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Science 17 September 2004:
Vol. 305. no. 5691, pp. 1733 - 1736
DOI: 10.1126/science.1095292

Review

Living with the Past: Evolution, Development, and Patterns of Disease

Peter D. Gluckman1* and Mark A. Hanson2

Epidemiological observations have led to the hypothesis that the risk of developing some chronic noncommunicable diseases in adulthood is influenced not only by genetic and adult life-style factors but also by environmental factors acting in early life. Research in evolutionary biology, developmental biology, and animal and human physiology provides support for this idea and suggests that environmental processes influencing the propensity to disease in adulthood operate during the periconceptual, fetal, and infant phases of life. This "developmental origins of health and disease" concept may have important biological, medical, and socioeconomic implications.

1 Liggins Institute, University of Auckland and National Research Centre for Growth and Development, 2-6 Park Avenue, Grafton, Private Bag 92019, Auckland, New Zealand.
2 Centre for Developmental Origins of Health and Disease, University of Southampton, Princess Anne Hospital Level F (887), Coxford Road, Southampton S016 5YA, UK.

* To whom correspondence should be addressed. E-mail: pd.gluckman{at}auckland.ac.nz

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Science. ISSN 0036-8075 (print), 1095-9203 (online)