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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.
Background:
The growth of the fetus is a complex process influenced by multiple factors. Studies have highlighted the important role of biochemical growth markers such as leptin and adiponectin on fetal growth.
Objective:
To compare fetal growth trajectories with biochemical growth markers from maternal blood samples at 28 weeks' gestation, cord blood samples at birth, and in child blood samples at 5 years of age from mother-infant pairs who were part of the longitudinal ROLO study.
Methods:
781 mother-infant pairs from the ROLO and ROLO Kids study were included. Ultrasound measurements and birth weight were used to develop fetal growth trajectory groups for estimated abdominal circumference and estimated weight. Blood serum levels of leptin, adiponectin, insulin, TNF-alpha, and IL-6 from maternal, cord, and 5-year child samples were recorded. ANOVA and chi-square tests were applied to test the associations between fetal growth trajectory membership and maternal and child biochemical growth indicators. The influence of child sex was also investigated.
Results:
Male sex was associated with a faster weight trajectory compared to females (p=0.001). At 28 weeks' gestation, maternal leptin levels were significantly higher in mothers with a fetus on a slower estimated abdominal circumference trajectory compared to fast (25616 [IQR: 11656.0 to 35341.0] vs. 14753.8 [IQR: 8565.4 to 24308.1], p < 0.001) and maternal adiponectin levels were lower in fetuses on a slower estimated abdominal circumference trajectory compared to a fast trajectory (22.4 [IQR: 13.6 to 35.9] vs. 27.6 [IQR: 17.6 to 46.3], p=0.027). No associations were noted with inflammatory markers. No associations were identified between fetal growth trajectories and growth markers at 5 years of age.
Conclusions:
This study shows that male sex is associated with an accelerated estimated weight trajectory. Furthermore, high leptin and low adiponectin in maternal serum in late gestation are associated with a slower fetal growth trajectory. No associations were identified with blood growth markers after pregnancy.
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