Long-term health risk of offspring born from assisted reproductive technologies

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature..

Since the world's first in vitro fertilization baby was born in 1978, there have been more than 8 million children conceived through assisted reproductive technologies (ART) worldwide, and a significant proportion of them have reached puberty or young adulthood. Many studies have found that ART increases the risk of adverse perinatal outcomes, including preterm birth, low birth weight, small size for gestational age, perinatal mortality, and congenital anomalies. However, data regarding the long-term outcomes of ART offspring are limited. According to the developmental origins of health and disease theory, adverse environments during early life stages may induce adaptive changes and subsequently result in an increased risk of diseases in later life. Increasing evidence also suggests that ART offspring are predisposed to an increased risk of non-communicable diseases, such as malignancies, asthma, obesity, metabolic syndrome, diabetes, cardiovascular diseases, and neurodevelopmental and psychiatric disorders. In this review, we summarize the risks for long-term health in ART offspring, discuss the underlying mechanisms, including underlying parental infertility, epigenetic alterations, non-physiological hormone levels, and placental dysfunction, and propose potential strategies to optimize the management of ART and health care of parents and children to eliminate the associated risks. Further ongoing follow-up and research are warranted to determine the effects of ART on the long-term health of ART offspring in later life.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Journal of assisted reproduction and genetics - 41(2024), 3 vom: 29. März, Seite 527-550

Sprache:

Englisch

Beteiligte Personen:

Zhang, Siwei [VerfasserIn]
Luo, Qinyu [VerfasserIn]
Meng, Renyu [VerfasserIn]
Yan, Jing [VerfasserIn]
Wu, Yanting [VerfasserIn]
Huang, Hefeng [VerfasserIn]

Links:

Volltext

Themen:

Adverse perinatal outcomes
Assisted reproductive technologies
In vitro fertilization
Journal Article
Long-term health risks
Review

Anmerkungen:

Date Completed 22.03.2024

Date Revised 24.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s10815-023-02988-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366367005