Obesity in pregnancy: a novel concept on the roles of adipokines in uterine contractility

Obesity is a global health problem even among pregnant women. Obesity alters quality of labor, such as preterm labor, prolonged labor, and higher oxytocin requirements in pregnant women. The most important factors to play a role in the altered gestational period and serve as drug targets to treat th...

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Bibliographic Details
Published in:Croatian medical journal 2017-04, Vol.58 (2), p.96-104
Main Authors: Hajagos-Tóth, Judit, Ducza, Eszter, Samavati, Reza, Vari, Sandor G, Gaspar, Robert
Format: Article
Language:English
Subjects:
Adipocytes
Adipokines - metabolism
Adiponectin - metabolism
Analysis
Birth Weight
Body Mass Index
Female
Gestational Age
Health aspects
Humans
Infant, Newborn
Kisspeptins - metabolism
Leptin - metabolism
Obesity
Obesity - physiopathology
Pregnancy
Pregnant women
Review
Risk factors
Uterus - physiology
Weight Gain
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Summary:Obesity is a global health problem even among pregnant women. Obesity alters quality of labor, such as preterm labor, prolonged labor, and higher oxytocin requirements in pregnant women. The most important factors to play a role in the altered gestational period and serve as drug targets to treat the consequences are female sexual hormones, calcium channels, adrenergic system, oxytocin, and prostaglandins. However, we have limited information about the impact of obesity on the pregnant uterine contractility and gestation time. Adipose tissue, which is the largest endocrine and paracrine organ, especially in obesity, is responsible for the production of adipokines and various cytokines and chemokines, and there are no reliable data available describing the relation between body mass index, glucose intolerance, and adipokines during pregnancy. Recent data suggest that the dysregulation of leptin, adiponectin, and kisspeptin during pregnancy contributes to gestational diabetes mellitus and pre-eclampsia. A preclinical method for obese pregnancy should be developed to clarify the action of adipokines and assess their impact in obesity. The deeper understanding of the adipokines-induced processes in obese pregnancy may be a step closer to the prevention and therapy of preterm delivery or prolonged pregnancy. Gestational weight gain is one of the factors that could influence the prenatal development, birth weight, and adiposity of newborn.
ISSN:0353-9504
1332-8166
DOI:10.3325/cmj.2017.58.96