Mother’s lifetime nutrition and the size, shape and efficiency of the placenta
Open accessAbstract
Background Studies have shown that the shape and size of the placenta at birth predict blood pressure in later life. The influences that determine placental morphology are largely unknown. We have examined the role of mother's body size.Methods We studied 522 neonates who were born in a maternity hospital in Mysore, South India. The weight of the placenta and the length and breadth of its surface, were measured after delivery.Results Higher maternal fat mass predicted a larger placental surface (p = 0.02), while larger maternal head circumference predicted a more oval placental surface (p = 0.03). Higher maternal fat mass and larger maternal head circumference were associated with greater placental efficiency, indicated by lower ratios of the length (p = 0.0003 and p = 0.0001 respectively) and breadth (p = 0.0002 and p < 0.0001) of the surface to birthweight. In a sub-sample of 51 mothers whose own birthweight was available, higher maternal birthweight was related to lower ratios of the length and breadth of the surface to birthweight (p = 0.01 and 0.002). Maternal height was unrelated to placental size or shape.Conclusions Higher maternal fat mass, reflecting the mother's current nutritional state, and larger maternal head circumference, reflecting the mother's fetal/infant growth, are associated with changes in the shape and size of the placental surface and greater placental efficiency. We suggest that these associations reflect effects of the mother's nutrition at different stages of her lifecourse on the development of the placenta and on materno-placento-fetal transfer of nutrients.
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Studies in Mysore, India, suggest that maternal head circumference in conjunction with maternal fat mass predict placental efficiency.
“Studies in Mysore, India, suggest that maternal head circumference in conjunction with maternal fat mass predict placental efficiency (579).”
From Placental Origins of Chronic Disease (2016) · cites this paper as [579]
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Essays in Health, Education and Development
Gail, A. (2012)
- Authors
- Winder, N. R., Krishnaveni, G. V., Veena, S. R., Hill, J. C., Karat, C. L. S., Thornburg, K. L., Fall, C. H. D., & Barker, D. J. P.
- Affiliations
- Southampton General Hospital (GB)
- CSI Holdsworth Memorial Hospital (IN)
- Oregon Health & Science University (US)
- Corresponding author
- Winder, N.R.
- Venue
- Placenta
- Publisher
- Elsevier BV
- Published
- 2011-11
- Volume
- 32
- Issue
- 11
- Pages
- 806-810
- ISSN
- 0143-4004 (ISSN-L)
- PMC
- PMC3223394
- OpenAlex
- W1966641630
- Cited by
- 67
- References
- 21
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 6 · 2019: 5 · 2018: 2 · 2017: 6 · 2016: 5 · 2015: 7 · 2014: 4 · 2013: 8 · 2012: 10
- FWCI
- 6.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Placenta (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- ePrints Soton (University of Southampton) (acceptedVersion)
- Funders
- Medical Research Council, UK
- Parthenon Trust, Switzerland
- Wellcome Trust, UK
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Keywords
- placental size, placental shape, placental efficiency, maternal body size, maternal nutrition, placental surface area, neonates, fetal growth
- MeSH terms
- Adult, Birth Weight, Efficiency, Female, Humans, India, Infant, Newborn, Male, Mothers, Nutrition Disorders, Nutritional Status, Organ Size, Placenta, Placentation, Pregnancy, Pregnancy Complications, Prenatal Exposure Delayed Effects, Maternal Nutritional Physiological Phenomena, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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