Associations between maternal pre-pregnancy BMI and infant striatal mean diffusivity

BMC Med. 2024 Mar 25;22(1):140. doi: 10.1186/s12916-024-03340-z.

Abstract

Background: It is well-established that parental obesity is a strong risk factor for offspring obesity. Further, a converging body of evidence now suggests that maternal weight profiles may affect the developing offspring's brain in a manner that confers future obesity risk. Here, we investigated how pre-pregnancy maternal weight status influences the reward-related striatal areas of the offspring's brain during in utero development.

Methods: We used diffusion tensor imaging to quantify the microstructure of the striatal brain regions of interest in neonates (N = 116 [66 males, 50 females], mean gestational weeks at birth [39.88], SD = 1.14; at scan [43.56], SD = 1.05). Linear regression was used to test the associations between maternal pre-pregnancy body mass index (BMI) and infant striatal mean diffusivity.

Results: High maternal pre-pregnancy BMI was associated with higher mean MD values in the infant's left caudate nucleus. Results remained unchanged after the adjustment for covariates.

Conclusions: In utero exposure to maternal adiposity might have a growth-impairing impact on the mean diffusivity of the infant's left caudate nucleus. Considering the involvement of the caudate nucleus in regulating eating behavior and food-related reward processing later in life, this finding calls for further investigations to define the prognostic relevance of early-life caudate nucleus development and weight trajectories of the offspring.

Keywords: Caudate nucleus; DTI; Maternal BMI; Mean diffusivity; Obesity; Striatum.

MeSH terms

  • Body Mass Index
  • Diffusion Tensor Imaging*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Mothers
  • Obesity* / complications
  • Pregnancy
  • Risk Factors