학술논문

Cord blood adiponectin and leptin concentrations in monochorionic twins with selective intrauterine growth restriction and their associations with childhood growth trajectories.
Document Type
Academic Journal
Author
Wen L; State Key Laboratory of Maternal and Fetal Medicine of Chongqing Municipality, The First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, China.; Department of Obstetrics, Women and Children's Hospital of Chongqing Medical University, 401147, Chongqing, China.; Fu H; Reproductive Medicine Center, The First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, China.; Saffery R; Molecular Immunity, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Victoria, Australia.; Department of Pediatrics, University of Melbourne, Parkville, Victoria, Australia.; Tong C; State Key Laboratory of Maternal and Fetal Medicine of Chongqing Municipality, The First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, China.; Liu Y; Department of Obstetrics, Women and Children's Hospital of Chongqing Medical University, 401147, Chongqing, China.; Kilby MD; Fetal Medicine Centre, Birmingham Women's & Children's Foundation Trust, B15 2TG, Birmingham, UK.; Institute of Metabolism & Systems Research, College of Medical & Dental Sciences, University of Birmingham, B15 2TT, Birmingham, UK.; Qi H; State Key Laboratory of Maternal and Fetal Medicine of Chongqing Municipality, The First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, China.; Department of Obstetrics, Women and Children's Hospital of Chongqing Medical University, 401147, Chongqing, China.; Baker PN; College of Life Sciences, University of Leicester, LE1 7RH, Leicester, UK.
Source
Publisher: Wiley-Blackwell for the International Association for the Study of Obesity Country of Publication: England NLM ID: 101572033 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-6310 (Electronic) Linking ISSN: 20476302 NLM ISO Abbreviation: Pediatr Obes Subsets: MEDLINE
Subject
Language
English
Abstract
Background: Being born with intrauterine growth restriction (IUGR) was associated with subsequent health issues later in life. However, the underlying role of adipokines in IUGR is unknown.
Objectives: To measure the adiponectin and leptin concentrations in the cord blood of monochorionic (MC) twins with selective IUGR (sIUGR) and evaluate their associations with childhood growth trajectories.
Methods: Cord blood samples were collected from 22 pairs of MC twins with sIUGR and 20 pairs of normal MC twins. Adiponectin and leptin concentrations in cord blood were determined by ELISA. Data regarding perinatal outcomes and infantile growth trajectories from birth to 24 months were obtained.
Results: Only cord blood adiponectin concentrations were associated with IUGR (β -1.51, 95% CI -2.45, -0.57, p = 0.002), and cord blood leptin concentrations were significantly lower in sIUGR twins compared to normal twins (2.8 ± 1.6 vs. 6.4 ± 3.0, p < 0.001). Adiponectin concentrations were negatively associated with height increments from birth to 6 months (β -0.28, 95% CI -0.51, -0.06, p = 0.015). Leptin concentrations were negatively associated with weight at 6 and 24 months (β -0.12 95% CI -0.22, -0.02, p = 0.002; β -0.18 95% CI -0.33, -0.03, p = 0.019) and weight and height increments from birth to 6 months (β -0.17 95% CI -0.29, -0.06, p = 0.020; β -0.40 95% CI -0.81, -0.01, p = 0.037).
Conclusion: Cord blood adiponectin concentrations were negatively associated with IUGR but did not predict childhood growth. Cord blood leptin concentrations were inversely associated with weight and height increments in the first 6 months.
(© 2023 World Obesity Federation.)