Intrauterine undernutrition - renal and vascular origin of hypertension

被引:47
作者
Franco, MD
Nigro, D
Fortes, ZB
Tostes, RCA
Carvalho, MHC
Lucas, SRR
Gomes, GN
Coimbra, TM
Gil, FZ
机构
[1] Univ Sao Paulo, ICB 1, Dept Farmacol, Lab Hipertensao, BR-05508900 Sao Paulo, SP, Brazil
[2] Univ Fed Sao Paulo, Sao Paulo, SP, Brazil
关键词
hypertension; renal function; nitric oxide; endothelial function; low birth weight;
D O I
10.1016/S0008-6363(03)00541-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A large number of clinical and experimental studies supports the hypothesis that intrauterine undernutrition is an important determinant of hypertension, coronary heart disease and non-insulin-dependent diabetes in the adult offspring. In this review, the renal and vascular repercussions of maternal undernutrition are emphasized, and the physiopatologic mechanisms discussed. The origin of hypertension is detailed based upon the findings of kidney functional parameters and endothelium function studies. A working model linking hypertension to intrauterine undernutrition is proposed. (C) 2003 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:228 / 234
页数:7
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