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Published on: February 15, 2018
Decreased leptin concentration in neonates is associated with enhanced postnatal growth during the first year
Ling-Jen Wang1, Shu-Chi Mu, I Cheng
1Department of Pediatric, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Insights
Infant leptin levels decrease in the first week of life. A rapid leptin decline is linked to better infant weight gain and shorter hospital stays, indicating physiological advantages.
Area of Science:
- Neonatal physiology
- Endocrinology
- Growth and Development
Background:
- Leptin plays a crucial role in regulating maternal metabolism and fetal growth.
- Its role in early postnatal life and its correlation with infant growth require further investigation.
Purpose of the Study:
- To investigate the relationship between leptin levels and infant growth in early postnatal life.
- To explore the longitudinal changes in serum leptin during the first week of life.
Main Methods:
- Blood samples were collected from 58 infants on Days 1, 4, and 7 of life.
- Plasma leptin levels were measured using a human leptin enzyme immunometric assay.
- Infants were categorized by gestational length and birth weight.
Main Results:
- Average serum leptin levels declined within the first week of life.
- A positive correlation was observed between leptin levels and body weight on Day 4.
- Neonates exhibiting a leptin decrease between Day 1 and Day 4 showed improved weight gain at one year and shorter hospital stays.
Conclusions:
- Serum leptin levels significantly decrease in neonates during the first week of life.
- A rapid decline in serum leptin is positively correlated with neonatal body weight gain.
- This decline suggests a potential physiological advantage for infants' future growth and development.
Abstract:
Leptin regulates maternal metabolism and fetal growth by reducing food intake and increasing energy expenditure, particularly during the third trimester. In this study, we investigated the relationships between leptin and growth, and explored the longitudinal change of leptin in early postnatal life. A total of 58 infants were categorized according to gestational length and birth weight. Arterial blood samples were taken within 24 hours (Day 1), and on Days 4 and 7 of life. Plasma leptin levels were measured by commercial human leptin enzyme immunometric assay. The average serum leptin level declined in the first week of life. There was a positive correlation between leptin level and body weight on Day 4. Neonates with leptin decrease between Day 1 and Day 4 had better weight gain at one year old, and the hospital stay day was shorter. Furthermore, the full feeding days and the duration of feeding priming and full feeding days in the leptin decrease group were less than in the leptin increase group. Serum leptin was significantly decreased and positively correlated with neonates' body weight gain in the first week of life. A rapid decline in serum leptin after birth is associated with greater future weight gain and physiological advantage for infants' life.
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