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Maternal Serum and Breast Milk Adiponectin: The Association with Infant Adiposity Development
Marhazlina Mohamad1, See Ling Loy2, Poh Ying Lim3
1School of Nutrition and Dietetics, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Nerus, Terengganu 21300, Malaysia. marhazlina@unisza.edu.my.
Insights
Maternal adiponectin (a hormone) in serum and breast milk may protect against infant obesity. Higher levels were linked to lower infant weight, BMI, and abdominal circumference in the first year.
Area of Science:
- Reproductive biology
- Pediatric endocrinology
- Nutritional science
Background:
- Childhood obesity is a growing concern in Malaysia.
- Maternal metabolic changes during pregnancy influence infant adiposity.
- Adipokines, like adiponectin and leptin, play a role in metabolic regulation.
Purpose of the Study:
- To investigate the association between maternal serum and breast milk adipokines (adiponectin and leptin) and infant adiposity development.
- To understand the role of maternal adipokine profiles in early life obesity prevention.
Main Methods:
- Prospective cohort study of 155 healthy pregnant mothers in Kelantan, Malaysia (2010-2012).
- Maternal serum and breast milk samples analyzed for adiponectin and leptin.
- Infant anthropometry (weight, BMI-for-age Z-scores, abdominal circumference) measured at birth, 2, 6, and 12 months postpartum.
- Multiple linear regression analysis used to assess associations.
Main Results:
- Increased maternal serum and breast milk adiponectin levels were significantly associated with decreased infant weight, BMI-for-age Z-scores, and abdominal circumference in the first year (p < 0.05).
- No significant association was found for leptin levels.
- Maternal adiponectin levels demonstrated a protective effect against infant adiposity development.
Conclusions:
- Maternal serum and breast milk adiponectin are associated with reduced infant adiposity in the first year of life.
- Adiponectin may be a potential biomarker for predicting and preventing childhood obesity.
- Targeting maternal adipokine levels could be a strategy for early intervention against infant obesity.
Abstract:
The prevalence of childhood obesity is increasing at an alarming rate in Malaysia. Metabolic changes during pregnancy are critical to the development of infant adiposity, due to imbalanced adipokines production. Hence, we aimed to investigate the association of maternal serum and breast milk adipokines with infant adiposity development. The study was conducted from April 2010 until December 2012. A total of 155 healthy pregnant mothers aged 19 to 40 years were recruited during the first and second trimester in Kelantan, Malaysia. Data consisted of maternal sociodemographic details, anthropometry and clinical biochemistry analysis; and the infant’s anthropometry and feeding patterns. Maternal fasting serum and breast milk samples were analysed for adiponectin and leptin levels. Data collection was performed in the second and third trimester of pregnancy, and continued with follow-up visits at birth, two, six, and 12 months postpartum. Multiple linear regression (MLR) analyses were performed to examine the associations between maternal serum and breast milk adiponectin and leptin and infant adiposity development. MLR models showed that, in the first year, as maternal serum and breast milk adiponectin increased, infant weight, BMI-for-age Z scores and abdominal circumference significantly decreased (p < 0.05). Maternal serum and/or breast milk adiponectin was associated with first-year infant adiposity development.
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