Maternal obesity influences the endocrine cord blood profile of their offspring
-
Carolina Carvalho Mocarzel
und Asim Kurjak
Abstract
Objective
To compare the endocrine cord blood characteristics of offspring from obese mothers with those of offspring from healthy controls.
Methods
Cross-sectional case control study. Setting: University medical centers. Patient(s): Offspring from obese mothers (n = 41) and healthy controls (n = 31). Intervention(s): Cord blood withdrawal from neonates. Main outcome measure(s): Cord blood total cholesterol (TC), triglycerides (TGs), high-density lipoprotein-cholesterol (HDL-C), low-density lipoprotein-cholesterol (LDL-C), blood glucose (GL) and insulin (Ins).
Result(s)
Fetal GL and TGs were reduced in the offspring of obese women when compared to those in the offspring of the controls. The mean cord blood GL level was 47.8 mg/dL standard deviation (SD 33.1) in the offspring of the obese group vs. 57.9 mg/dL (SD 12.5) in the offspring of the control group, and the mean cord blood TG level was 26.5 (SD 33.6) in the offspring of the obese group vs. 34.6 (SD 12.3) in the offspring of the control group. Maternal obesity was also associated with reduced levels of TC and HDL-C in the pregnant women.
Conclusion
The observed results suggest that GL and TGs in the cord blood of the offspring of obese mothers were significantly lower than those in the offspring of the control group.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
References
1. Denison FC, Aedla NR, Keag O, Hor K, Reynolds RM, Milne A, et al. Care of women with obesity in pregnancy: green-top guideline no. 72. Br J Obstet Gynaecol 2019;126:e62–106.10.1111/1471-0528.15386Suche in Google Scholar
2. Heslehurst N, Lang R, Rankin J, Wilkinson JR, Summerbell CD. Obesity in pregnancy: a study of the impact of maternal obesity on NHS maternity services. Br J Obstet Gynaecol 2007;114:334–42.10.1111/j.1471-0528.2006.01230.xSuche in Google Scholar
3. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation (WHO Technical Report Series 894). Geneva: WHO; 2000. p. 252.Suche in Google Scholar
4. Heymsfield SB, Wadden TA. Mechanisms, pathophysiology, and management of obesity. N Engl J Med 2017;376:254–66.10.1056/NEJMra1514009Suche in Google Scholar
5. Bray MS, Loos RJ, McCaffery JM, Ling C, Franks PW, Weinstock GM, et al. NIH working group report-using genomic information to guide weight management: from universal to precision treatment. Obesity (Silver Spring) 2016;24:14–22.10.1002/oby.21381Suche in Google Scholar
6. Popkin BM, Hawkes C. Sweetening of the global diet, particularly beverages: patterns, trends, and policy responses. Lancet Diabetes Endocrinol 2016;4:174–86.10.1016/S2213-8587(15)00419-2Suche in Google Scholar
7. Dabelea D, Crume T. Maternal environment and the transgenerational cycle of obesity and diabetes. Diabetes 2011;60:1849–55.10.2337/db11-0400Suche in Google Scholar PubMed PubMed Central
8. Robinson HE, O’Connell CM, Joseph KS, McLeod NL.Maternal outcomes in pregnancies complicated by obesity. Obstet Gynecol 2005;106:1357–64.10.1097/01.AOG.0000188387.88032.41Suche in Google Scholar PubMed
9. Santangeli L, Sattar N, Huda SS. Impact of maternal obesity on perinatal and childhood outcomes. Best Pract Res Clin Obstet Gynaecol 2015;29:438–48.10.1016/j.bpobgyn.2014.10.009Suche in Google Scholar PubMed
10. Hod M, Lieberman N. Maternal-fetal medicine–how can we practically connect the “M” to the “F”? Best Pract Res Clin Obstet Gynaecol 2015;29:270–83.10.1016/j.bpobgyn.2014.06.008Suche in Google Scholar PubMed
