Pediatric endocrinology

Cord blood adiponectin and leptin concentrations in monochorionic twins with selective intrauterine growth restriction and their associations with childhood growth trajectories

Pediatr ObesPublished Prospective cohort study

Authors' conclusion

Cord blood adiponectin concentrations were negatively associated with IUGR but did not predict childhood growth. Cord blood leptin concentrations were inversely associated with weight and height increments in the first 6 months.

Study context

Population
Monochorionic twins with selective intrauterine growth restriction (IUGR) and normal monochorionic twins; growth followed from birth to 24 months
Exposure
Monochorionic (MC) twins with selective IUGR (sIUGR) vs normal MC twins
  • sIUGRn = 22 pairs
  • Normaln = 20 pairsreference
Outcome
Cord blood adiponectin and leptin concentrations and their associations with childhood growth trajectories

Main finding

As reported in the abstract

birth

Β (adiponectin, association with IUGR)

−1.51

95% CI −2.45 to −0.57P = 0.002

sIUGR

Leptin

2.8 ± 1.6 vs. 6.4 ± 3.0

P < 0.001

lower in sIUGR twins

Observational data: associations, not effects.

Further findings

Adiponectin and height increment · birth to 6 months

Adiponectin negatively associated with height increment, β
−0.28 (−0.51, −0.06), p = 0.015 (95% CI)

Leptin and weight · 6 and 24 months

Leptin vs weight at 6 months, β
−0.12 (−0.22, −0.02), p = 0.002 (95% CI)
Leptin vs weight at 24 months, β
−0.18 (−0.33, −0.03), p = 0.019 (95% CI)

Leptin and weight/height increments · birth to 6 months

Leptin vs weight increment, β
−0.17 (−0.29, −0.06), p = 0.020 (95% CI)
Leptin vs height increment, β
−0.40 (−0.81, −0.01), p = 0.037 (95% CI)

Original publication

Cord blood adiponectin and leptin concentrations in monochorionic twins with selective intrauterine growth restriction and their associations with childhood growth trajectories. Pediatr Obes. Published 5 April 2023. doi:10.1111/ijpo.13034

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