Obesity

Exploring mitochondrial heteroplasmy in neonates: implications for growth patterns and overweight in the first years of life

Int J Obes (Lond)Published Prospective birth cohort study

Authors' conclusion

Our findings, based on mitochondrial DNA genotyping, offer insights into the molecular machinery leading to rapid growth in early life, potentially explaining a working mechanism of the development toward childhood overweight.

Study context

Population
Mother-child pairs of the ENVIRONAGE birth cohort; cord blood whole mitochondrial genome sequencing
Participants
200 mother-child pairs
Exposure
Cord blood mitochondrial DNA (mtDNA) heteroplasmy and rapid growth and childhood overweight
Outcome
Rapid growth (difference between WHO-SD scores of predicted weight and birth weight) and childhood overweight
Follow-up
6 and 12 months; 4-6 years
Methodological detailsENVIRONAGE birth cohort
  • ENVIRONAGE birth cohort

Main finding

As reported in the abstract

Rapid growth per 1% increase in VAF of cord blood MT-D-Loop16362T > C heteroplasmy · 6 and 12 months

Rapid growth at 6 months, OR

1.03

95% CI 1.01–1.05p = 0.001

Rapid growth at 12 months, OR

1.02

95% CI 1.00–1.03p = 0.02

Observational data: associations, not effects.

Further findings

Childhood overweight per 1% increase in VAF of MT-D-Loop16362T > C · 4-6 years

Childhood overweight, OR
1.01 (95% CI 1.00-1.02; p = 0.05)

Rapid growth and childhood overweight · 4-6 years

Rapid growth at 6 months, OR for overweight
3.00 (95% CI 1.49-6.14; p = 0.002)
Rapid growth at 12 months, OR for overweight
4.05 (95% CI 2.06-8.49; p < 0.001)

Determinants of cord blood MT-D-Loop16362T > C heteroplasmy

Maternal age, pre-pregnancy BMI, maternal education, parity and gestational age identified as determinants

Original publication

Exploring mitochondrial heteroplasmy in neonates: implications for growth patterns and overweight in the first years of life. Int J Obes (Lond). Published 27 May 2024. doi:10.1038/s41366-024-01537-z

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