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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
IGF-I and IGFBP-3 concentrations at 2 years: associations with anthropometry and milk consumption in an Indian cohort
Andrea S Wiley1, Suyog M Joshi2, Himangi G Lubree2
1Anthropology Department and Human Biology Program, Indiana University, Bloomington, IN, USA. wileya@indiana.edu.
Insights
Plasma insulin-like growth factor I (IGF-I) and its ratio with IGFBP-3 at age two are linked to longer child length and higher milk consumption. These findings highlight the role of IGF-I in early childhood growth and diet in an Indian cohort.
Area of Science:
- Pediatric Endocrinology
- Human Growth and Development
- Nutritional Science
Background:
- Investigating the relationship between insulin-like growth factor I (IGF-I), insulin-like growth factor-binding protein 3 (IGFBP-3), and their molar ratio with early life factors.
- Understanding the impact of neonatal size, infant growth, and body composition on these biomarkers.
- Examining the influence of feeding practices on IGF-I and IGFBP-3 levels in an Indian population.
Purpose of the Study:
- To determine associations between plasma IGF-I, IGFBP-3, and their molar ratio at 2 years of age.
- To correlate these biomarkers with neonatal size, infant growth, and body composition at 2 years.
- To explore the relationship between feeding practices and these growth factors in Indian children.
Main Methods:
- A cohort of 209 newborns was followed, with 122 assessed at 2 years.
- Anthropometry, plasma IGF-I, and IGFBP-3 concentrations were measured at birth and 2 years.
- Maternal and child diet was assessed using food frequency questionnaires and interviews; multivariate regression was employed for analysis.
Main Results:
- Plasma IGF-I and the IGF-I/IGFBP-3 ratio at 2 years were positively associated with length at 2 years, but not BMI or adiposity.
- Higher IGF-I concentrations were observed in children with greater length change, higher milk intake, and those whose mothers consumed milk during pregnancy.
- IGFBP-3 showed no significant relationship with anthropometry or milk intake.
Conclusions:
- Plasma IGF-I concentrations and the IGF-I/IGFBP-3 ratio at 2 years are positively associated with length at 2 years.
- Current milk intake is also positively associated with 2-year IGF-I levels and the IGF-I/IGFBP-3 ratio.
- These findings suggest a link between IGF-I, growth, and milk consumption in early childhood.
Background/Objectives:
To ascertain associations between plasma insulin-like growth factor I (IGF-I), insulin-like growth factor-binding protein 3 (IGFBP-3) and their molar ratio at 2 y with neonatal size, infant growth, body composition at 2 y, and feeding practices in an Indian cohort.
Subjects/Methods:
A cohort of 209 newborns, with 122 followed at 2 y. Anthropometry was conducted at birth and 2 y. IGF-I and IGFBP-3 concentrations were measured in cord blood and at 2 y. Maternal and child diet was assessed by food frequency questionnaires and maternal interviews. Multivariate regression was used to test for associations adjusting for confounding factors.
Results:
Mean 2 y plasma IGF-I and IGFBP-3 concentrations and IGF-I/IGFBP-3 were 49.4 ng/ml (95% CI: 44.1, 54.8), 1953.8 ng/ml (CI: 1870.6, 2036.9) ng/ml, and 0.088 (CI: 0.081, 0.095), respectively. IGF-I and IGF-I/IGFBP-3 were positively associated with current length, but not body mass index or adiposity. IGF-I was higher among those with greater change in length since birth. IGF-I concentrations were higher in children who drank the most milk (>500 vs. <250 ml per day: 65.6 vs. 42.8 ng/ml, p < 0.04), received other milk <6 months compared to ≥6 months (56.3 vs. 44.8 ng/ml, p < 0.05), and in those whose mothers consumed milk daily vs. less frequently in late pregnancy (56.4 vs. 42.7 ng/ml, p < 0.01). In multivariate regression, 2 y IGF-I concentration and IGF-I/IGFBP-3 were each positively associated with current length and milk intake. IGFBP-3 was not related to anthropometry or milk intake.
Conclusions:
Plasma IGF-I concentrations and IGF-I/IGFBP-3 at 2 y are positively associated with length at 2 y and current milk intake.
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