weight in women who had birthweights of 2.5 kg or less to 24.7% of bodyweight in those with birthweights of 3.4 kg or more. Trends in men were similar. Regression analysis showed that adult muscle mass was predicted by low birthweight (p = 0.004), low placental weight (p = 0.02), and small head circumference (p = 0.02) but not, however, by thinness at birth, the birth measurement most predictive of insulin resistance. In addition there were no significant relationships between muscle mass and insulin resistance or glucose tolerance in either men or women.(ABSTRACT TRUNCATED AT 250 WORDS)

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More information

Published date: 15 August 1995
Keywords: Adult, Age Factors, Birth Weight, Blood Glucose/metabolism, Body Weight, Embryonic and Fetal Development, England, Female, Glucose Tolerance Test, Humans, Infant, Newborn, Male, Middle Aged, Muscle, Skeletal/anatomy & histology, Placenta, Pregnancy, Registries, Regression Analysis, Retrospective Studies, Sex Characteristics

Identifiers

Local EPrints ID: 475271
URI: http://eprints.soton.ac.uk/id/eprint/475271
ISSN: 0742-3071
PURE UUID: ed7477c2-2b6b-499f-9f87-ddf5e98c0220

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Date deposited: 14 Mar 2023 17:59
Last modified: 17 Mar 2024 00:52

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Author: D I Phillips

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