Cited by 164Birth, Development, and HealthPregnancy and preeclampsia studiesPrenatal Substance Exposure Effects

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Compensatory placental growth after restricted maternal nutrition in early pregnancy

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Lunney, L.H.·1998·Placenta

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Abstract

This study examined the effects of undernutrition in pregnancy on fetal and placental growth among infants born in 1944-1946 in The Netherlands, including infants born during the war-induced Dutch famine of 1944-1945. There was an increase in placental weight, but not in birthweight, in infants whose mothers' nutrition was compromised around conception or in the first trimester of pregnancy. Therefore, the placental index was also increased. Compared to pre-famine controls, the relative increase after first trimester exposure to undernutrition was larger in the northern part of the country (5.2 per cent, 95 per cent confidence interval 1.4, 9.0) where nutritional deprivation was presumably moderate compared to the west (3.5 per cent, 95 per cent confidence interval 0.2, 7.2) where nutritional deprivation was severe. The increase in placental weight is interpreted as compensatory for the reduction in maternal caloric intake. Whereas this suggests that pregnancy undernutrition can stimulate compensatory placental growth, the latter was only seen after first trimester undernutrition, which does not affect infant size at birth. For these infants, therefore, birthweight is not an appropriate proxy measure of undernutrition in pregnancy. These factors need to be considered in future studies relating pregnancy nutrition to adult health outcomes.

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Authors: Lunney, L. H.
Affiliations: Institute for Cancer Prevention (US)
Corresponding author: Lunney, L.H.
Venue: Placenta
Publisher: Elsevier BV
Published: 1998-01
Volume: 19
Issue: 1
Pages: 105-111
ISSN: 0143-4004 (ISSN-L)
DOI: 10.1016/s0143-4004(98)90105-9
OpenAlex: W2024706817
Cited by: 164
References: 38
Citations by year: 2026: 4 · 2025: 7 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 9 · 2020: 5 · 2019: 2 · 2018: 5 · 2017: 9 · 2016: 4 · 2015: 14 · 2014: 5 · 2013: 3 · 2012: 16
FWCI: 4.37
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor, 2272 d)
Locations: Placenta (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r01hd026492-02)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (1RO1-HD26492-02)
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 › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Keywords: placental development, maternal undernutrition, early pregnancy, Dutch famine, fetal growth, birth weight, fetal programming, adult health outcomes
MeSH terms: Adult, Birth Weight, Female, Humans, Netherlands, Nutrition Disorders, Organ Size, Placentation, Pregnancy, Pregnancy Complications, Pregnancy Trimester, First, Starvation, History, 20th Century

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Compensatory placental growth after restricted maternal nutrition in early pregnancy

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