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Semin Reprod Med 2011; 29(3): 225-236
DOI: 10.1055/s-0031-1275516
© Thieme Medical Publishers

The Intrauterine Growth Restriction Phenotype: Fetal Adaptations and Potential Implications for Later Life Insulin Resistance and Diabetes

Stephanie R. Thorn1 , Paul J. Rozance1 , Laura D. Brown1 , William W. Hay1
  • 1University of Colorado School of Medicine, Aurora, Colorado
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Publication History

Publication Date:
27 June 2011 (online)

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ABSTRACT

The intrauterine growth restricted (IUGR) fetus develops unique metabolic adaptations in response to exposure to reduced nutrient supply. These adaptations provide survival value for the fetus by enhancing the capacity of the fetus to take up and use nutrients, thereby reducing the need for nutrient supply. Each organ and tissue in the fetus adapts differently, with the brain showing the greatest capacity for maintaining nutrient supply and growth. Such adaptations, if persistent, also have the potential in later life to promote nutrient uptake and storage, which directly lead to complications of obesity, insulin resistance, reduced insulin production, and type 2 diabetes.

KEYWORDS

Fetus - placenta - pregnancy - intrauterine growth restriction (IUGR) - nutrition

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William W HayJr. 

Professor of Pediatrics, University of Colorado School of Medicine, Perinatal Research Center

F441, 13243 East 23rd Avenue, Aurora, CO 80045

Email: bill.hay@ucdenver.edu

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