This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Laml, T. Articles by Wagenbichler, P. Search for Related Content PubMed PubMed Citation Articles by Laml, T. Articles by Hartmann, B. W. Articles by Ruecklinger, E. Articles by Preyer, O. Articles by Soeregi, G. Articles by Wagenbichler, P. Pubmed/NCBI databases Substance via MeSH Social Bookmarking                         What's this?

Maternal Serum Leptin Concentrations Do Not Correlate With Cord Blood Leptin Concentrations in Normal Pregnancy

Department of Obstetrics and Gynecology, Division of Gynecology, Division of Special Gynecology, University of Vienna Medical School, Vienna, Austria; Institute of Statistical Analyses, Vienna, Austria; University of Vienna Medical School, Institute of Medical and Chemical Laboratories, Vienna, Austria; Ignaz-Semmelweis-Frauenklinik der Stadt Wien, Vienna, Austria thomas.laml{at}akh-wien.ac.at

Beda W. Hartmann, MD

Ernst Ruecklinger, PhD

Oliver Preyer, MD

Gabor Soeregi, MD

Peter Wagenbichler, MD

Department of Obstetrics and Gynecology, Division of Gynecology, Division of Special Gynecology, University of Vienna Medical School, Vienna, Austria; Institute of Statistical Analyses, Vienna, Austria; University of Vienna Medical School, Institute of Medical and Chemical Laboratories, Vienna, Austria; Ignaz-Semmelweis-Frauenklinik der Stadt Wien, Vienna, Austria

Objective: To determine whether there is a difference in maternal leptin concentration and cord blood concentration, consistent with the hypothesis of a noncommunicating, two-compartement model of fetoplacental leptin regulation.

Methods: Blood samples were collected from 139 women, identified as having an uncomplicated pregnancy, from an antecubital vein at delivery. Cord blood samples were taken from the umbilical vein. Leptin was measured by radioimmunoassay, and its relationship to fetal and maternal anthropometrics was assessed by Spearman correlation. Differences in maternal and cord blood leptin levels between male and female infants were tested twith the Mann-Whitney U test. Maternal and cord blood leptin were compared by the Wilcoxon signed rank test. The outcome measures were maternal and cord blood leptin at delivery, fetal birth weight, length, weight/length ratio, and ponderal index, maternal prepregnancy body mass index, pregnancy weight gain, relative weight gain, and body mass index at delivery.

Results: No correlations were found between maternal and cord blood leptin concentrations. Fetal leptin level correlated with birth weight ( = 0.665; p < .0001), length ( = 0.490; P < .0001), ponderal index ( = 0.260; P = .002), and weight/length ratio ( = 0.625; P < .0001). Median leptin concentrations were higher in female (9.3 ng/mL, range 1.5-34.4 ng/mL) than in male (8.2 ng/mL, range 1.6-38.3 ng/mL) neonates, but this difference was statistically not significant. Logistic regression analysis showed a significant influence on umbilical venous leptin concentration for birth weight (P < .0001) but not for gender. Maternal leptin concentrations were significantly higher than cord leptin concentrations (P < .0005 for the male and female neonates and the entire group).

Conclusion: There was no correlation between maternal and cord leptin, whiich supports the hypothesis of a noncommunicating, two-compartment model of fetoplacental leptin regulation.

Key Words: Maternal leptin • cord blood leptin • pregnancy • anthropometric measurements

Journal of the Society for Gynecologic Investigation, Vol. 8, No. 1, 43-47 (2001)
DOI: 10.1177/107155760100800108


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?