The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
World J Pediatr. 2012 Feb;8(1):76-9. doi: 10.1007/s12519-011-0292-6. Epub 2011 Aug 27.
This study explored the association between maternal obesity during pregnancy and the inflammatory markers, tumor necrosis factor-α, interleukin-6 and high sensitivity C-reactive protein (hs-CRP), and the cytokine, adiponectin, in the offspring.
Weight, height, Tanner stage and biomarkers were measured in thirty-four 12-year-old children, from the Infant Growth Study, who were divided into high risk (HR) and low risk (LR) groups based on maternal pre-pregnancy body mass index (BMI).
The two groups differed markedly in their hs-CRP levels, but no group difference was found for the other three biomarkers. The odds ratio (OR) of HR children having detectable hs-CRP levels was 16 times greater than that of LR children after adjusting for confounding variables, including BMI z-score, Tanner stages and gender (OR: 16; 95% CI: 2-123).
These results suggest that maternal obesity during pregnancy is associated with later development of elevated hs-CRP in the offspring, even after controlling for weight.
本研究探讨了母亲怀孕期间肥胖与后代的炎症标志物肿瘤坏死因子-α、白细胞介素-6 和高敏 C 反应蛋白(hs-CRP)以及细胞因子脂联素之间的关系。
在婴儿生长研究中,对 34 名 12 岁的儿童进行了体重、身高、坦纳阶段和生物标志物的测量,根据母亲孕前的体重指数(BMI)将他们分为高风险(HR)和低风险(LR)组。
两组在 hs-CRP 水平上有显著差异,但在其他三种生物标志物方面没有组间差异。在调整了包括 BMI z 评分、坦纳阶段和性别在内的混杂变量后,HR 儿童出现可检测到的 hs-CRP 水平的比值比(OR)是 LR 儿童的 16 倍(OR:16;95%CI:2-123)。
这些结果表明,母亲怀孕期间肥胖与后代 hs-CRP 水平升高有关,即使在控制体重后也是如此。