Evidence map›Paper›PMID 38434579›Full record

ArticleJournal of public health research2024

The fascinating theory of fetal programming of adult diseases: A review of the fundamentals of the Barker hypothesis.

Gavino Faa, Vassilios Fanos, Mirko Manchia, Peter Van Eyken, Jasjit S Suri, Luca Saba

Open access · goldAbstract read
In one paragraph

Article in Journal of public health research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
22.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Promotion of long-term health in early life.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Article
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  4. Review
  5. Introducing theJournal of marriage and the family · 2026
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  9. Motherhood, the "blank slate," and the language of surrogacy.Frontiers in global women's health · 2026
    Article
  10. Review
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  12. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 4 countries.

Gavino FaaDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Vassilios FanosUnit of Neonatology and NICU Center, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.
Mirko ManchiaUnit of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.ORCID https://orcid.org/0000-0003-4175-6413
Peter Van EykenDepartment of Pathology, UZ Genk Regional Hospital, Genk, Belgium.
Jasjit S SuriStroke Diagnostic and Monitoring Division, Atheropoint, Roseville, CA, USA.
Luca SabaUnit of Radiology, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
University of Cagliari · ITDalhousie University · CAZiekenhuis Oost-Limburg · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The theory of fetal programming of adult diseases was first proposed by David J.P. Barker in the eighties of the previous century, to explain the higher susceptibility of some people toward the development of ischemic heart disease. According to his hypothesis, poor maternal living conditions during gestation represent an important risk factor for the onset of atherosclerotic heart disease later in life. The analysis of the early phases of fetal development is a fundamental tool for the risk stratification of children and adults, allowing the identification of susceptible or resistant subjects to multiple diseases later in life. Here, we provide a narrative summary of the most relevant evidence supporting the Barker hypothesis in multiple fields of medicine, including neuropsychiatric disorders, such as Parkinson disease and Alzheimer disease, kidney failure, atherosclerosis, coronary heart disease, stroke, diabetes, cancer onset and progression, metabolic syndrome, and infectious diseases including COVID-19. Given the consensus on the role of body weight at birth as a practical indicator of the fetal nutritional status during gestation, every subject with a low birth weight should be considered an "at risk" subject for the development of multiple diseases later in life. The hypothesis of the "physiological regenerative medicine," able to improve fetal organs' development in the perinatal period is discussed, in the light of recent experimental data indicating Thymosin Beta-4 as a powerful growth promoter when administered to pregnant mothers before birth.

Indexed as

atherosclerosisBarker hypothesisCOVID-19low birth body weightneuropsychiatric disordersPreventionrenal failureThe Developmental Origins of Health and Disease

Identifiers

PMID38434579
PMCPMC10908242
OpenAlexW4392395260

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.