OBJECTIVE:To determine the relationships between serum leptin levels in the umbilical vein (UV) and artery (UA) and the anthropometry of mothers and neonates.

STUDY DESIGN:Blood was taken from 61 pregnant women who were admitted for delivery and from the umbilical vein and artery just before delivery of the placenta. Leptin level was measured by immunoradiometric assay. Comparisons between serum leptin concentrations in UVs and both maternal and neonatal anthropometry were made according to neonatal sex.

RESULTS:Mean leptin UA and UV concentrations in female infants were significantly higher than those in male infants (both, P = .002). Leptin concentrations in UVs of the total infants were related to maternal body weight and body mass index preconceptionally as well as at birth, to neonatal birth weight, to gestational age, to Kaup index and to body fat content of the infants.

CONCLUSION:A sex difference was observed not only in serum leptin concentrations UA and UV but also in the degree of significance between the relationship of cord leptin and both maternal and neonatal anthropometry. Also, the UA leptin level had a closer relationship to neonatal anthropometry, but the UV leptin level was more closely related to maternal anthropometry.

译文

目的 : 确定脐静脉 (UV) 和动脉 (UA) 中的血清瘦素水平与母亲和新生儿的人体测量学之间的关系。
研究设计 : 从61名接受分娩的孕妇以及胎盘分娩前的脐静脉和动脉中抽取血液。通过免疫放射测定法测量瘦素水平。根据新生儿性别比较了UVs中的血清瘦素浓度以及母婴人体测量学。
结果 : 女婴的平均瘦素UA和UV浓度显着高于男婴 (均P = .002)。所有婴儿的uv中的瘦素浓度与孕妇体重和体重指数以及出生时,新生儿出生体重,胎龄有关,婴儿的Kaup指数和体内脂肪含量。
结论 : 不仅在血清瘦素浓度UA和UV上观察到性别差异,而且在脐带瘦素与母体和新生儿人体测量学的关系之间的重要程度上也观察到性别差异。此外,UA瘦素水平与新生儿人体测量学的关系更密切,但UV瘦素水平与母亲人体测量学的关系更密切。

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