11. Metzger BE, Silverman BL, Freinkel N, Dooley SL, Ogata ES, Green OC. Amniotic fluid insulin concentration as a predictor of obesity. Arch Dis Child 1990;65(10 Spec No):1050–2.10.1136/adc.65.10_Spec_No.1050Suche in Google Scholar PubMed PubMed Central
12. Barker DJ. In utero programming of chronic disease. Clin Sci (Lond) 1998;95:115–28.10.1042/CS19980019Suche in Google Scholar
13. Bertram CE, Hanson MA. Animal models and programming of the metabolic syndrome. Br Med Bull 2001;60:103–21.10.1093/bmb/60.1.103Suche in Google Scholar
14. Daan NM, Koster MP, Steegers-Theunissen RP, Eijkemans MJ, Fauser BC. Endocrine and cardiometabolic cord blood characteristics of offspring born to mothers with and without polycystic ovary syndrome. Fertil Steril 2017;107:261–8.e3.10.1016/j.fertnstert.2016.09.042Suche in Google Scholar
15. Florio P, Reis FM, Severi FM, Luisi S, Imperatore A, Palumbo MA, et al. Umbilical cord serum activin A levels are increased in pre-eclampsia with impaired blood flow in the uteroplacental and fetal circulation. Placenta 2006;27:432–7.10.1016/j.placenta.2005.04.008Suche in Google Scholar
16. Rodie VA, Caslake MJ, Stewart F, Sattar N, Ramsay JE, Greer IA, et al. Fetal cord plasma lipoprotein status in uncomplicated human pregnancies and in pregnancies complicated by pre-eclampsia and intrauterine growth restriction. Atherosclerosis 2004;176:181–7.10.1016/j.atherosclerosis.2004.04.026Suche in Google Scholar
17. American Diabetes Association. Gestational diabetes mellitus. Diabetes Care 2003;26 Suppl 1:S103–5.10.2337/diacare.26.2007.S103Suche in Google Scholar
18. American College of Obstetricians and Gynecologists; Task Force on Hypertension in Pregnancy. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstet Gynecol 2013;122:1122–31.Suche in Google Scholar
19. WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr Suppl 2006;450:76–85.10.1111/j.1651-2227.2006.tb02378.xSuche in Google Scholar
20. Villar J, Cheikh Ismail L, Victora CG, Ohuma EO, Bertino E, Altman DG, et al. International standards for newborn weight, length, and head circumference by gestational age and sex: the Newborn Cross-Sectional Study of the INTERGROWTH-21st Project. Lancet 2014;384:857–68.10.1016/S0140-6736(14)60932-6Suche in Google Scholar
21. Aramesh MR, Dehdashtian M, Malekian A, ShahAli S, Shojaei K. Relation between fetal anthropometric parameters and cord blood adiponectin and high-sensitivity C-reactive protein in gestational diabetes mellitus. Arch Endocrinol Metab 2017;61:228–32.10.1590/2359-3997000000235Suche in Google Scholar PubMed
22. Kelishadi R, Badiee Z, Adeli K. Cord blood lipid profile and associated factors: baseline data of a birth cohort study. Paediatr Perinat Epidemiol 2007;21:518–24.10.1111/j.1365-3016.2007.00870.xSuche in Google Scholar PubMed
23. Patel N, Hellmuth C, Uhl O, Godfrey K, Briley A, Welsh P, et al. Cord metabolic profiles in obese pregnant women: insights into offspring growth and body composition. J Clin Endocrinol Metab 2018;103:346–55.10.1210/jc.2017-00876Suche in Google Scholar
24. Brown CM, Garovic VD. Drug treatment of hypertension in pregnancy. Drugs 2014;74:283–96.10.1007/s40265-014-0187-7Suche in Google Scholar
25. Easterling T, Mundle S, Bracken H, Parvekar S, Mool S, Magee LA, et al. Oral antihypertensive regimens (nifedipine retard, labetalol, and methyldopa) for management of severe hypertension in pregnancy: an open-label, randomised controlled trial. Lancet 2019;394:1011–21.10.1016/S0140-6736(19)31282-6Suche in Google Scholar
