国际生殖健康/计划生育 ›› 2020, Vol. 39 ›› Issue (4): 324-328.

• 综述 • 上一篇    下一篇

母体肥胖与子代肥胖的相关性及其机制的研究进展

林晶,陈蕾,贾晓宁   

  1. 510515  广州,南方医科大学第二临床医学院(林晶,陈蕾);中国人民解放军总医院第六医学中心妇产科(陈蕾,贾晓宁)
  • 收稿日期:2020-03-24 修回日期:2020-04-13 出版日期:2020-07-15 发布日期:2020-07-15
  • 通讯作者: 陈蕾,E-mail:3313400243@qq.com E-mail:3313400243@qq.com
  • 基金资助:
    首都卫生发展科研专项(首发2020-1-5112)

The Correlation between Maternal Obesity and Offspring Obesity

LIN Jing,CHEN Lei,JIA Xiao-ning   

  1. The Second School of Clinical Medicine,Southern Medical University,Guangzhou 510515,China(LIN Jing,CHEN Lei);Department of Obstetrics and Gynecology,The Sixth Medical Center of PLA General Hospital,Beijing 100048,China(CHEN Lei,JIA Xiao-ning)
  • Received:2020-03-24 Revised:2020-04-13 Published:2020-07-15 Online:2020-07-15
  • Contact: CHEN Lei,E-mail:3313400243@qq.com E-mail:3313400243@qq.com

摘要: 肥胖已成为全球性亟待解决的公共卫生问题,也是导致慢性代谢性疾病的重要危险因素。随着“健康与疾病的发育起源”理论的提出,越来越多的研究发现,母体肥胖与子代肥胖的关系密切,肥胖会在代际间引起传递,可能的机制为慢性炎症反应、脂肪功能障碍、下丘脑-脂肪轴功能失调、表观遗传改变、遗传因素、肠道菌群紊乱和胎盘功能改变等。明确母体肥胖与子代肥胖的关系及相关的机制,从生命初期进行干预,阻断肥胖的代际传递,可能降低肥胖和慢性病的发生率。综述母体肥胖与子代肥胖的关系及其机制。

关键词: 肥胖症;, 妊娠;, 炎症;, 脂肪组织;, 后成说, 遗传;, 胃肠道微生物组

Abstract: Obesity as an important risk factor of chronic and metabolic diseases is a global serious public health issue. Recently, it has been found that obesity can cause intergenerational transmission. With the theory of "developmental origins of health and disease", more and more studies have found that offspring obesity is closely related to maternal obesity. However, its mechanism is still not very clear. The possible mechanisms include chronic inflammatory reaction, fat tissue endocrine function, hypothalamus-adipose axis dysfunction, epigenetic changes, hereditary,gut microbial alternation and placental function changes. To clarify the relationship and the mechanisms between maternal obesity/diabetes and offspring obesity, and to block the intergenerational transmission of obesity, could lower the rate of obesity and related chronic diseases. This review describes the relationship between maternal obesity and offspring obesity and its mechanism.

Key words: Obesity;, Pregnancy;, Inflammation;, Adipose tissue;, Epigenesis, genetic;, Gastrointestinal microbiome