Has the adipokine profile an influence on the catch-up growth type in small for gestational age infants?
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.
KeywordsSGA Catch-up Leptin Adiponectin Omentin Chemerin Vaspin NOV/CCN3
This work was supported by grants from Pfizer International (2012/13), Government of the Basque Country (IT-572-13), and Instituto de Salud Carlos III (CIBERobn).
Compliance with ethical standards
The study protocol has been approved by the Ethical Committee of the Hospital Universitario de Álava-Txagorritxu (HUA) (Ref. 2012-050). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Parents of all subjects have given their written informed consent to take part in the study. Informed consent was obtained from all individual participants included in the study.
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