Obesity

Association Between Relative Cord Hyperleptinemia and Offspring Outcomes in Pregnant Women With Overweight or Obesity

Pediatr ObesPublished Secondary analysis of the DALI randomised trial

Authors' conclusion

Relative cord hyperleptinaemia was associated with reduced offspring BMI among males.

Study context

Population
Infants of pregnant women with overweight or obesity in the DALI trial; maternal pre-pregnancy BMI 33.7 ± 4.2 kg/m², 52% male
Participants
323 infants
Comparison
Top vs low tertile of cord leptin-to-fat mass ratio

Primary result

As reported in the abstract

  • C-peptide-to-glucose ratio elevated in TT vs LT among males (not females)
  • Birthweight, fat mass percentage and BMI z-scores (at age 1 only) lower in TT vs LT among males
  • TT vs LT: P < 0.001
  • TT vs LT: P = 0.045
  • TT vs LT: P = 0.008
  • TT vs LT: P = 0.03

Further findings

Median

OutcomeFemaleMaleP value
Cord leptin-to-fat mass ratio, female vs male offspring · birth21.4 (IQR 13.4–30.99)15.5 (IQR 8.3–25.9)P < 0.001

Cord leptin-to-fat mass ratio, female vs male offspring · birth

Female offspring had higher cord leptin, fat mass percentage and leptin-to-fat mass ratio

Cord leptin and fat mass percentage, TT vs LT

TT (58% females) had higher cord leptin but similar fat mass percentage vs LT

Original publication

Association Between Relative Cord Hyperleptinemia and Offspring Outcomes in Pregnant Women With Overweight or Obesity. Pediatr Obes. Published 21 August 2026. doi:10.1111/ijpo.70144

Composed by AI from the published abstract and checked against it. How Briefs are made →

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