(Ivanhoe Newswire) -- Babies born underweight because of poor prenatal
nutrition have a high risk for developing type 2 diabetes later in life. This
new study fortifies previous research that shows infants under 5.5 pounds have a
higher risk for developing type 2 diabetes
"The bottom line is that if you don't have delivery of enough nutrients from
the mother to the baby, the baby's pancreatic cells will be programmed
abnormally," says lead researcher Mary-Elizabeth Patti, M.D., from Harvard
Medical School. "The effect doesn't show up until later on -- usually not until
adolescence or adulthood."
A pregnant mother's inadequate nutrition isn't the only cause of prenatal
malnourishment. There are many factors that can cause reduced nourishment,
including abnormal development of the placenta and its blood vessels, or high
blood pressure, which damages vessels. Problems can also result from
intrauterine growth restriction.
Researchers conducted a series of experiments beginning with pregnant mice.
Mice were separated into two groups of mothers and were studied for the three
weeks of pregnancy. For two weeks, both groups were fully nourished. On the
third week, one group of mothers was restricted to only half the amount as the
other group. Babies who were undernourished weighed 23-percent less than the
control group.
About three weeks after delivery, undernourished babies caught up to the
others, similar to human babies. There was no notable difference in between the
two groups. Researchers fed both groups the same diet, limiting other risk
factors of diabetes.
Researchers began to test blood glucose after meals. No difference was found
until the mice were 4 months old -- an age equivalent to human adolescence --
when mice babies born underweight began showing a higher level of blood glucose.
By 6 months of age, the mice had extremely high levels of blood glucose, similar
to full-blown diabetes in humans. "They were somehow not 'programmed' to secrete
a limited amount of insulin later in life, no matter what signal they got from
glucose. The impairment was permanent. It couldn't be corrected even when the
body caught up to normal weight," say Dr. Patti.
The findings underscore the importance of prenatal care as well as the
importance of preventative maintenance with those born underweight. "In
particular, someone who was a low-birth weight baby can compound the risk of
developing diabetes by becoming overweight," study authors conclude.
SOURCE: Diabetes, 2005;54:702-711