{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T12:50:26Z","timestamp":1780491026181,"version":"3.54.1"},"reference-count":153,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,5,16]],"date-time":"2017-05-16T00:00:00Z","timestamp":1494892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81320108006 and 81570960"],"award-info":[{"award-number":["81320108006 and 81570960"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth Defects Research"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>\u201cFetal Origins of Adult Diseases\u201d (FOAD) or \u201cBarker hypothesis,\u201d also known as the developmental origins of health and diseases (DoHaD), was initially proposed by David Barker in the 1980s. Progress in past 2 to 3 decades demonstrated that many adult disorders, including hypertension, diabetes, obesity, cancer, and others, could be linked to poor development resulting from in utero insults. Utero\u2010environments play a critical role in fetal development. Because the placenta and umbilical cord are the only important connections between the fetus and mother in the uterus, this review pays special attention to recent research and progress in the study of the relationship between those tissues and FOAD. We discuss the conception and possible underlying mechanisms of FOAD, and focus on cardiovascular diseases and epigenetic mechanisms. This review also summarizes physiology, pathology, and the important roles of fetoplacental vasculature, which might contribute to FOAD as initiators. 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