Egberto Gaspar de Moura
Brazil
Review Article
Can Insulin Resistance or Secretion be Programmed Earlier in Life?
Author(s): Elaine de Oliveira, Patricia Cristina Lisboa and Egberto Gaspar de MouraElaine de Oliveira, Patricia Cristina Lisboa and Egberto Gaspar de Moura
Diabetes and its complications occur at high rates in the world population. Several epidemiological studies have associated perinatal adversities, such as nutritional disturbances or diseases during gestation and lactation, with the development of insulin resistance or failure on insulin secretion in the adult progeny. Only recently the mechanism by which this phenomenon occurs is being delineated through series of experimental studies and implies epigenetics changes as a main initializing event. In this review, the authors give a comprehensive report of the different models of fetal and developmental programming that can result either in insulin resistance or insulin inappropriate secretion, with the possible mechanistic explanation for these alterations. The changes in the female workforce, which implies in profound nutritional and hormonal changes, exposure to endocrine disruptor o.. View More»
