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Cord blood adipocytokines and body composition in early childhood: a systematic review and meta-analysis
Bagias, Christos Sukumar, Nithya Weldeselassie, Yonas Oyebode, Oyinlola Saravanan, Ponnusamy Saravanan, Ponnusamy Saravanan, Ponnusamy
Bagias, Christos
Sukumar, Nithya
Weldeselassie, Yonas
Oyebode, Oyinlola
Saravanan, Ponnusamy
Saravanan, Ponnusamy
Abstract
Childhood obesity is a growing epidemic. Early identification of high-risk groups will allow for the development of prevention strategies. Cord blood adipocytokines have been previously examined as biomarkers predicting future obesity. We conducted a systematic review looking at the association between cord blood leptin and adiponectin with adiposity up to 5 years of age. A literature review was performed between January 1994 and August 2020 using two bibliographic databases (Medline/Pubmed and EMBASE) and was registered on PROSPERO (CRD42017069024). Studies using skinfold thickness and direct methods of assessing body composition in full term neonates were considered. Partial correlation and multiple regression models were used to present the results. Meta-analysis was performed, were possible, using a random effects model. Cochran's Q test was used to assess heterogeneity and I2 statistics to calculate the percentage of variation across studies. The potential for publication bias was assessed using funnel plots. Data from 22 studies were retrieved and reviewed by two independent reviewers. Cord blood leptin was positively associated with adiposity at birth (r = 0.487; 95% CI: 0.444, 0.531) but was inversely related to adiposity up to 3 years of age. The association was not sustained at 5 years. There was a weak positive association between adiponectin in cord blood and adiposity at birth (r = 0.201; 95% CI: 0.125, 0.277). No correlation was found between cord blood adiponectin in young children, but data were limited. This review supports that cord blood leptin and adiponectin are associated with adiposity at birth. The results of this study provide insight into the role of adipocytokines at birth on future metabolic health and their potential use as risk stratification tools.
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Date
2021-02-16
Type
Article
Subject
Diseases & disorders of systemic, metabolic or environmental origin, Paediatrics, Endocrinology
Citation
Bagias C, Sukumar N, Weldeselassie Y, Oyebode O, Saravanan P. Cord Blood Adipocytokines and Body Composition in Early Childhood: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021 Feb 16;18(4):1897. doi: 10.3390/ijerph18041897.
Journal / Source Title
International Journal of Environmental Research and Public Health
DOI
10.3390/ijerph18041897
PMID
33669328
Publisher
MDPI
Publisher’s URL
http://www.ncbi.nlm.nih.gov/pmc/articles/pmc7920289/
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