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Published on: February 2, 2017
Circulating IGF-I levels in childhood are related to both current body composition and early postnatal growth rate
Ken Ong1, Jurgen Kratzsch, Wieland Kiess
1Department of Pediatrics, University of Cambridge, Addenbrookes Hospital, Cambridge CB2 2QQ, United Kingdom.
Insights
Rapid infancy growth influences childhood hormone levels. Early growth rates impact Insulin-like Growth Factor-I (IGF-I) and leptin, potentially mediating long-term growth and maturation effects.
Area of Science:
- Pediatric Endocrinology
- Growth and Development Biology
- Metabolic Health
Background:
- Rapid infancy growth is a known predictor of childhood obesity and earlier maturation.
- Hormonal regulation plays a critical role in growth and weight gain during early development.
Purpose of the Study:
- To investigate the relationship between early growth rates and levels of key hormones (IGF-I, IGF-II, leptin) in 5-year-old children.
- To determine if infancy growth influences circulating hormone levels that regulate growth and weight.
Main Methods:
- Longitudinal study of 497 children from birth to 5 years.
- Measurement of Insulin-like Growth Factor-I (IGF-I), Insulin-like Growth Factor-II (IGF-II), and leptin levels at 5 years.
- Analysis of correlations between hormone levels, birth weight, current weight, height, body composition, and early growth rates (0-2 years).
Main Results:
- IGF-I levels at 5 years correlated positively with current weight and height, and inversely with birth weight.
- IGF-I levels were more closely associated with fat-free mass, while leptin and IGF-II were more strongly linked to fat mass.
- Children exhibiting postnatal catch-up growth showed significantly higher IGF-I levels at 5 years, independent of current body composition.
Conclusions:
- Infancy growth rates significantly influence circulating IGF-I levels in childhood.
- IGF-I may mediate the impact of early postnatal nutrition on subsequent growth and maturation rates.
- Leptin levels at 5 years are primarily associated with current adiposity.
Abstract:
Rapid infancy growth predicts childhood obesity and earlier rate of maturation. We examined whether early growth rates might also influence levels of hormones relating to growth and weight gain by measuring IGF-I, IGF-II, and leptin levels in 497 normal 5-yr-old children who were followed closely from birth. IGF-I levels at 5 yr were unrelated to cord blood IGF-I levels at birth (r = 0.03; P = 0.7; n = 166) but were positively related to current weight (r = 0.32; P < 0.0005) and height (r = 0.30; P < 0.0005) and inversely related to birthweight (r = -0.21; P < 0.0005). By body composition, IGF-I levels correlated more closely with fat-free mass (r = 0.22; P < 0.0005) than with fat mass (r = 0.12; P < 0.05), whereas leptin (r = 0.57; P < 0.0005) and IGF-II levels (r = 0.15; P < 0.005) correlated more closely with fat mass. Independent of current body composition, IGF-I levels at 5 yr were significantly associated with rate of weight gain between 0-2 yr (beta = 0.19; P < 0.0005), and children who showed postnatal catch-up growth (i.e. those who showed gains in weight or length between 0-2 yr by >0.67 SD score) had higher IGF-I levels than other children (P = 0.02). IGF-II levels at 5 yr were positively related to IGF-II levels at birth (r = 0.17; P = 0.03; n = 166), and leptin levels at 5 yr were mainly related to current adiposity. Circulating IGF-I levels in childhood are influenced by infancy growth rates and possibly mediate the effects of early postnatal nutrition on later rates of growth and maturation.
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