Long-Term Neurologic Consequences following Fetal Growth Restriction: The Impact on Brain Reserve
Open accessAbstract
Background: Fetal growth restriction (FGR) corresponds to the fetus’s inability to achieve an adequate weight gain based on genetic potential and gestational age. It is an important cause of morbidity and mortality. Summary: In this review, we address the challenges of diagnosis and classification of FGR. We review how chronic fetal hypoxia impacts brain development. We describe recent advances on placental and fetal brain imaging using magnetic resonance imaging and how they offer new noninvasive means to study growth restriction in humans. We go on to review the impact of FGR on brain integrity in the neonatal period, later childhood, and adulthood and review available therapies. Key Messages: FGR consequences are not limited to the perinatal period. We hypothesize that impaired brain reserve, as defined by structure and size, may predict some concerning epidemiological data of impaired cognitive outcomes and dementia with aging in this group of patients.
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Preterm birth and FGR are clinically observable sentinel phenotypes that may reflect several adverse maternal-placental-fetal pathways and are themselves associated with long-term cardiometabolic risk.
“Preterm birth and FGR are clinically observable sentinel phenotypes that may reflect several adverse maternal–placental–fetal pathways and are themselves associated with long-term cardiometabolic risk [97,98,99,100,101].”
From Placental Pathophysiology and Developmental Programming of Adult Cardiometabolic Risk: A Narrative Review of Pregnancy Exposures (2026) · cites this paper as [101]
The Etiology of FGR section describes multiple causes of FGR, and its Fetal Programming subsection associates FGR with later cardiovascular disease and type 2 diabetes. The paper does not establish the same long-term cardiometabolic association for preterm birth, so it supports the FGR portion but not the claim about both phenotypes. (LLM, conf=0.86)
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- Authors
- Shah, D. K., Pereira, S., & Lodygensky, G. A.
- Affiliations
- Queen Mary University of London (GB)
- Barts Health NHS Trust (GB)
- Université de Montréal (CA)
- Corresponding author
- Lodygensky, Gregory A.
- Venue
- Developmental Neuroscience
- Publisher
- S. Karger AG
- Published
- 2024-05-14
- Volume
- 47
- Issue
- 2
- Pages
- 1-8
- ISSN
- 0378-5866 (ISSN-L)
- 1421-9859
- PMC
- PMC11965808
- OpenAlex
- W4396884195
- Cited by
- 8
- References
- 66
- Citations by year
- 2026: 4 · 2025: 4
- FWCI
- 0.75
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Developmental Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Fonds de Recherche du Québec - Santé
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- fetal growth restriction, brain reserve, chronic fetal hypoxia, brain development, placental imaging, fetal brain MRI, brain integrity, cognitive outcomes
- MeSH terms
- Brain, Female, Fetal Growth Retardation, Humans, Magnetic Resonance Imaging, Pregnancy
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