Related Experiment Video
Updated: Apr 18, 2026

A RAPID Method for Blood Processing to Increase the Yield of Plasma Peptide Levels in Human Blood
Published on: April 28, 2016
Cord ghrelin levels are decreased in large-for-gestational-age neonates
1Department of Obstetrics, Nanjing Maternity and Child Health Care Hospital, Nanjing, China.
Insights
Large-for-gestational-age (LGA) neonates exhibit lower cord ghrelin levels. Cord ghrelin concentrations correlate negatively with birth weight and positively with maternal ghrelin levels.
Area of Science:
- Endocrinology
- Neonatal Metabolism
- Growth Factors
Background:
- Ghrelin, a growth hormone secretagogue peptide, is recognized as an orexigenic factor.
- Investigating neonatal ghrelin levels is crucial for understanding fetal growth and metabolic programming.
Purpose of the Study:
- To examine the relationship between cord ghrelin levels and anthropometric and metabolic indices in neonates.
- To compare cord ghrelin concentrations in large-for-gestational-age (LGA) and appropriate-for-gestational-age (AGA) neonates.
- To assess correlations between cord ghrelin, cord blood metabolic markers, and maternal ghrelin levels.
Main Methods:
- Measurement of plasma ghrelin concentrations in cord blood of 55 term singleton neonates and their mothers.
- Analysis of cord blood glucose, insulin, total cholesterol, triacylglycerol (TG), LDL-cholesterol (LDL-C), and HDL-cholesterol.
- Correlation and multivariate regression analyses to identify predictors of cord ghrelin levels.
Main Results:
- Cord ghrelin concentrations were significantly lower in LGA neonates compared to AGA neonates.
- Positive correlation observed between cord ghrelin and maternal ghrelin levels.
- Negative correlations found between cord ghrelin and gestational age, cord glucose, insulin, TG, and LDL-C.
- Multivariate regression identified birth weight as a significant predictor of cord ghrelin levels (r² = 0.674, β = -0.548, P < 0.001).
Conclusions:
- LGA neonates demonstrate reduced cord ghrelin concentrations.
- Cord ghrelin levels are associated with neonatal size, maternal ghrelin, and specific metabolic parameters.
- Findings suggest a potential role for ghrelin in regulating fetal growth and metabolic adaptation at birth.
Abstract:
Ghrelin is a growth hormone secretagogue peptide and has been recognized as an orexigenic factor. To investigate relationship between cord ghrelin and anthropometric and metabolic indices, we measured cord ghrelin in large-for-gestational-age (LGA) and appropriate-for-gestational-age (AGA) neonates and examined whether cord ghrelin levels were correlated to concentrations of cord blood glucose, insulin, lipid and maternal ghrelin. Fifty-five singletons born at term and their mothers were investigated in this study. Maternal venous blood samples were collected before delivery. Plasma concentrations of ghrelin, insulin, glucose, total cholesterol, triacylglycerol (TG), low-density lipoprotein-cholesterol (LDL-C) and high-density lipoprotein-cholesterol were measured in cord blood sampled at birth. The results show that the concentrations of cord ghrelin are significantly lower in LGA neonates. There is a positive correlation between cord ghrelin levels and maternal ghrelin levels. Negative correlations are found between cord ghrelin levels and gestational age, the concentrations of cord glucose, insulin, TG and LDL. Multivariate regression analyses show that birth weight (r(2) = 0.674, β = -0.548, P < 0.001) was the predictor correlating with ghrelin levels. In conclusion, LGA neonates have lower cord ghrelin concentrations than AGA neonates.
Related Concept Videos
Regulation of Food Intake
Hypoglycemia and Glucagon
Pharmacokinetics in Pediatric Patients: Drug Distribution

