Savino Francesco, Liguori Stefania Alfonsina, Oggero Roberto, Silvestro Leandra, Miniero Roberto
Department of Paediatrics, Regina Margherita Children's Hospital, University of Turin, Turin, Italy.
Acta Paediatr. 2006 Apr;95(4):414-8. doi: 10.1080/08035250500440428.
To evaluate the relationship between serum leptin concentration in infants and infant and maternal BMI.
75 healthy term infants aged 0-12 mo, 51 exclusively breastfed (BF) for at least 4 mo and 24 formula fed (FF), were included in a cross-sectional study. Weight, length and cranial circumference of infants and their mothers were measured, body mass index (BMI) was calculated using the formula weight (kg)/height (m2) and infant serum leptin concentration was determined.
A significant positive correlation between infant serum leptin concentration and maternal BMI was observed in BF infants (r = 0.389, p = 0.005), confirmed in a multiple regression model adjusted for infant age and infant BMI (beta = 0.065, p = 0.006), but not in FF infants. As regards the first 4 mo of life, we have already observed a positive correlation between infant serum leptin concentration and maternal BMI in BF infants (beta = 0.113, p = 0.005), but not in FF infants.
In BF infants, serum leptin concentration correlates positively with maternal BMI. Higher maternal BMI values might increase leptin levels in breast milk, and maternal adiposity could be involved in infant energy balance.
评估婴儿血清瘦素浓度与婴儿及母亲体重指数(BMI)之间的关系。
一项横断面研究纳入了75名0至12个月的健康足月儿,其中51名纯母乳喂养(BF)至少4个月,24名人工喂养(FF)。测量婴儿及其母亲的体重、身长和头围,使用体重(千克)/身高(平方米)的公式计算体重指数(BMI),并测定婴儿血清瘦素浓度。
在母乳喂养婴儿中观察到婴儿血清瘦素浓度与母亲BMI之间存在显著正相关(r = 0.389,p = 0.005),在根据婴儿年龄和婴儿BMI进行调整的多元回归模型中得到证实(β = 0.065,p = 0.006),但在人工喂养婴儿中未观察到这种相关性。关于生命的前4个月,我们已经在母乳喂养婴儿中观察到婴儿血清瘦素浓度与母亲BMI之间存在正相关(β = 0.113,p = 0.005),但在人工喂养婴儿中未观察到这种相关性。
在母乳喂养婴儿中,血清瘦素浓度与母亲BMI呈正相关。母亲较高的BMI值可能会增加母乳中的瘦素水平,母亲肥胖可能与婴儿能量平衡有关。