Coronary Heart Disease Essay

1577 words - 7 pages

Most individual would think that the cause of diabetes, heart disease, or other chronic disease is because of their own unhealthy lifestyle decisions. For instance, most people would think because of smoking, stress, and not enough exercise can have a higher chance of attending those disease. However, Barker have a different point of view. As D.J.P Barker state in his article titled, Fetal and Infant Origins of Adult Disease Hypothesis that adaptations that fetus make when is under-nourished rather than adaptations made in adult life and those made during early development tends to have permanent effect on body's structure and function (Barker, 2001). He hypothesize that low birth weight is a factor contributing to development of coronary heart disease in adulthood but he neglected there are sociological factors during adult life can also trigger the development of coronary heart disease as well. Even though the Fetal Origins Hypothesis used an biological explanation to the development of coronary heart disease but it fails to recognize the sociological factors to coronary heart disease. One's position on the socioeconomic gradient has a contribution to the risk of coronary heart disease.

is a factor that can contribute to dietary behavior, income, and people in developing countries and versus the people in developed countries the causes coronary heart disease
According to Barker's hypothesis, he explain how the mother's exposure and metabolism can have an effect on the fetus health. He hypothesize the environment that the mother is exposed to prior to birth and during birth can have an effect on the fetus health as it gets older. As we know female is the one responsible for reproduction so the health of the mother can have a direct effect to the fetus. If the mother is undernourished it will potentially send a signal to the fetus that the environment is about to enter is going to be harsh and the fetus will respond by adaptation to reduce its body size and metabolism which help itself survive during shortage of food (Barker, 2001). He supported his hypothesis through a study that was conducted among men born in Helsinki, Finland, that low birth weight is associated to raised death rates for coronary heart disease and there's a strong connection between thinness at birth measured by low pondreal index (birth weight/ length) (Barker, 2001). Barker demonstrates the fetus weight and size is determinant by the mother's metabolism while he neglected socioeconomic status within developed and developing countries, dietary behavior, and income are sociological factors that contribute to coronary heart disease.
Barker's hypothesis is not the whole truth in explaining why humans develop coronary heart disease. Moore stated that Fetal and Infant Origins of Adult Disease Hypothesis majority of the evidence supporting this hypothesis comes from studies in the developed the nations of the world and focuses on relationship between small size at birth...

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