Intrauterine Growth Retardation and Nonalcoholic Fatty Liver Disease in Children

Intrauterine growth retardation (IUGR), the most important cause of perinatal mortality and morbidity, is defined as a foetal growth less than normal for the population, often used as synonym of small for gestational age (SGA). Studies demonstrated the relationships between metabolic syndrome (MS) a...

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Main Authors: Anna Alisi, Nadia Panera, Carlo Agostoni, Valerio Nobili
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2011/269853
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author Anna Alisi
Nadia Panera
Carlo Agostoni
Valerio Nobili
author_facet Anna Alisi
Nadia Panera
Carlo Agostoni
Valerio Nobili
author_sort Anna Alisi
collection DOAJ
description Intrauterine growth retardation (IUGR), the most important cause of perinatal mortality and morbidity, is defined as a foetal growth less than normal for the population, often used as synonym of small for gestational age (SGA). Studies demonstrated the relationships between metabolic syndrome (MS) and birthweight. This study suggested that, in children, adolescents, and adults born SGA, insulin resistance could lead to other metabolic disorders: type 2 diabetes (DM2), dyslipidemia, and nonalcoholic fatty liver disease (NAFLD). NAFLD may evolve to nonalcoholic steatohepatitis (NASH), and it is related to the development of MS. Lifestyle intervention, physical activity, and weight reduction represent the mainstay of NAFLD therapy. In particular, a catch-up growth reduction could decrease the risk to develop MS and NAFLD. In this paper, we outline clinical and experimental evidences of the association between IUGR, metabolic syndrome, insulin resistance, and NAFLD and discuss on a possible management to avoid the risk of MS in adulthood.
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spelling doaj-art-540a25126c3d4962904995e8edb435222025-02-03T01:31:56ZengWileyInternational Journal of Endocrinology1687-83371687-83452011-01-01201110.1155/2011/269853269853Intrauterine Growth Retardation and Nonalcoholic Fatty Liver Disease in ChildrenAnna Alisi0Nadia Panera1Carlo Agostoni2Valerio Nobili3Liver Research Unit, Bambino Gesù Children's Hospital and Research Institute, 00165 Rome, ItalyLiver Research Unit, Bambino Gesù Children's Hospital and Research Institute, 00165 Rome, ItalyDepartment of Maternal and Pediatric Sciences, Fondazione IRCCS Ca' Granda—Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, ItalyLiver Research Unit, Bambino Gesù Children's Hospital and Research Institute, 00165 Rome, ItalyIntrauterine growth retardation (IUGR), the most important cause of perinatal mortality and morbidity, is defined as a foetal growth less than normal for the population, often used as synonym of small for gestational age (SGA). Studies demonstrated the relationships between metabolic syndrome (MS) and birthweight. This study suggested that, in children, adolescents, and adults born SGA, insulin resistance could lead to other metabolic disorders: type 2 diabetes (DM2), dyslipidemia, and nonalcoholic fatty liver disease (NAFLD). NAFLD may evolve to nonalcoholic steatohepatitis (NASH), and it is related to the development of MS. Lifestyle intervention, physical activity, and weight reduction represent the mainstay of NAFLD therapy. In particular, a catch-up growth reduction could decrease the risk to develop MS and NAFLD. In this paper, we outline clinical and experimental evidences of the association between IUGR, metabolic syndrome, insulin resistance, and NAFLD and discuss on a possible management to avoid the risk of MS in adulthood.http://dx.doi.org/10.1155/2011/269853
spellingShingle Anna Alisi
Nadia Panera
Carlo Agostoni
Valerio Nobili
Intrauterine Growth Retardation and Nonalcoholic Fatty Liver Disease in Children
International Journal of Endocrinology
title Intrauterine Growth Retardation and Nonalcoholic Fatty Liver Disease in Children
title_full Intrauterine Growth Retardation and Nonalcoholic Fatty Liver Disease in Children
title_fullStr Intrauterine Growth Retardation and Nonalcoholic Fatty Liver Disease in Children
title_full_unstemmed Intrauterine Growth Retardation and Nonalcoholic Fatty Liver Disease in Children
title_short Intrauterine Growth Retardation and Nonalcoholic Fatty Liver Disease in Children
title_sort intrauterine growth retardation and nonalcoholic fatty liver disease in children
url http://dx.doi.org/10.1155/2011/269853
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