The Dutch Famine of 1944–1945: A Pathophysiological Model of Long-Term Consequences of Wasting Disease
Abstract
PURPOSE OF REVIEW: The tragic circumstances of the Dutch Hunger Winter of 1944-1945 created a unique opportunity to study the relation between exposure to prenatal famine and health in adult life. This review addresses the literature on the effects of maternal malnutrition during the different periods of gestation and childhood on health in adult life. RECENT FINDINGS: Exposure to famine during gestation resulted in increases in impaired glucose tolerance, obesity, coronary heart disease, atherogenic lipid profile, hypertension, microalbuminuria, schizophrenia, antisocial personality and affective disorders. Exposure to famine during childhood resulted in changes in reproductive function, earlier menopause, changes in insulin-like growth factor-I and increases in breast cancer. SUMMARY: Exposure to famine during gestation and childhood has life-long effects on health, and these effects vary depending on the timing of exposure as well as evolution of the recovery period.
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Studies on grandchildren of women exposed to famine in utero showed that grandsons of women malnourished during early pregnancy tended to have higher birth weights, while exposure in late pregnancy did not affect birth weight.
“Studies on the grandchildren of women exposed to famine in utero showed that grandsons of women malnourished during early pregnancy tended to have higher birth weights, while exposure in late pregnancy did not affect birth weight [169,170,171,172].”
From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [172]
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- Authors
- Kyle, U. G., & Pichard, C.
- Affiliations
- University Hospital of Geneva (CH)
- Corresponding author
- Pichard, Claude
- ORCID
- Pichard, Claude
- Venue
- Current Opinion in Clinical Nutrition & Metabolic Care
- Published
- 2006-07
- Volume
- 9
- Issue
- 4
- Pages
- 388-394
- ISSN
- 1363-1950 (ISSN-L)
- OpenAlex
- W2083829767
- Cited by
- 208
- References
- 0
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 10 · 2022: 16 · 2021: 6 · 2020: 12 · 2019: 13 · 2018: 11 · 2017: 14 · 2016: 20 · 2015: 16 · 2014: 13 · 2013: 16 · 2012: 7
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Clinical Nutrition & Metabolic Care (publishedVersion)
- PubMed (publishedVersion)
- 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
- Dutch Hunger Winter, prenatal famine exposure, maternal malnutrition, long-term health effects, impaired glucose tolerance, obesity, coronary artery disease, atherogenic lipid profile, hypertension, microalbuminuria, schizophrenia, antisocial personality, mood disorders, reproductive function, menopause, insulin-like growth factor I, breast cancer, developmental origins of health and disease
- MeSH terms
- Breast Neoplasms, Coronary Disease, Female, Humans, Models, Biological, Obesity, Pregnancy, Prenatal Exposure Delayed Effects, Starvation, Time Factors, Glucose Intolerance, Wasting Disease, Chronic, Maternal Nutritional Physiological Phenomena
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