26. Lu Y, Chen R, Cai J, Huang Z, Yuan H. The management of hypertension in women planning for pregnancy. Br Med Bull 2018;128:75–84.10.1093/bmb/ldy035Suche in Google Scholar PubMed PubMed Central
27. Lippi G, Albiero A, Montagnana M, Salvagno GL, Scevarolli S, Franchi M, et al. Lipid and lipoprotein profile in physiological pregnancy. Clin Lab 2007;53:173–7.Suche in Google Scholar
28. Scifres CM, Catov JM, Simhan HN. The impact of maternal obesity and gestational weight gain on early and mid-pregnancy lipid profiles. Obesity (Silver Spring) 2014;22:932–8.10.1002/oby.20576Suche in Google Scholar PubMed PubMed Central
29. Kharb S, Bala J, Nanda S. Markers of obesity and growth in preeclamptic and normotensive pregnant women. J Obstet Gynaecol 2017;37:610–5.10.1080/01443615.2017.1286463Suche in Google Scholar PubMed
30. Geraghty AA, Alberdi G, O’Sullivan EJ, O’Brien EC, Crosbie B, Twomey PJ, et al. Maternal blood lipid profile during pregnancy and associations with child adiposity: findings from the ROLO study. PLoS One 2016;11:e0161206.10.1371/journal.pone.0161206Suche in Google Scholar PubMed PubMed Central
31. Kadakia R, Scholtens DM, Rouleau GW, Talbot O, Ilkayeva OR, George T, et al. Cord blood metabolites associated with newborn adiposity and hyperinsulinemia. J Pediatr 2018;203:144–9.e1.10.1016/j.jpeds.2018.07.056Suche in Google Scholar PubMed PubMed Central
32. Hirschmugl B, Desoye G, Catalano P, Klymiuk I, Scharnagl H, Payr S, et al. Maternal obesity modulates intracellular lipid turnover in the human term placenta. Int J Obes (Lond) 2017;41:317–23.10.1038/ijo.2016.188Suche in Google Scholar PubMed PubMed Central
33. Herrera E, Desoye G. Maternal and fetal lipid metabolism under normal and gestational diabetic conditions. Horm Mol Biol Clin Investig 2016;26:109–27.10.1515/hmbci-2015-0025Suche in Google Scholar PubMed
34. Schaefer-Graf UM, Graf K, Kulbacka I, Kjos SL, Dudenhausen J, Vetter K, et al. Maternal lipids as strong determinants of fetal environment and growth in pregnancies with gestational diabetes mellitus. Diabetes Care 2008;31:1858–63.10.2337/dc08-0039Suche in Google Scholar PubMed PubMed Central
35. Fuwa K, Nagano N, Kitamura Y, Iwata F, Okada T, Morioka I. Umbilical cord blood stearoyl-CoA desaturase index and lipoprotein lipase mass level in small-for-gestational age newborns. Prostaglandins Leukot Essent Fatty Acids 2019;6:102028.10.1016/j.plefa.2019.102028Suche in Google Scholar PubMed
36. Merzouk H, Meghelli-Bouchenak M, el-Korso N, Belleville J, Prost J. Low birth weight at term impairs cord serum lipoprotein compositions and concentrations. Eur J Pediatr 1998;157:321–6.10.1007/s004310050820Suche in Google Scholar PubMed
37. Avci ME, Sanlikan F, Celik M, Avci A, Kocaer M, Gocmen A. Effects of maternal obesity on antenatal, perinatal and neonatal outcomes. J Matern Fetal Neonatal Med 2015;28:2080–3.10.3109/14767058.2014.978279Suche in Google Scholar PubMed
38. Collins K, Oehmen R, Mehta S. Effect of obesity on neonatal hypoglycaemia in mothers with gestational diabetes: a comparative study. Aust N Z J Obstet Gynaecol 2018;58:291–7.10.1111/ajo.12717Suche in Google Scholar PubMed
39. Isganaitis E, Rifas-Shiman SL, Oken E, Dreyfuss JM, Gall W,Gillman MW, et al. Associations of cord blood metabolites with early childhood obesity risk. Int J Obes (Lond) 2015;39:1041–8.10.1038/ijo.2015.39Suche in Google Scholar PubMed PubMed Central
©2020 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Corner of Academy
