Cited by 141High Altitude and HypoxiaPregnancy and preeclampsia studiesBirth, Development, and Health

The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.

Augmented uterine artery blood flow and oxygen delivery protect Andeans from altitude-associated reductions in fetal growth

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Julian, Colleen Glyde, Wilson, Megan J., Lopez, Miriam, Yamashiro, Henry, Tellez, Wilma, Rodriguez, Armando, Bigham, Abigail W., Shriver, Mark D., Rodriguez, Carmelo, Vargas, Enrique, Moore, Lorna G.·2009·American Journal of Physiology-Regulatory, Integrative and Comparative Physiology

Abstract

The effect of high altitude on reducing birth weight is markedly less in populations of high- (e.g., Andeans) relative to low-altitude origin (e.g., Europeans). Uterine artery (UA) blood flow is greater during pregnancy in Andeans than Europeans at high altitude; however, it is not clear whether such blood flow differences play a causal role in ancestry-associated variations in fetal growth. We tested the hypothesis that greater UA blood flow contributes to the protection of fetal growth afforded by Andean ancestry by comparing UA blood flow and fetal growth throughout pregnancy in 137 Andean or European residents of low (400 m; European n = 28, Andean n = 23) or high (3,100–4,100 m; European n = 51, Andean n = 35) altitude in Bolivia. Blood flow and fetal biometry were assessed by Doppler ultrasound, and maternal ancestry was confirmed, using a panel of 100 ancestry-informative genetic markers (AIMs). At low altitude, there were no ancestry-related differences in the pregnancy-associated rise in UA blood flow, fetal biometry, or birth weight. At high altitude, Andean infants weighed 253 g more than European infants after controlling for gestational age and other known influences. UA blood flow and O 2 delivery were twofold greater at 20 wk in Andean than European women at high altitude, and were paralleled by greater fetal size. Moreover, variation in the proportion of Indigenous American ancestry among individual women was positively associated with UA diameter, blood flow, O 2 delivery, and fetal head circumference. We concluded that greater UA blood flow protects against hypoxia-associated reductions in fetal growth, consistent with the hypothesis that genetic factors enabled Andeans to achieve a greater pregnancy-associated rise in UA blood flow and O 2 delivery than European women at high altitude.

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Crossref · 10.1152/ajpregu.90945.2008

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Metadata

Authors
Julian, C. G., Wilson, M. J., Lopez, M., Yamashiro, H., Tellez, W., Rodriguez, A., Bigham, A. W., Shriver, M. D., Rodriguez, C., Vargas, E., & Moore, L. G.
Affiliations
  • University of Colorado Denver (US)
  • Pennsylvania State University (US)
  • Universidad Mayor de San Andrés (BO)
  • Wake Forest University (US)
Venue
American Journal of Physiology-Regulatory, Integrative and Comparative Physiology
Published
2009-05
Volume
296
Issue
5
Pages
R1564-R1575
ISSN
  • 0363-6119 (ISSN-L)
  • 1522-1490
OpenAlex
W2139645408
Cited by
141
References
36
Citations by year
2026: 5 · 2025: 13 · 2024: 8 · 2023: 5 · 2022: 11 · 2021: 9 · 2020: 9 · 2019: 6 · 2018: 4 · 2017: 6 · 2016: 5 · 2015: 15 · 2014: 5 · 2013: 13 · 2012: 8
FWCI
5.26
Type
journal article
Language
en
Open access
Locations
  • American Journal of Physiology-Regulatory, Integrative and Comparative Physiology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Public Health Service (HLBI-079647, HLBI-60131)
  • Fogarty International Center (TW 01188, R03TW007957, R03TW001188)
Topics
  • Health Sciences › Medicine › Physiology (medical) › High Altitude and Hypoxia
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Keywords
uterine artery blood flow, fetal growth, high altitude, birth weight, fetal oxygen delivery, hypoxia, fetal biometry, fetal head circumference, Indigenous American ancestry, maternal ancestry, pregnancy, Doppler ultrasound
MeSH terms
Adult, Altitude, Arteries, Biological Transport, Birth Weight, Bolivia, Europe, Female, Humans, Oxygen, Pregnancy, Regional Blood Flow, Uterus, Case-Control Studies, White People, American Indian or Alaska Native, Fetal Development

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