Maternal obesity associated with inflammation in their children
Karen L Leibowitz1, Reneé H Moore, Rexford S Ahima
1The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. leibowka@umdnj.edu
Insights
Maternal obesity during pregnancy is linked to higher levels of high-sensitivity C-reactive protein (hs-CRP) in offspring. This inflammatory marker elevation persists even after accounting for the child's weight.
Area of Science:
- Pediatric Health
- Maternal-Fetal Medicine
- Inflammation Research
Background:
- Maternal obesity is a growing concern with potential long-term health implications for offspring.
- Inflammatory markers and adiponectin are key indicators of metabolic and inflammatory states.
Purpose of the Study:
- To investigate the association between maternal pre-pregnancy obesity and specific inflammatory markers (TNF-α, IL-6, hs-CRP) and adiponectin in 12-year-old offspring.
- To determine if maternal obesity influences these biomarkers in children, adjusting for potential confounders.
Main Methods:
- Thirty-four children from the Infant Growth Study were assessed at age 12.
- Participants were categorized into high-risk (HR) and low-risk (LR) groups based on maternal pre-pregnancy BMI.
- Measurements included weight, height, Tanner stage, and key biomarkers.
Main Results:
- Children in the HR group showed significantly higher levels of high-sensitivity C-reactive protein (hs-CRP) compared to the LR group.
- No significant group differences were observed for tumor necrosis factor-α, interleukin-6, or adiponectin.
- The odds of HR children having detectable hs-CRP were 16 times greater than LR children, even after adjusting for BMI z-score, Tanner stage, and gender.
Conclusions:
- Maternal obesity during pregnancy is associated with an increased risk of elevated hs-CRP in offspring.
- This association remains significant even when controlling for the child's current weight status.
- Early life inflammatory profiles may be influenced by the maternal metabolic environment during gestation.
Background:
This study explored the association between maternal obesity during pregnancy and the inflammatory markers, tumor necrosis factor-α, interleukin-6 and high sensitivity C-reactive protein (hs-CRP), and the cytokine, adiponectin, in the offspring.
Methods:
Weight, height, Tanner stage and biomarkers were measured in thirty-four 12-year-old children, from the Infant Growth Study, who were divided into high risk (HR) and low risk (LR) groups based on maternal pre-pregnancy body mass index (BMI).
Results:
The two groups differed markedly in their hs-CRP levels, but no group difference was found for the other three biomarkers. The odds ratio (OR) of HR children having detectable hs-CRP levels was 16 times greater than that of LR children after adjusting for confounding variables, including BMI z-score, Tanner stages and gender (OR: 16; 95% CI: 2-123).
Conclusions:
These results suggest that maternal obesity during pregnancy is associated with later development of elevated hs-CRP in the offspring, even after controlling for weight.
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