Factors affecting cord blood leptin levels in a consecutive birth cohort

Rina Fyfe1,2, Alice Burton1, Andrew McLennan1,3

  • 1Sydney Institute for Women, Children and their Families, Sydney Local Health District, Sydney, Australia.

Insights

Umbilical cord leptin levels, influenced by maternal and fetal factors, may help screen newborns. Lower leptin levels in newborns admitted to the neonatal intensive care unit (NICU) suggest potential for early identification of at-risk infants.

Area of Science:

  • Perinatal Medicine
  • Neonatology
  • Endocrinology

Background:

  • Fetal growth trajectories impact long-term health outcomes.
  • Traditional anthropometric assessments have limitations in diverse populations.
  • Umbilical cord blood leptin offers a potential biomarker for fetal growth screening.

Purpose of the Study:

  • To report cord blood leptin levels in a large birth cohort.
  • To assess the relationship between leptin and neonatal/maternal factors.
  • To establish a normal range for cord blood leptin and evaluate its association with neonatal outcomes.

Main Methods:

  • Prospective collection of umbilical cord blood samples from 1275 deliveries.
  • Measurement of serum leptin levels and collation of maternal/neonatal data.
  • Statistical analysis to identify associations and establish normal ranges (multiples of the median).

Main Results:

  • Leptin levels correlated significantly with gestational age, birthweight, infant sex, plurality, and maternal BMI.
  • Lower mean leptin levels (multiples of the median) were observed in infants admitted to the neonatal intensive care unit (NICU).
  • No significant association found between leptin levels and 5-minute Apgar scores.

Conclusions:

  • Neonatal cord leptin is influenced by maternal and fetal characteristics.
  • Adjusted leptin levels can account for population variations.
  • Lower mean leptin multiples of the median in NICU-admitted infants warrant further investigation for potential clinical utility in identifying high-risk fetuses.
Abstract