- Operative vaginal delivery: a review of four national guidelines
- Mini Review
- Drug exposure during pregnancy and fetal cardiac function – a systematic review
- Original Articles – Obstetrics
- Pregnancy outcomes among women with peptic ulcer disease
- The effect of placental elasticity on intraoperative bleeding in pregnant women with previous cesarean section
- Cellular immune responses in amniotic fluid of women with preterm prelabor rupture of membranes
- Prenatal findings, neonatal symptoms and neurodevelopmental outcome of congenital cytomegalovirus infection in a university hospital in Montreal, Quebec
- Maternal obesity influences the endocrine cord blood profile of their offspring
- Value of cervicovaginal fluid cytokines in prediction of fetal inflammatory response syndrome in pregnancies complicated with preterm premature rupture of membranes (pPROM)
- Reliability of strain elastography using in vivo compression in the assessment of the uterine cervix during pregnancy
- Original Articles – Fetus
- Comparison of strain and dyssynchrony measurements in fetal two-dimensional speckle tracking echocardiography using Philips and TomTec
- Quantitative measurements of celeration times and indexes in the ductus venosus spectral Doppler waveforms in normal fetuses
- Original Articles – Newborns
- Evaluation of cerebral oxygenation and perfusion in small for gestational age neonates and neurodevelopmental outcome at 24–36 months of age
- Measurement of inotropy and systemic oxygen delivery in term, low- and very-low-birth-weight neonates using the Ultrasonic Cardiac Output Monitor (USCOM)
- Short-term neurological improvement in neonates with hypoxic-ischemic encephalopathy predicts neurodevelopmental outcome at 18–24 months
Artikel in diesem Heft
- Frontmatter
- Corner of Academy
- Operative vaginal delivery: a review of four national guidelines
- Mini Review
- Drug exposure during pregnancy and fetal cardiac function – a systematic review
- Original Articles – Obstetrics
- Pregnancy outcomes among women with peptic ulcer disease
- The effect of placental elasticity on intraoperative bleeding in pregnant women with previous cesarean section
- Cellular immune responses in amniotic fluid of women with preterm prelabor rupture of membranes
- Prenatal findings, neonatal symptoms and neurodevelopmental outcome of congenital cytomegalovirus infection in a university hospital in Montreal, Quebec
- Maternal obesity influences the endocrine cord blood profile of their offspring
- Value of cervicovaginal fluid cytokines in prediction of fetal inflammatory response syndrome in pregnancies complicated with preterm premature rupture of membranes (pPROM)
- Reliability of strain elastography using in vivo compression in the assessment of the uterine cervix during pregnancy
- Original Articles – Fetus
- Comparison of strain and dyssynchrony measurements in fetal two-dimensional speckle tracking echocardiography using Philips and TomTec
- Quantitative measurements of celeration times and indexes in the ductus venosus spectral Doppler waveforms in normal fetuses
- Original Articles – Newborns
- Evaluation of cerebral oxygenation and perfusion in small for gestational age neonates and neurodevelopmental outcome at 24–36 months of age
- Measurement of inotropy and systemic oxygen delivery in term, low- and very-low-birth-weight neonates using the Ultrasonic Cardiac Output Monitor (USCOM)
- Short-term neurological improvement in neonates with hypoxic-ischemic encephalopathy predicts neurodevelopmental outcome at 18–24 months