RESUMO
Existe considerável evidência para a indução de diferentes fenótipos em reposta às variações no ambiente fetal e neonatal. O aporte inadequado de nutrientes no período crítico do desenvolvimento está associado ao risco alto de doenças metabólicas na vida adulta, este fenômeno biológico é chamado de programação. A atividade física durante a gestação resulta em adaptações fisiológicas da mãe e no aumento da disponibilidade de nutrientes e oxigênio no espaço feto-placentário. Este trabalho tem como objetivo discutir os mecanismos da indução de programação fetal pela nutrição e o provável efeito modulador da atividade física durante a gestação. Foram utilizadas as bases de dados do Medline Pubmed, Lilacs e Bireme, com publicações entre 1990 até 2008. Os termos de indexação utilizados foram: nutrition, fetal programming, gestation, physical activity, physical exercise, metabolism. Em conclusão, o aporte inadequado de nutrientes programa o aparecimento de doenças metabólicas na vida adulta, enquanto que a atividade física durante a gestação aumenta a disponibilidade de nutrientes e oxigênio, repercutindo positivamente no crescimento fetal e no peso ao nascer.
There is considerable evidence for the induction of different phenotypes by variations in fetal and neonatal environment. Undernutrition during this critical development period is associated with risk of metabolic disease in adult life; this biological phenomenon is termed programming. Physical activity during gestation results in maternal physiological adaptations and increased oxygen and nutrients in the fetoplacental compartment. The main goal of this work is to discuss the mechanisms of fetal programming induced by nutrition and the probable modulating effect of physical activity during gestation. Papers published between 1990 and 2008 listed in the Medline Pubmed, Lilacs and Bireme databases were used. The search keywords were: nutrition, fetal programming, gestation, physical activity, physical exercise, and metabolism. In conclusion, undernutrition can program the onset of metabolic diseases in adult life, while physical activity during gestation increases the availability of nutrients and oxygen for the fetus, thereby positively impacting fetal growth and birth weight.
RESUMO
A protocol of physical exercise, based on maximal oxygen uptake ((.)V(O2max)), for female rats before and during pregnancy was developed to evaluate the impact of a low-protein diet on oxygen consumption during gestation and growth rate of the offspring. Virgin female Wistar rats were divided into four groups as follows: untrained (NT, n =5); trained (T, n =5); untrained with low-protein diet (NT+LP, n =5); and trained with low-protein diet (T+LP, n =5). Trained rats were submitted to a protocol ofmoderate physical training on a treadmill over a period of 4 weeks (5 days week(-1) and 60 min day(-1), at 65% of (.)V(O2max)). At confirmation of pregnancy, the intensity and duration of the exercise was reduced. Low-protein groups received an 8% casein diet, and their peers received a 17% casein diet. The birthweight and growth rate of the pups up to the 90th day were recorded. Oxygen consumption ((.)V(O2)), CO2 production and respiratory exchange ratio (RER) were determined using an indirect open-circuit calorimeter. Exercise training increased (.)V(O2max) by about 20% when compared with the initial values (45.6+/-1.0 ml kg(-1) min(-1)). During gestation, all groups showed a progressive reduction in the resting (.)V(O2) values. Dams in the NT+LP group showed lower values of resting (.)V(O2) than those in the NT group. The growth rate of pups from low-protein-fed mothers was around 50% lower than that of their respective controls. The T group showed an increase in body weight from the 60th day onwards, while the NT+LP group presented a reduced body weight from weaning onwards. In conclusion, physical training attenuated the impact of the low-protein diet on oxygen consumption during gestation and on the growth rate of the offspring.
