Babies whose
mothers do not eat enough during pregnancy appear
to be at risk of clogged up arteries later in
life, researchers say.
A study of 200 children found
that, on average, the lower the mother's caloric
intake during pregnancy, the thicker the child's
artery walls.
Clogged up arteries - atherosclerosis
- can lead to heart disease and strokes.
The University of Southampton
team said the reasons for the apparent link were
unclear and needed further exploration.
Their study appears in Arteriosclerosis,
Thrombosis and Vascular Biology.
The researchers
used ultrasound scans to measure the thickness
of the wall of the carotid artery in more than
200 nine-year-old children whose mothers had taken
part in a nutrition study during pregnancy.
Experts usually say a pregnant
woman needs to eat around 2,500 calories per day.
'Total calories key'
The researchers said it did not
matter what proportion of the calorie intake came
from fat, protein or carbohydrate - it was the
total calorie intake that was important.
The association between artery
thickness and calorific intake remained strong
even after taking account of factors such as social
class, smoking, exercise habits and sickness in
pregnancy.
The study also found that children
who were heavier, those who had higher blood pressure
or those who took less exercise were more likely
to have thicker artery walls.
Researcher Dr Catharine Gale
said atherosclerosis was a progressive condition
that started early in life.
"Our study provides direct evidence
for the first time in humans that the mother's
diet in pregnancy might influence the child's
susceptibility to atherosclerosis.
"The exact reasons why lower
maternal energy intake in pregnancy was linked
to increased arterial wall thickness in the children
are unclear.
"We need to do further studies
to see if the same findings are present in other
groups of mothers and children and to explore
explanations for the link.
"One possibility is that maternal
energy intake in pregnancy may affect the child's
blood cholesterol concentrations.
"Children who have higher blood
cholesterol concentrations are at increased risk
of atherosclerosis."
Judy O'Sullivan, a cardiac nurse
at the British Heart Foundation, said: "This study
indicates that a low calorie intake during pregnancy
affects the thickness of the carotid artery.
"This thickness can be a good
indication of athersclerosis in adults but more
work needs to be done before we can say the same
is true for children.
"Our advice to pregnant women
is that a healthy balanced diet is essential to
give both mother and baby the best chance of a
healthier life.
"A restricted or low calorie
diet should not be followed during pregnancy."