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Cited by 40Birth, Development, and HealthDietary Effects on HealthPrenatal Substance Exposure Effects

Intergenerational effects of in utero exposure to Ramadan in Tunisia

Alwasel, S.H., Harrath, A., Aljarallah, J.S., Abotalib, Z., Osmond, C., Al Omar, S.Y., Khaled, I., Barker, D.J.P.·2013·American Journal of Human Biology
DOI 10.1002/ajhb.22374
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Abstract

Objectives: We have reported that changes in the lifestyle of pregnant women during Ramadan affect more than one generation. In a series of newborn babies in Saudi Arabia, those whose mothers had been in utero during Ramadan differed from those whose mothers had not been in utero during Ramadan. These were unexpected findings and require replication. Methods: We examined body size at birth in 1,321 babies (682 boys and 639 girls) born in Gafsa, a small city in Tunisia. Results: Babies whose mothers had been in utero during Ramadan were smaller and thinner, and had smaller placentas, than those whose mothers had not been in utero during Ramadan. After adjustment for sex, the babies were 93 g lighter (95% confidence interval, 32–153, P=0.003) than those whose mother had not been in utero during Ramadan, their mean ponderal index was 0.52 kg/m 3 lower (0.24–0.79, P<0.001) and their placental weight was 21 g lower (5–37, P=0.01). The findings did not differ by trimester of maternal exposure to Ramadan. They were similar in boys and girls and in primiparous and multiparous mothers Conclusion: This study provides further evidence that changes in lifestyle during Ramadan have intergenerational effects. Am. J. Hum. Biol. 25:341–343, 2013. © 2013 Wiley Periodicals, Inc.

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  • Mothers below the median height (157 cm) had the strongest associations between placental width and neonatal body size.

    “Mothers below the median height (157cm) had the strongest associations between placental width and neonatal body size.”

    From Placental Origins of Chronic Disease (2016) · cites this paper as [12]

  • For each cm increase in placental width, birth weight increased by 125 g (95% CI 88 to 162, p < 0.001), but only by 20 g for each cm increase in placental length (-13 to 53, p = 0.2).

    “For each cm increase in placental width, birth weight increased by 125 g (95% confidence interval 88 to 162, p < 0.001) but only by 20 g for each cm increase in placental length (-13 to 53, p= 0.2).”

    From Placental Origins of Chronic Disease (2016) · cites this paper as [12]

  • Simultaneous regression revealed that increasing ponderal index and the circumferences of the head, chest, abdomen and thigh among newborns are all highly associated with placental width, but none are related to placental length.

    “For example, simultaneous regression revealed that increasing ponderal index and the circumferences of the head, chest, abdomen and thigh among newborns are all highly associated with placental width; however, none are related to placental length (12).”

    From Placental Origins of Chronic Disease (2016) · cites this paper as [12]

  • Formal fasting in late pregnancy during Ramadan is associated with reduced placental weight at term in Saudi Arabian and Tunisian women.

    “Formal fasting in late pregnancy during Ramadan is also associated with reduced placental weight at term in Saudi Arabian and Tunisian women (10,12).”

    From Placental Origins of Chronic Disease (2016) · cites this paper as [12]

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Authors
Alwasel, S. H., Harrath, A., Aljarallah, J. S., Abotalib, Z., Osmond, C., Al Omar, S. Y., Khaled, I., & Barker, D. J. P.
Affiliations
  • King Saud University (SA)
  • Tunis University (TN)
  • MRC Lifecourse Epidemiology Unit (GB)
  • Fetal Programming of Disease Research Chair Zoology Department College of Science King Saud University Saudi Arabia
  • Oregon Health & Science University (US)
Corresponding author
Barker, D.J.P.
ORCID
Venue
American Journal of Human Biology
Publisher
Wiley
Published
2013-02-21
Volume
25
Issue
3
Pages
341-343
ISSN
  • 1042-0533 (ISSN-L)
  • 1520-6300
DOI
10.1002/ajhb.22374
OpenAlex
W1480808194
Cited by
40
References
8
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2022: 2 · 2021: 2 · 2019: 4 · 2018: 4 · 2017: 3 · 2016: 7 · 2015: 5 · 2014: 3 · 2013: 1
FWCI
4.97
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • American Journal of Human Biology (publishedVersion)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (submittedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
  • Health Sciences › Medicine › Physiology › Dietary Effects on Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Keywords
Ramadan, prenatal exposure, intergenerational effects, fetal growth restriction, birth weight, placental weight, prenatal nutrition
MeSH terms
Adolescent, Adult, Body Height, Body Weights and Measures, Fasting, Female, Humans, Islam, Maternal Age, Middle Aged, Placenta, Pregnancy, Prenatal Exposure Delayed Effects, Tunisia, Young Adult

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