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Adipokine-myokine-hepatokine compartment-system in mothers and children: An explorative study
Clara Deibert1, Nina Ferrari2, Anne Flöck3
1University of Cologne Medical School, Joseph-Stelzmann-Straße 20, 50931 Cologne, Germany.
Insights
Maternal lifestyle choices impact pregnancy outcomes. This study explores how different lifestyle patterns influence maternal and fetal health markers, including body composition and birth weight.
Area of Science:
- Reproductive biology and maternal-fetal medicine.
- Endocrinology and metabolic health.
- Nutritional science and public health.
Background:
- Maternal overweight and excessive gestational weight gain increase risks for pregnancy complications and neonatal metabolic issues.
- Adipokines, hepatokines, and myokines from fat, liver, and muscle tissues are implicated in metabolic homeostasis, but their link to maternal lifestyle is unclear.
- Understanding lifestyle's role in modulating these biomarkers is crucial for improving maternal and fetal outcomes.
Purpose of the Study:
- To investigate the influence of maternal lifestyle clusters during pregnancy on maternal and fetal biomarkers.
- To examine the association between maternal lifestyle, body composition, and birth weight.
- To explore the role of adipokines, hepatokines, and myokines in this complex interplay.
Main Methods:
- An exploratory pilot study including at least 100 singleton pregnancies.
- Collection of maternal anthropometric data, blood samples, physical activity, and nutritional status via questionnaires.
- Assessment of newborn anthropometrics, umbilical cord samples, and birth outcomes, alongside measurement of key biomarkers.
Main Results:
- This section is to be filled once the study is completed and results are available.
Conclusions:
- This study pioneers the examination of maternal body composition, birth weight, and related biomarkers using a novel compartment model.
- Findings will elucidate the intricate relationship between maternal lifestyle, metabolic biomarkers, and fetal development.
Objective:
Maternal lifestyle during pregnancy has an effect of gestational development and neonatal outcome. Overweight gravidas and gravidas with excessive weight gain have an increased risk of gestational complications and neonatal metabolic disorder. The underlying mechanisms are still under discussion, but the hormonally active fat mass and its biomarkers, adipocytokines, may play a key role by potentially having a direct impact on the metabolic homeostasis of the system in concert with other biomarkers like hepatokines and myokines. Up to now little is known in terms of lifestyle habits and their effect on this complex model on maternal and fetal outcome. Therefore, we aim to investigate the influence of maternal lifestyle clusters during pregnancy on the maternal and fetal biomarkers of compartments, specifically those implying maternal fat and muscle mass, maternal liver and the placenta and who are associated with maternal body composition and birth weight.
Methods:
In this exploratory pilot study at least 100 singleton pregnancies and their newborns will be included. The women will undergo assessments of anthropometric measurements, venous blood samples will be drawn and physical activity and nutritional status will be collected through questionnaires. Newborns will undergo assessments of anthropometric measurements, umbilical cord samples will be drawn and birth outcomes will be evaluated. We will measure adipokines, myokines and hepatokines and relate them to maternal lifestyle clusters and fetal outcome.
Conclusion:
Our study will be the first to examine the relationship between maternal body composition, birth weight and potential biomarkers based on an innovative compartment model.
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