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.

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