Developmental Origins of Health and Disease: A Lifecourse Approach to the Prevention of Non-Communicable Diseases

被引:132
作者
Baird, Janis [1 ]
Jacob, Chandni [2 ]
Barker, Mary [1 ,3 ]
Fall, Caroline H. D. [1 ]
Hanson, Mark [2 ,3 ]
Harvey, Nicholas C. [1 ,3 ]
Inskip, Hazel M. [1 ]
Kumaran, Kalyanaraman [1 ]
Cooper, Cyrus [1 ,3 ]
机构
[1] Univ Southampton, Lifecourse Epidemiol Unit, Med Res Council, Southampton SO16 6YD, Hants, England
[2] Univ Southampton, Inst Dev Sci, Southampton S016 5YA, Hants, England
[3] Univ Hosp Southampton, NHS Fdn Trust, Southampton Biomed Res Ctr, Natl Inst Hlth Res, Southampton SO16 6YD, Hants, England
基金
英国医学研究理事会;
关键词
lifecourse; NCDs (non-communicable diseases); prevention; intervention; LIFE-COURSE APPROACH; LOW-BIRTH-WEIGHT; VITAMIN-D STATUS; CHILD UNDERNUTRITION; ADULT HEALTH; BONE MASS; WOMEN; INTERVENTION; NUTRITION; PREGNANCY;
D O I
10.3390/healthcare5010014
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Non-communicable diseases (NCDs), such as cardiovascular disease and osteoporosis, affect individuals in all countries worldwide. Given the very high worldwide prevalence of NCDs across a range of human pathology, it is clear that traditional approaches targeting those at most risk in older adulthood will not efficiently ameliorate this growing burden. It will thus be essential to robustly identify determinants of NCDs across the entire lifecourse and, subsequently, appropriate interventions at every stage to reduce an individual's risk of developing these conditions. A lifecourse approach has the potential to prevent NCDs, from before conception through fetal life, infancy, childhood, adolescence, adulthood and into older age. In this paper, we describe the origins of the lifecourse concept, the importance of early life influences, for example during pregnancy, examine potential underlying mechanisms in both cell biology and behavior change, and finally describe current efforts to develop interventions that take a lifecourse approach to NCD prevention. Two principal approaches to improving women's nutritional status are outlined: nutritional supplementation and behavior change.
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页数:12
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