Castro Natália P, Euclydes Verônica V, Simões Fernanda A, Vaz-de-Lima Lourdes R A, De Brito Cyro A, Luzia Liania A, Devakumar Delan, Rondó Patrícia H C
Nutrition Department, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil.
Postgraduate Program in Applied Human Nutrition (PRONUT), University of São Paulo, São Paulo 05508-000, Brazil.
Nutrients. 2017 Feb 23;9(3):182. doi: 10.3390/nu9030182.
Increased maternal blood concentrations of leptin and decreased adiponectin levels, which are common disturbances in obesity, may be involved in offspring adiposity by programming fetal adipose tissue development. The aim of this study was to assess the relationship between maternal leptin and adiponectin concentrations and newborn adiposity. This was a cross-sectional study involving 210 healthy mother-newborn pairs from a public maternity hospital in São Paulo, Brazil. Maternal blood samples were collected after delivery and leptin and adiponectin concentrations were measured by enzyme-linked immunosorbent assay. Newborn body composition was estimated by air displacement plethysmography. The association between maternal leptin and adiponectin concentrations and newborn adiposity (fat mass percentage, FM%) was evaluated by multiple linear regression, controlling for maternal age, socioeconomic status, parity, pre-pregnancy body mass index (BMI), weight gain, gestational age, and newborn age at the time of measurement. No relationship was found between maternal leptin and FM% of male or female newborn infants. Maternal adiponectin ( = 0.001) and pre-pregnancy BMI ( < 0.001; adj. ² = 0.19) were positively associated with FM% of newborn males, indicating that maternal adiponectin is involved in fetal fat deposition in a sex-specific manner. Large-scale epidemiological, longitudinal studies are necessary to confirm our results.
肥胖中常见的母体血液中瘦素浓度升高和脂联素水平降低,可能通过影响胎儿脂肪组织发育,参与子代肥胖的发生。本研究旨在评估母体瘦素和脂联素浓度与新生儿肥胖之间的关系。这是一项横断面研究,纳入了来自巴西圣保罗一家公立妇产医院的210对健康母婴。产后采集母体血样,采用酶联免疫吸附测定法测量瘦素和脂联素浓度。通过空气置换体积描记法估算新生儿身体组成。通过多元线性回归评估母体瘦素和脂联素浓度与新生儿肥胖(脂肪量百分比,FM%)之间的关联,并对母体年龄、社会经济地位、产次、孕前体重指数(BMI)、体重增加、孕周和测量时的新生儿年龄进行校正。未发现母体瘦素与男、女新生儿的FM%之间存在关联。母体脂联素( = 0.001)和孕前BMI( < 0.001;校正 ² = 0.19)与男新生儿的FM%呈正相关,表明母体脂联素以性别特异性方式参与胎儿脂肪沉积。需要大规模的流行病学纵向研究来证实我们的结果。