Executive Summary
Breakthrough research shows that child’s heart health is determined not just by lifestyle factors alone but conditions governing their mother’s pregnancy. The cardiovascular risk carried by the child is even greater if the mother had diabetes before she became pregnant.
Heart
disease is generally viewed as a condition that develops gradually due to
factors such as poor diet, insufficient physical activity, stress, or aging.
However,
a major study published in JAMA Cardiology is questioning this belief.
The latest
research indicates that the risk of heart problems can be inherited not only
through genes but also through a baby’s experiences inside the womb.
Babies
born to mothers who had diabetes during pregnancy are more likely to develop
heart disease later in life.
This risk
increases even more if the mother had diabetes before becoming pregnant.
The Study:
Size and Scope
The
research was helmed by Xingbo Mo, PhD, from the Karolinska Institutet in
Stockholm.
The team
used large national records from Sweden to analyse over 4.2 million single
births between January 1973 and December 2014.
The
average age of the participants in the study was 27.4 years. The study was
entirely long-term, covering almost four decades of national data, making it
one of the most comprehensive of its kind.
What They
Found
The study
clearly showed:
• Maternal diabetes during pregnancy is
associated with a heightened risk of cardiovascular disease and various types
of heart-related conditions in children.
• The risk was significantly greater when
the mother had diabetes before becoming pregnant compared to when diabetes
developed during pregnancy.
• Some of this increased risk was linked
to complications such as heart defects, early birth and being larger than
normal for the gestational age.
Why the
Womb Matters for Heart Health
The
findings have ramifications that go beyond just pregnancy care.
More
specifically, how a mother handles her diabetes during pregnancy could mean the
difference between whether the child’s heart will be afflicted or not during
their later years.
In short,
how a mother’s blood sugar is controlled during pregnancy can greatly influence
her child's future heart health.
The Bigger Picture
The
number of young people with heart disease has been increasing in recent years,
unlike the reduction observed in older adults.
This
makes it more important than ever to identify cardiovascular risk factors that emerge
in an individual’s early life.
Significantly,
this study doesn’t just provide new information. It shifts the attention of
cardiovascular prevention, as not something having to do with doctor visits,
but more to do with prenatal care, long before the emergence of any kind of
symptoms.