Epidemiological studies suggest that retarded growth before birth is associ
ated with increased plasma total and low-density lipoprotein (LDL) choleste
rol concentrations in adult life. Thus perturbations of prenatal growth may
permanently alter cholesterol metabolism. To determine directly whether re
striction of prenatal nutrition and growth alters postnatal cholesterol hom
eostasis, the plasma cholesterol response to cholesterol feeding (0.25% cho
lesterol) was examined in adult guinea pig offspring of ad libitum-fed or m
oderately undernourished mothers. Maternal undernutrition (85% ad libitum i
ntake throughout pregnancy) reduced birth weight (-13%). Plasma total chole
sterol was higher prior to and following 6 wk cholesterol feeding in male o
ffspring of undernourished mothers compared with male offspring of ad libit
um-fed mothers (P < 0.05). The influence of birth weight on cholesterol met
abolism was examined by dividing the offspring into those whose birth weigh
t was above thigh) or below (low) the median birth weight. Plasma total cho
lesterol concentrations prior to cholesterol feeding did not differ with si
ze at birth, but plasma total and LDL cholesterol were 31 and 34% higher, r
espectively, following cholesterol feeding in low-compared with high-birth
weight males (P < 0.02). The response to cholesterol feeding in female offs
pring was not altered by variable maternal nutrition or size at birth. Cova
riate analysis showed that the effect of maternal undernutrition on adult c
holesterol metabolism could be partly accounted for by alterations in prena
tal growth. In conclusion, maternal. undernutrition and small size at birth
permanently alter postnatal cholesterol homeostasis in the male guinea pig
.