Effect of maternal undernutrition in early gestation on ovine fetal blood pressure and cardiovascular reflexes

被引:58
作者
Hawkins, P
Steyn, C
Ozaki, T
Saito, T
Noakes, DE
Hanson, MA
机构
[1] UCL, Dept Obstet & Gynaecol, London WC1E 6HX, England
[2] UCL, Dept Physiol, London WC1E 6HX, England
[3] Univ London, Univ London Royal Vet Coll, Dept Farm Anim & Equine Med & Surg, London AL9 7TA, England
关键词
fetal sheep; baroreflex; chemoreflex; programming;
D O I
10.1152/ajpregu.2000.279.1.R340
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Human epidemiological and animal experimental studies suggest that maternal undernutrition during pregnancy may alter cardiovascular development of the offspring. The extent to which these effects involve changes in fetal cardiovascular function and whether they are necessarily linked to reduced fetal growth is unknown. In sheep, we investigated the effect of a 15% reduction in maternal global nutrition for the first 70 days of gestation (term = 147 days) on fetal blood pressure development, baroreflex control of fetal heart rate (FHR), and cardiovascular responses to acute hypoxemia in late gestation. Basal mean arterial pressure (P < 0.05), systolic blood pressure (P, 0.05), diastolic blood pressure (P < 0.05), and rate-pressure product (P < 0.001) were significantly lower in fetuses of nutritionally restricted ewes (R) compared with controls (C). FHR was not altered. The operating point for the fetal baroreflex was significantly lower in R fetuses compared with C (P < 0.01), but there was no difference between the groups in the cardiovascular response to hypoxemia. We conclude that mild maternal undernutrition alters fetal cardiovascular development, producing low blood pressure and resetting of baroreflex control mechanisms. This effect occurs without any changes in fetal growth or blood gas status.
引用
收藏
页码:R340 / R348
页数:9
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