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Serum reference values for leptin in healthy infants
Francesco Savino1, Lorenza Rossi1, Stefania Benetti1
1Department of Paediatrics, University of Turin, Regina Margherita Children's Hospital, Turin, Italy.
Insights
This study establishes crucial serum leptin reference values for infants under 18 months, finding higher levels in breast-fed babies during the first six months. These findings provide essential data for pediatric health assessments.
Area of Science:
- Pediatric Endocrinology
- Neonatal Metabolism
- Growth and Development
Background:
- Leptin reference values are lacking for infants in early life.
- Establishing these values is critical for pediatric health monitoring.
Purpose of the Study:
- Determine serum leptin reference values for healthy infants up to 18 months.
- Provide age- and feeding-based reference ranges for leptin concentrations.
Main Methods:
- Radioimmunoassay was used to measure serum leptin in 317 healthy infants (2002-2012).
- Quantile regression calculated median and 10th-90th percentiles for reference values.
- Results were compared with an independent cohort of 110 infants.
Main Results:
- Median serum leptin was 2.37 ng/ml overall; higher in infants <6 months (2.81 ng/ml) than older infants.
- Breast-fed infants had significantly higher leptin levels than formula-fed infants in the first 6 months (2.63 vs. 2.12 ng/ml).
- No significant gender difference in leptin concentration was observed.
Conclusions:
- Established age-specific leptin reference ranges for infants up to 18 months.
- Confirmed higher leptin in breast-fed infants during early infancy, a difference diminishing later.
- Highlighted the importance of feeding type on infant leptin levels.
Objective:
Reports on leptin concentrations in pediatric populations lack reference values for infants in the first months of life. Our study was conducted on healthy full-term infants between 2002 and 2012 to determine serum leptin reference values in subjects less than 18 months old.
Methods:
Routine outpatient blood tests for serum leptin were performed on 317 infants using a radioimmunoassay method. The median and 10th-90th percentiles were calculated to obtain reference values using quantile regression. Values established in this study were compared with another independent cohort of 110 infants.
Results:
The median (IQR) serum leptin concentration in the infants was 2.37 (3.26) ng/ml (n = 317). The median leptin concentration was 2.81 (3.49) ng/ml (n = 202) in infants younger than 6 months of age, 1.44 (2.27) ng/ml (n = 59) in infants between 6-12 months of age and 1.77 (2.05) ng/ml (n = 56) in infants between 12-18 months of age. We obtained leptin reference values based on age by estimating the lower and upper percentiles. In the entire cohort, the median (IQR) leptin concentration was 2.22 (3.11) ng/ml in males (n = 168) and 2.60 (3.32) ng/ml in females (n = 149). According to the type of feeding median serum leptin concentration was higher in breast-fed infants (n = 188) than in formula-fed infants (n = 129) (2.63 (3.34) ng/ml vs. 2.12 (2.77) ng/ml; p<0.05).
Conclusions:
Our data revealed no gender difference in leptin concentration in early infancy. After 6 months of life, leptin concentrations decreased slightly. We used a large cohort to confirm that breast-fed infants had significantly higher serum leptin levels than formula-fed infants during the first 6 months of life, although this difference disappeared later in life. In this study, we defined the leptin reference range in healthy infants in the first 18 months of life according to the Clinical and Laboratory Standards Institute (CLSI).
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