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Updated: Aug 24, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Serum leptin concentration poorly reflects growth and energy and nutrient intake in young children
Maarit Hakanen1, Tapani Rönnemaa, Sanna Talvia
1The Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland. maarit.hakanen@utu.fi
Insights
Early serum leptin levels in children do not reliably predict future body weight changes or reflect nutrient intake. This study found leptin concentrations at age 2 years had limited predictive power for weight trends up to age 8.
Area of Science:
- Pediatric endocrinology
- Human nutrition
- Growth and development
Background:
- Leptin, a hormone regulating appetite and metabolism, plays a role in energy balance.
- Understanding early predictors of body weight changes is crucial for public health interventions.
- Previous research suggests potential links between leptin and childhood obesity, but early predictive capacity requires further investigation.
Purpose of the Study:
- To determine if serum leptin concentration at age 2 years predicts relative body weight changes by age 8.
- To assess the association between serum leptin concentration at age 5 years and energy and nutrient intake in children.
Main Methods:
- Analysis of serum leptin concentrations in 156 children at age 2 years, categorized by weight change from age 2 to 8.
- Measurement of serum leptin in 100 children at age 5 years with concurrent 4-day food records for nutrient intake analysis.
- Statistical analysis comparing leptin levels across weight change groups and correlating leptin with nutrient intake, with and without body mass index adjustment.
Main Results:
- Serum leptin concentrations at age 2 years were similar in boys with decreasing, stable, or increasing relative weight.
- Girls with decreasing relative weight showed higher serum leptin at age 2 than stable weight girls, but only before BMI adjustment.
- Serum leptin correlated with relative weight in both genders but showed poor correlation with energy and major nutrient intakes when adjusted for relative weight.
Conclusions:
- Serum leptin concentrations at age 2 years offer limited predictive value for subsequent changes in relative body weight up to age 8.
- Early serum leptin levels do not strongly reflect energy or major nutrient intake at age 5 years.
- Findings suggest leptin's role in early childhood weight trajectory and dietary habits may be more complex than initially hypothesized.
Objective:
We studied whether the serum leptin concentration at age 2 years predicts changes in relative body weight by age 8 and whether the serum leptin concentration is associated with intake of energy and nutrients at age 5.
Methods:
A total of 156 8-year-old participants of the Special Turku Coronary Risk Factor Intervention Project were chosen to represent children whose relative weight decreased, was stable, or increased during the preceding 6 years. Their serum leptin concentrations were measured in samples collected when they were 2 years. Serum leptin was also measured in 100 5-year-old children in the Special Turku Coronary Risk Factor Intervention Project whose energy and nutrient intakes were analyzed using 4-day food records.
Results:
The boys whose relative weight decreased (n = 25), was stable (n = 28), or increased (n = 26) between 2 and 8 years of age had similar serum leptin concentrations at the age of 2 years. The girls whose relative weight decreased (n = 27) had higher serum leptin concentrations at 2 years than the girls whose relative weight remained stable (n = 26) but only when the leptin values were not adjusted for body mass index. The serum leptin concentration was higher in 5-year-old girls than in 5-year-old boys even when adjusted for body mass index. Serum leptin correlated with relative weight in girls and boys (r = 0.65 and r = 0.45, respectively). Serum leptin concentration adjusted for relative weight correlated poorly with intakes of energy, fat, saturated fat, carbohydrates, sucrose, and protein.
Conclusions:
Serum leptin concentrations at age 2 poorly predicted changes in relative body weight during the following 6 years and poorly reflected the intake of energy or major nutrients at age 5.
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