Laugesen, Kristina;
Sørensen, Henrik Toft;
Jorgensen, Jens Otto L;
Petersen, Irene;
(2022)
Prenatal exposure to glucocorticoids and the prevalence of overweight or obesity in childhood.
European Journal of Endocrinology
, 186
(4)
pp. 429-440.
10.1530/EJE-21-0846.
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[1479683X - European Journal of Endocrinology] Prenatal exposure to glucocorticoids and the prevalence of overweight or obesity in childhood.pdf - Published Version Download (1MB) | Preview |
Abstract
Objective: Prenatal exposure to excess cortisol can affect postnatal metabolic health by epigenetic mechanisms. We aimed to investigate if prenatal exposure to pharmacological glucocorticoids increases the risk of overweight/obesity in childhood. Design: A nationwide population registry-based cohort study. Methods: We identified 383 877 children born in Denmark (2007-2012), who underwent routine anthropometric evaluation at 5-8 years of age. Prenatal exposure to glucocorticoids was divided into systemic and topical glucocorticoids, cumulative systemic dose, and use by trimester. The comparison cohort included children without exposure, born to maternal never-users. Negative control exposures were used to investigate confounding from an underlying disease or unmeasured characteristics. Such exposures included children without glucocorticoid exposure born to maternal users of non-steroidal anti-inflammatory drugs or immunotherapy during pregnancy, maternal former users of glucocorticoids, or paternal users of glucocorticoids during the pregnancy of their partner. We estimated sex-stratified adjusted prevalence ratios (aPR) of overweight/obesity at 5-8 years of age, as epigenetic modifications have shown to be sex-specific. Results: In the study, 21 246 (11%) boys and 27 851 (15%) girls were overweight/obese at 5-8 years of age. Overall, neither systemic nor topical glucocorticoids were associated with overweight/obesity. In boys, high-dose systemic glucocorticoids was associated with higher prevalence of overweight/obesity vs the comparison cohort (aPR: 1.41 (95% CI: 1.07-1.86), prevalence: 16% vs 11%). Negative control exposures indicated robustness to confounding. Conclusion: Overweight/obesity might be an adverse effect of prenatal exposure to high-dose systemic glucocorticoids in boys. We found no association for neither prenatal exposure to lower doses of systemic nor topical glucocorticoids. These results merit clinical attention.
| Type: | Article |
|---|---|
| Title: | Prenatal exposure to glucocorticoids and the prevalence of overweight or obesity in childhood |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1530/EJE-21-0846 |
| Publisher version: | https://doi.org/10.1530/EJE-21-0846 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons Attribution 4.0 International License. |
| Keywords: | Body Mass Index, Child, Child, Preschool, Cohort Studies, Denmark, Epigenesis, Genetic, Female, Gestational Age, Glucocorticoids, Humans, Male, Overweight, Pediatric Obesity, Pregnancy, Prenatal Exposure Delayed Effects, Sex Factors |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10147529 |
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