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  1. Dokkyo Medical Journal
  2. 3(3) 2024

Preemptive Medicine for Diabetes from the Viewpoint of the DOHaD Theory

https://dmu.repo.nii.ac.jp/records/2000370
https://dmu.repo.nii.ac.jp/records/2000370
a7ccf241-0086-4f24-8e51-85dc4a75246f
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DKMJ-3-3-1.pdf DKMJ-3-3-1.pdf (368 KB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Preemptive Medicine for Diabetes from the Viewpoint of the DOHaD Theory
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 Developmental Origins of Health and Disease (DOHaD)
キーワード
言語 en
主題Scheme Other
主題 Diabetes
キーワード
言語 en
主題Scheme Other
主題 epigenetics
キーワード
言語 en
主題Scheme Other
主題 preemptive medicine
キーワード
言語 en
主題Scheme Other
主題 life-course medicine
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 Hashimoto, Koshi

× Hashimoto, Koshi

en Hashimoto, Koshi

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書誌情報 en : Dokkyo Medical Journal

巻 3, 号 3, p. 169-177, 発行日 2024-09-25
記事種別
値 Review
内容記述
内容記述タイプ Abstract
内容記述 The Developmental Origins of Health and Disease (DOHaD) theory posits that prenatal and infancy environmental factors influence future health and disease susceptibility.
Epidemiological and animal studies reveal that factors like nutritional status, maternal illness, chemical exposure, and drug use during pregnancy influence offspring's diabetes risk. Low birthweight correlates with later cardiovascular diseases (Barker's theory), later expanded into DOHaD theory. Dutch Famine links fetal malnutrition to adult diabetes. Animal studies replicating prenatal undernutrition show insulin resistance and altered gene expression.
Maternal hypernutrition studies using high-lipid or high-fructose diets demonstrate offspring's increased diabetes risk. Gestational Diabetes Mellitus (GDM) research shows maternal hyperglycemia affects offspring's glucose tolerance. Other maternal factors like deficiency in zinc, vitamin D, sleep disturbances, endocrine disruptor exposure, and substance intake contribute to diabetes risk.
Paternal factors, including protein restriction, high-lipid diets, and hyperglycemia, also affect offspring's diabetes risk, possibly through DNA methylation. Pathogenesis involves oxidative stress, gut microbiota, and nutrient-sensing signal disruption. Reprogramming efforts involve interventions during pregnancy or infancy, including antioxidants, green tea, flavonoids, melatonin, resveratrol, and folic acid.
The concept of "preemptive medicine" is introduced for diabetes prevention. The "First 1000 days" from fetal life to age 2 and adolescence to young adulthood are critical periods. Understanding epigenomic memory's role and promoting life-course medicine is crucial for preemptive diabetes treatment. Epigenetics, especially DNA methylation, emerges as a key molecular mechanism. Reprogramming epigenomic memory becomes a potential therapy. Overall, this review underscores the importance of comprehensive approaches for diabetes prevention in the context of DOHaD theory.
言語 en
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ EISSN
収録物識別子 2436-522X
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12941861
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
他の資源との関係
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識別子タイプ DOI
関連識別子 https://doi.org/10.51040/dkmj.2023-043
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