It is increasingly recognized that maternal health and nutritional status prior to and during pregnancy are important determinants of fetal outcome. Fetuses exposed to a suboptimal in utero environment are at higher risk of developing adult onset diseases including: type 2 diabetes, insulin resistance and obesity. Maternal alcohol intake has been extensively studied when consumed during pregnancy, at different doses, and different exposure periods. Many of these -including studies investigating low levels of prenatal alcohol consumption -have demonstrated abnormal development of fetal organs and alterations in metabolic pathways that persists into adulthood and commonly result in insulin resistance and glucose intolerance. Many women who consume alcohol do however cease upon pregnancy recognition -but the effects of alcohol consumption during the periconceptional period (defined as prior to conception until preimplantation) on adult offspring metabolism are still to be investigated. Therefore, the focus of this thesis was to ascertain whether periconceptional alcohol exposure (PC:EtOH-exposure) results in persisting metabolic effects in the adult offspring; and whether this was mediated via placental dysfunction. In addition, as adult onset disease initially programmed in utero can be potentiated or first revealed by a mismatch between the pre-and postnatal environment, or a 'second hit', this thesis also investigated the interaction between PC:EtOH-exposure and a postnatal consumption of a western diet (WD).As a part of this thesis, a rat model of maternal alcohol consumption (moderate to high) was developed. 12.5% alcohol (v/v) was administered via a liquid diet to dams from 4 days pre-conception until 4 days after confirmation of pregnancy (PC:EtOH group). Control dams were given a nutritional equal liquid diet but without alcohol during the exposure period (untreated (U) group). Separate cohorts of rats were generated to study the offspring at different ages: one subset of dams was assigned for studies of the late gestation fetus and investigation of the placenta on embryonic day (E)20 (Chapter 3); another subset of dams littered down naturally to allow for examination of physiological parameters at 6-8 months of age in offspring consuming a control diet (C) (U:C and PC:EtOH:C), and in combination with a WD (U:WD and PC:EtOH:WD) (Chapter 4 & 5). Physiological parameters in the offspring included iii investigation of glucose-and insulin homeostasis via a glucose tolerance test (GTT) and an insulin tolerance test (ITT); and assessment of the body composition via a dual X-ray (DXA)-scan. Plasma at different ages throughout development was assessed and tissue (predominantly the placenta, liver, adipose tissue and muscle)were investigated with quantitative polymerase chain reaction (qPCR), western blotting and histology.PC:EtOH-exposure resulted in fetal growth restriction, increased the placenta:body weight ratio, and increased placental length and width in both males and females.Morphological analyse...