Small for gestational age birth weight: impact on lung structure and function.

Abstract:

:Accumulating data suggest that prenatal compromises leading to intrauterine growth restriction (IUGR) increase the risk for respiratory deficiencies after birth. In this respect, a growing body of epidemiological evidence in infants, children and adults indicates that small for gestational (SGA) birth weight can adversely affect lung function, thus questioning the widely accepted concept that IUGR accelerates lung maturation and improves outcome. Although the mechanisms responsible for the relationship between SGA and later lung dysfunction remain poorly documented, animal data indicate that intrauterine lung development can be adversely affected by factors associated with IUGR, namely reduced substrate supply, fetal hypoxemia and hypercortisolemia. Thus, it is suggested that fetal adaptations to intrauterine undernutrition result in permanent changes in lung structure, which in turn lead to chronic airflow obstruction. The purpose of this review is to describe and discuss the effects of IUGR on lung structure and function.

journal_name

Paediatr Respir Rev

authors

Briana DD,Malamitsi-Puchner A

doi

10.1016/j.prrv.2012.10.001

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

256-62

issue

4

eissn

1526-0542

issn

1526-0550

pii

S1526-0542(12)00087-5

journal_volume

14

pub_type

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