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Associations of neonatal adiponectin and leptin with growth and body composition in African American infants
C R Schneider1, P M Catalano2,3, J R Biggio4
1Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
Insights
Cord blood adiponectin may predict fat mass changes in infants. Higher adiponectin at birth was linked to more fat mass early on, but slower gain later, suggesting a potential marker for infant obesity risk.
Area of Science:
- Pediatric Endocrinology
- Neonatal Research
- Obesity Etiology
Background:
- Cord blood adiponectin and leptin correlate with birth weight and adiposity.
- Infant growth patterns influence future obesity risk.
- Predictive biomarkers for infant body composition changes are not well-established.
Purpose of the Study:
- To determine if cord blood adiponectin and leptin predict neonatal adiposity.
- To assess if these biomarkers predict fat mass accrual up to 3 months of age.
Main Methods:
- 36 healthy African American infants were studied.
- Cord blood samples analyzed for adiponectin and leptin.
- Infant body composition assessed at 2 weeks and 3 months using air displacement plethysmography.
Main Results:
- Adiponectin positively correlated with fat mass at 2 weeks (r=0.45, P<0.01).
- Adiponectin showed an inverse association with conditional fat mass change from 2 weeks to 3 months (r=-0.38, P<0.05).
- Leptin did not show significant associations with infant body composition.
Conclusions:
- Cord blood adiponectin may serve as a marker for fat mass accrual in African American infants.
- This finding is significant given the high long-term obesity risk in this population.
- Further mechanistic studies are required to understand adiponectin's role in infant growth.
Background:
Cord blood adiponectin and leptin concentrations are associated with birth weight and adiposity. Birth size and rate of infant weight gain are associated with future obesity risk. However, it is unclear whether biomarkers reflecting the intrauterine environment are predictive of infant prospective body composition change.
Objectives:
To examine whether cord blood adiponectin and leptin are predictive of neonatal adiposity and fat mass (FM) accrual to 3 months of age.
Methods:
Participants (n = 36) were healthy African American infants. Leptin and adiponectin concentrations were measured in umbilical cord blood. At 2 weeks and 3 months, infant body composition was assessed via air displacement plethysmography. Weight-for-length z-scores (WLZ) were calculated using World Health Organization standards. Multiple linear regression was used to examine associations of cord blood adiponectin and leptin with birth WLZ; WLZ, FM and fat-free mass at 2 weeks, and the conditional change in these variables from 2 weeks to 3 months (body composition at 3 months adjusted for body composition at 2 weeks).
Results:
Adiponectin was positively associated with FM at 2 weeks (r = 0.45, P < 0.01), but inversely associated with conditional FM change from 2 weeks to 3 months of age (r = -0.38, P < 0.05). Leptin was not significantly associated with infant body composition.
Conclusions:
Adiponectin may be a marker for FM accrual in African American infants, a relatively understudied population with a high long-term obesity risk. Mechanistic studies are needed to determine whether adiponectin directly influences infant growth or is simply a maker reflective of other ongoing biological changes after birth.
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