Background: Epidemiological studies show low birth weight increases the risk of developing metabolic syndrome (obesity, glucose intolerance and hypertension). Identification of an analogous model within an inbred mouse strain would facilitate mechanistic understanding. Hypotheses: 1) Perinatal growth restricted (PGR) mice have altered body composition, impaired glucose tolerance and hypertension (compared to isogenic controls). 2) The effects of PGR are amplified follow provision of a high fat diet. Methods: PGR C57Bl6 pups were identified at weaning (3wk) and paired with same sex normally grown littermates (n = 8 per group). Growth and feed intake was recorded weekly for 34 wk (17 wk on standard diet, then 17 wk on high fat diet). Glucose tolerance tests (GTT) and tail cuff systolic blood pressure (SBP) measurements were performed at the end of each diet period. Results: PGR pups weighed significantly less than controls throughout the study, despite increased caloric intake (P<0.05). PGR adults gained less than half as much weight as controls while on the high fat diet (HF). While on HF, glucose tolerance was significantly better in PGR mice than controls. Although SBP was significantly higher in PGR mice at 20 wk, following 17 wk of HF, SBP was lower in the PGR mice (P<0.05). Conclusion: Naturally occurring perinatal growth restriction is associated with (1) impaired postnatal weight gain; (2) increased SBP while on standard diet; and (3) decreased propensity towards diet-induced metabolic syndrome while on a high fat diet.