Fetal Growth Trajectories and Their Association with Maternal, Cord Blood, and 5-year Child Adipokines

H C Bartels1, A A Geraghty1, E C O'Brien1

  • 1UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland.

Insights

Male fetuses show faster growth trajectories. Maternal leptin and adiponectin levels at 28 weeks gestation predict fetal growth, but no later markers were associated. This highlights early biochemical indicators of fetal development.

Area of Science:

  • Reproductive biology
  • Pediatric endocrinology
  • Human fetal development

Background:

  • Fetal growth is a complex process influenced by various factors.
  • Biochemical markers like leptin and adiponectin play a crucial role in fetal development.
  • Understanding these markers can provide insights into healthy fetal growth trajectories.

Purpose of the Study:

  • To investigate the association between fetal growth trajectories and biochemical markers in maternal, cord, and child blood samples.
  • To compare growth trajectories with markers at 28 weeks gestation, birth, and 5 years of age.
  • To identify early indicators of fetal growth patterns.

Main Methods:

  • Utilized ultrasound and birth weight data from 781 mother-infant pairs to define fetal growth trajectories.
  • Measured serum levels of leptin, adiponectin, insulin, TNF-alpha, and IL-6 at maternal, cord, and 5-year child stages.
  • Employed ANOVA and chi-square tests to analyze associations between growth trajectories and biochemical markers, considering child sex.

Main Results:

  • Male infants exhibited a significantly faster estimated weight trajectory compared to females.
  • Elevated maternal leptin and reduced adiponectin at 28 weeks gestation were linked to slower estimated abdominal circumference trajectories.
  • No significant associations were found between fetal growth trajectories and inflammatory markers or any growth markers at 5 years of age.

Conclusions:

  • Male sex is associated with accelerated fetal weight gain.
  • Maternal leptin and adiponectin levels during late gestation are predictive of fetal growth trajectories.
  • Postnatal growth markers do not appear to correlate with early fetal growth patterns identified in this study.
Abstract

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