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脂肪细胞因子谱是否会影响小于胎龄儿的追赶性生长类型?

Has the adipokine profile an influence on the catch-up growth type in small for gestational age infants?

机构信息

Nutrition and Obesity Group, University of the Basque Country (UPV/EHU) and Lucio Lascaray Research Institute, Vitoria, Spain.

Araba Integrated Health Care Organization, Basque Health Service (Osakidetza), Vitoria, Spain.

出版信息

J Physiol Biochem. 2019 Aug;75(3):311-319. doi: 10.1007/s13105-019-00684-6. Epub 2019 Jun 17.

Abstract

Infants born small for gestational age (SGA) are at increased risk of perinatal morbidity, persistent short stature, and metabolic alterations in later life. Moreover, the post-natal growth pattern of SGA infants may be an important contributor to health outcomes later in life, which can be influenced by adipokines. The aims of this study were to compare plasma adipokine profiles (leptin, adiponectin, vaspin, chemerin, and nephroblastoma overexpressed (NOV/CCN3)) among SGA newborns aged 3 months, with low, normal, or high catch-up, to search for potential differences between males and females and to analyze the evolution of several adipokines in plasma from SGA newborns between 3 and 24 months. This prospective, longitudinal study was addressed in SGA Caucasian subjects at Hospital Universitario de Álava-Txagorritxu. We observed that infants with fast catch-up showed significantly lower birth weight than the other two groups. As far as adipokines are concerned, they could have an influence on catch-up type because differences among the three experimental groups were found. It may be proposed that health prognoses in infants with slow and fast catch-up are opposite, not only in adulthood but also during their first months. Finally, adipokine evolution patterns during the first 24 months of age differ, depending on the adipokine, and 24-month-old males show lower levels of leptin, adiponectin, and omentin than females.

摘要

出生体重小于胎龄儿(SGA)的婴儿在围产期发病率、持续身材矮小和代谢改变方面的风险增加。此外,SGA 婴儿的生后生长模式可能是影响其日后健康结局的一个重要因素,而脂肪因子会对其产生影响。本研究的目的是比较生后 3 个月时具有不同追赶生长速度(低、正常和高)的 SGA 新生儿的血浆脂肪因子谱(瘦素、脂联素、vaspin、chemerin 和肾母细胞瘤过表达(NOV/CCN3)),寻找男女性别之间的潜在差异,并分析 SGA 新生儿生后 3 至 24 个月血浆中几种脂肪因子的演变。本前瞻性、纵向研究在阿拉瓦大学医院的 SGA 白种人受试者中进行。我们观察到,快速追赶生长的婴儿出生体重明显低于其他两组。就脂肪因子而言,它们可能对追赶生长类型有影响,因为在这三组实验中发现了差异。可以提出,生长缓慢和快速追赶生长的婴儿的健康预后不仅在成年期而且在他们出生后的头几个月也是相反的。最后,根据脂肪因子的不同,24 月龄婴儿的脂肪因子演变模式也不同,且 24 月龄男性的瘦素、脂联素和网膜素水平低于女性。

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