High Fructose Consumption during Pregnancy and Lactation Leads to Maternal Renal Function Alteration

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The consumption of foods that have fructose in its formulations has grown in the last decades. Nevertheless, increased consumption of this sugar has been related to the development of diseases such as obesity, diabetes and others. Many physiological changes occur during pregnancy and lactation and high consumption of fructose in these periods can interfere with maternal health. Thus, this study aims to evaluate the effects of increased fructose consumption on gestation and lactation on blood pressure and renal function. Methods Females Wistar rats were randomly assigned to groups: Control (C) and Fructose (F). The group C received food and drinking water ad libitum, and F received food and D‐fructose solution (20%) for drinking ad libitum. In F, the offer of D‐fructose solution begun 1week before mating and continued during pregnancy and lactation. Renal function was evaluated 21 days after offspring birth. Indirect measurement of systolic blood pressure (BPi), body weight, arterial blood pH, glycemia, ureia concentration in plasma, glomerular filtration rate ‐ GFR (creatinine clearance), excreted load of sodium (ENa+) and potassium (EK+) were measured. Ethic Committee on Animal Use of the Federal University of Sao Paulo approval number 757270117. Results Compared with C group, F presented higher values of BPi (129.7±1.4 vs 118.4±1.9 mmHg; p=0.0012), body weight (281.7±4.9 vs 232.7± 22.9 g; p=0.0245) and urinary flow (33.4±3.6 vs 14.6±2.1 mL; p=0.0035). F also had decreased GFR (3.8±0.4 vs 6.0± 0.5 mL/min/kg; p=0.0082), ENa+ (0.88±0.12 vs 1.42±0.25 mEq/24h; p=0.0350) and EK+ (2.24±0.38 vs 3.73±0.51 mEq/24h, p=0.0350). There were no significant differences between the groups regarding the arterial blood pH (7.40±0.01 vs 7.39±0.02; p=0.7599), glycemia (160.7± 3.5 vs 146.7±4.7 mg/dL; p=0.0565) and ureia concentration in plasma (36.7±1.2 vs 34.9±1.1 mg/dL; p=0.4645). Values presented as mean ± sem, Mann‐Whitney test, p ≤ 0.05; number of animals: C=6, F=7. Conclusions The results suggest that in rats, fructose overload during pregnancy and lactation can lead to maternal renal dysfunction (reduced GFR and sodium excretion), changes probably related to the increase in blood pressure observed in these animals. Support or Funding Information FAPESP, CNPq This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal .