2016
DOI: 10.1007/s40572-016-0102-3
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A Framework to Address Challenges in Communicating the Developmental Origins of Health and Disease

Abstract: Findings from the field of Developmental Origins of Health and Disease (DOHaD) suggest that some of the most pressing public health problems facing communities today may begin much earlier than previously understood. In particular, this body of work provides evidence that social, physical, chemical, environmental, and behavioral influences in early life play a significant role in establishing vulnerabilities for chronic disease later in life. Further, because this work points to the importance of adverse envir… Show more

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Cited by 25 publications
(35 citation statements)
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“…The core idea that the early life environment shapes how you grow and thus can affect your later‐life health is relatively straightforward. However, what exactly is meant by environment, how different kinds of environments might affect growth and development and in what ways, and how developmental trajectories might influence risks for developing diabetes, obesity, or heart disease decades after exposures are not easily understandable (Barnes et al, ; Winett, Wallack, Richardson, Boone‐Heinonen, & Messer, , Winett, Wulf, & Wallack, ). Furthermore, the DOHaD hypothesis confronts the dominant Western narrative about obesity and metabolic health (Monaghan, ; Warin, Turner, Moore, & Davies, ).…”
Section: Discussionmentioning
confidence: 99%
“…The core idea that the early life environment shapes how you grow and thus can affect your later‐life health is relatively straightforward. However, what exactly is meant by environment, how different kinds of environments might affect growth and development and in what ways, and how developmental trajectories might influence risks for developing diabetes, obesity, or heart disease decades after exposures are not easily understandable (Barnes et al, ; Winett, Wallack, Richardson, Boone‐Heinonen, & Messer, , Winett, Wulf, & Wallack, ). Furthermore, the DOHaD hypothesis confronts the dominant Western narrative about obesity and metabolic health (Monaghan, ; Warin, Turner, Moore, & Davies, ).…”
Section: Discussionmentioning
confidence: 99%
“…Upstream discourse is necessary because communication surrounding DOHaD runs the risk of holding an individual woman as the sole proprietor of responsibility (and therefore, subject of “mother-blame”) concerning fetal and early-life health [49]. Moreover, this risk in communication can extended to inferences that entire disadvantaged communities are not doing enough—i.e., “community blame” [50]; meanwhile, the more powerful forces—e.g., profits, elitism, neoliberal ideology—[51,52,53] that actually push against individual and community-level lifestyle (e.g., diet) are left out of the discourse.…”
Section: Mental Health Societal Health: Avoiding Mother Blamementioning
confidence: 99%
“…These health effects can also vary dramatically throughout distinct developmental periods, which can also be influenced by their parent's environmental exposures; therefore, it is critical to examine the effects of exposure throughout early life from preconception through pregnancy to early development to puberty and adolescence. The concept of developmental origins of health and disease or DOHaD, (2) is often represented as the trajectory from pregnancy to health effects later in life, but the reality is that differing exposures at specific developmental windows can have distinct biological consequences. In addition, environmental exposures occur in mixtures, and it is rare that an individual, regardless of age, is exposed to a single stressor at any point in time.…”
Section: Introductionmentioning
confidence: 99%