Division of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Department of Obstetrics and Gynaecology in Linköping, County Council of Östergötland, Linköping, Sweden.
Acta Paediatr. 2013 Jun;102(6):620-4. doi: 10.1111/apa.12202. Epub 2013 Mar 6.
To study cord blood concentrations of adiponectin and leptin in children born by normal weight, overweight and obese mothers and to study these parameters in relation to a weight gain intervention programme for obese mothers.
Ten millilitre cord blood was collected and analysed for leptin and adiponectin concentrations in children with gestational age >37 weeks born by 60 normal weight, 45 overweight and 145 obese mothers. 82 obese mothers took part in a weight gain intervention programme.
Concentrations of leptin and adiponectin were higher in cord blood from children of overweight and obese mothers compared with children of normal weight mothers (leptin: Md 13.2, 30, 3 and 90.2 ng/mL respectively, p < 0.001; adiponectin 35.9, 205.4, 213.8 ng/L p < 0.001). No differences were found between overweight and obese mothers. The weight gain intervention programme for obese pregnant women had significant effects on the weight gain during pregnancy but had no effects on cord blood serum concentrations of leptin and adiponectin.
Cord blood leptin and adiponectin concentrations were higher in children born by overweight or obese women compared with children of normal weight mothers. A weight gain intervention programme for obese pregnant women did not affect these results. Intrauterine exposition to high concentrations of leptin and adiponectin may play a role in weight development later in life.
研究正常体重、超重和肥胖母亲所生婴儿脐带血中脂联素和瘦素浓度,并研究这些参数与肥胖母亲增重干预计划的关系。
收集>37 周胎龄正常体重、超重和肥胖母亲所生 60 例、45 例和 145 例婴儿的 10ml 脐带血,分析瘦素和脂联素浓度。82 例肥胖母亲参加了增重干预计划。
与正常体重母亲所生婴儿相比,超重和肥胖母亲的脐带血中瘦素和脂联素浓度更高(瘦素:Md 分别为 13.2、30、3 和 90.2ng/ml,p<0.001;脂联素 35.9、205.4、213.8ng/L p<0.001)。超重和肥胖母亲之间没有差异。肥胖孕妇增重干预计划对孕期体重增加有显著影响,但对脐带血血清瘦素和脂联素浓度没有影响。
与正常体重母亲所生婴儿相比,超重或肥胖母亲所生婴儿的脐带血瘦素和脂联素浓度更高。肥胖孕妇增重干预计划对这些结果没有影响。宫内暴露于高浓度的瘦素和脂联素可能在以后的生活中对体重发育起作用。