Infant body composition relationship to maternal adipokines and fat mass: the PONCH study

Background Infant adiposity is linked to both high maternal fat mass (FM) and excessive gestational FM gain, whereas the association with maternal adipokines is less clear. The aim was to determine how levels of maternal leptin, the soluble leptin receptor (sOB-R), adiponectin, and FM during pregnancy were linked to infant FM in normal-weight (NW) women and women with obesity (OB). Methods Body composition and serum levels of leptin, adiponectin, and sOB-R were determined three times during pregnancy in 80 NW and 46 OB women. For infants, body composition was measured at 1 and 12 weeks of age. Results Maternal leptin and sOB-R levels increased during pregnancy. For NW women, infant FM at 1 week was inversely associated with changes in maternal leptin and at 12 weeks inversely associated with absolute maternal sOB-R levels throughout pregnancy, as well as changes in sOB-R levels in early pregnancy. For OB women, infant FM at both 1 and 12 weeks were best explained by maternal FM. Conclusions Leptin and sOB-R, thought to regulate leptin bioavailability, are associated with fat accumulation in infants born to NW women. In OB women, maternal FM in early pregnancy is more important than leptin in determining infant fat accumulation. Impact In normal-weight women, the regulation of maternal leptin bioavailability during pregnancy has a role in infant fat mass accumulation.In women with obesity, however, pre-pregnancy maternal fat mass seems more important for infant fat mass.This is the first study of maternal adipokines and fat mass including longitudinal measurements in both mothers and their children.Understanding the relationship between maternal factors and infant fat mass is of great importance as obesity is programmed over the generations, and it is important to learn what regulates this programming.Fig. 1Study visits and participating numbers for normal-weight women (n = 80) or women with obesity (n = 46) and their infants. ADP air displacement plethysmography, NW women of normal weight, OB women with obesity.Fig. 2Strongest explanatory variables of infant outcomes at 1 and 12 weeks using adjusted stepwise linear regression for the a normal weight (NW) group and b obese (OB) group. Estimates per 1 SD increase and 95% CI are shown to allow comparison between different variables and outcomes. FM fat mass, FFM fat-free mass, sOB-R soluble leptin receptor, T1 trimester 1, T2 trimester 2, T3 trimester 3.