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Neonatal Cord Blood Leptin : Its Relationship to Birth Weight

Journal of the Korean Pediatric Society 1999;42(5):637-643.
Published online May 15, 1999.
Neonatal Cord Blood Leptin : Its Relationship to Birth Weight
Byung Churl Lee, In Kyung Sung, Byung Kyu Suh, Moon Young Song
Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea
제대혈에서의 Leptin 농도 : 출생체중과의 관계
이병철, 성인경, 서병규, 송문영
가톨릭대학교 의과대학 소아과학교실
Correspondence: 
Byung Churl Lee, Email: 1
Abstract
Purpose
: The purpose of this study was to correlate birth weight, skinfold thickness, gestational age, BMI and ponderal index of neonates and maternal status with cord serum leptin concentration.
Methods
: Sixty newborns were enrolled in this study. Standard growth curves were used to categorize infants as appropriate(AGA), large(LGA), or small for gestational age(SGA). Gestational age, birth weight, length, skinfold thickness, and placental weight were measured. Maternal age, weight, and height were measured. Cord blood and maternal venous blood samples were collected, and serum was separated and stored at -20℃. Leptin was measured by radioimmunoassay.
Results
: Mean leptin concentration in cord blood was 4.38±2.65ng/ml and closely related to size and adiposity at birth, but not to gestational age. Cord blood leptin level was significantly lower in SGA infants(1.64±0.58ng/ml) and higher in LGA infants(5.53±2.64ng/ml) than in AGA infants (4.99±2.37ng/ml)(P<0.05). Mean leptin concentration in maternal blood(13.01±8.28ng/ml) was significantly higher than in cord blood(P<0.001), and maternal obesity and serum leptin concentrations did not correlate with cord blood leptin concentrations. No gender differences were found in cord blood leptin.
Conclusion
: The leptin level of cord blood is highly correlated to the birth weight and the size of adipose tissue. Leptin may be responsible for the regulation of body mass of human neonates and can be used as a marker of fetal growth.
Key Words: Leptin, Cord blood


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