Abstract

SummaryAnimal models of maternal high fat diet (HFD) demonstrate perturbed offspring metabolism although the effects differ markedly between models. We assessed studies investigating metabolic parameters in the offspring of HFD fed mothers to identify factors explaining these inter‐study differences. A total of 171 papers were identified, which provided data from 6047 offspring. Data were extracted regarding body weight, adiposity, glucose homeostasis and lipidaemia. Information regarding the macronutrient content of diet, species, time point of exposure and gestational weight gain were collected and utilized in meta‐regression models to explore predictive factors. Publication bias was assessed using Egger's regression test.Maternal HFD exposure did not affect offspring birthweight but increased weaning weight, final bodyweight, adiposity, triglyceridaemia, cholesterolaemia and insulinaemia in both female and male offspring. Hyperglycaemia was found in female offspring only. Meta‐regression analysis identified lactational HFD exposure as a key moderator. The fat content of the diet did not correlate with any outcomes. There was evidence of significant publication bias for all outcomes except birthweight.Maternal HFD exposure was associated with perturbed metabolism in offspring but between studies was not accounted for by dietary constituents, species, strain or maternal gestational weight gain. Specific weaknesses in experimental design predispose many of the results to bias.

Highlights

  • Obesity is a growing public health concern

  • It is difficult to separate the direct effect of maternal obesity on offspring from other environmental and genetic factors, studies have found that maternal obesity is an independent risk factor for high body mass index (BMI) in her children [7,9,11]

  • Our analysis found maternal cafeteria-style diets led to greater offspring body weight, whereas diet-induced obesity was associated with increased offspring lipids and insulin concentrations

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Summary

Introduction

Obesity is a growing public health concern. In 2014, 61.7% of adults and 31.2% of children in the UK were overweight or obese [1]. The rising prevalence of obesity is evident amongst pregnant women such that around half of women of childbearing age are overweight with 5% of mothers giving birth in the UK having a body mass index (BMI) >35 kg mÀ2 [1]. This increases health risks for the mother but may have significant impacts on the health and well-being of offspring with both short and long term sequelae [2,3,4]. Being overweight as a child is an independent risk factor for both increased morbidity and premature

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