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Updated: Apr 23, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Reference values for leptin and adiponectin in children below the age of 10 based on the IDEFICS cohort
Insights
This study established new reference values for serum leptin and adiponectin in normal-weight European children aged 3-9 years. These findings provide crucial data for interpreting hormone levels in pediatric health studies.
Area of Science:
- Pediatric endocrinology
- Human physiology
- Nutritional science
Background:
- Accurate reference values for serum leptin and adiponectin are essential for assessing metabolic health in children.
- Previous studies have lacked comprehensive, age- and sex-specific data for prepubertal, normal-weight European children.
Purpose of the Study:
- To establish age- and sex-specific reference values for serum leptin and adiponectin.
- To provide normative data for normal-weight European children aged 3.0-8.9 years.
Main Methods:
- Analysis of blood samples from 539 normal-weight children (aged 3.0-8.9 years) within the IDEFICS cohort.
- Utilized the General Additive Model for Location Scale and Shape to derive age- and sex-specific percentiles.
- Investigated the impact of obesity using sensitivity analyses with larger sample sizes.
Main Results:
- Serum leptin levels showed a positive trend with age, while adiponectin levels showed a negative trend in both boys and girls.
- Generally higher percentile values for both hormones were observed in girls compared to boys.
- Specific ranges for the 97th percentile differences between sexes were quantified for adiponectin and leptin.
Conclusions:
- This study presents the first known reference values for leptin and adiponectin in prepubertal, normal-weight children.
- The developed reference curves facilitate a more precise interpretation of hormone levels in pediatric epidemiological and clinical research.
- These findings contribute to a better understanding of hormonal profiles in healthy children.
Objective:
To establish age- and sex-specific reference values for serum leptin and adiponectin in normal-weight 3.0-8.9-year old European children.
Subjects And Methods:
Blood samples for hormone analysis were taken from 1338 children of the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health Effects in Children and infantS) study cohort. Only normal-weight children aged 3.0-8.9 years were included (n=539) in our analysis. Using the General Additive Model for Location Scale and Shape, age- and sex-specific percentiles were derived. The influence of under/overweight and obesity on the proposed reference curves based on normal-weight children was investigated in several sensitivity analyses using the sample without obese children (n=1015) and the whole study sample (n=1338).
Results:
There was a negative age trend of adiponectin blood levels and a positive trend of leptin levels in boys and girls. Percentiles derived for girls were generally higher than those obtained for boys. The corresponding age-specific differences of the 97th percentile ranged from -2.2 to 4.6 μg ml(-1) and from 2.2 to 4.8 ng ml(-1) for adiponectin and leptin, respectively.
Conclusions:
According to our knowledge, these are the first reference values of leptin and adiponectin in prepubertal, normal-weight children. The presented adiponectin and leptin reference curves may allow for a more differentiated interpretation of children's hormone levels in epidemiological and clinical studies.
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