Plasma concentrations of leptin at mid-pregnancy are associated with gestational weight gain among pregnant women in Tanzania: a prospective cohort study
| العنوان: | Plasma concentrations of leptin at mid-pregnancy are associated with gestational weight gain among pregnant women in Tanzania: a prospective cohort study |
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| المؤلفون: | Andrea L. Conroy, Enju Liu, Dongqing Wang, Molin Wang, Willy Urassa, Said Aboud, Kevin C. Kain, Wafaie W. Fawzi, W. Conrad Liles, Anne Marie Darling, Chloe R. McDonald, Nandita Perumal, Kyla Hayford |
| المصدر: | BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-10 (2021) BMC Pregnancy and Childbirth |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Leptin, Adult, medicine.medical_specialty, Pregnancy Trimester, Third, Weight gain during pregnancy, Gestational weight, Lower risk, Tanzania, Cohort Studies, Pregnancy, CH3L1, medicine, Humans, Chitinase-3-Like Protein 1, Prospective Studies, Prospective cohort study, Randomized Controlled Trials as Topic, Sub-Saharan Africa, business.industry, Obstetrics, Research, Obstetrics and Gynecology, Inflammatory proteins, Metabolic proteins, Gynecology and obstetrics, medicine.disease, Gestational Weight Gain, Pregnancy Trimester, Second, Relative risk, Cohort, RG1-991, Gestation, Female, medicine.symptom, business, Weight gain, Biomarkers |
| الوصف: | Background Gestational weight gain (GWG) has critical implications for maternal and child health. Inflammation and angiogenesis are implicated in various aspects of maternal metabolism that may play a role in gestational weight gain. The associations of inflammatory, angiogenic, and metabolic pathways with GWG are yet to be elucidated. This study evaluated associations between a panel of inflammatory, angiogenic, and metabolic proteins measured in mid-pregnancy and gestational weight gain. Methods Pregnant women were enrolled from Dar es Salaam, Tanzania, between 2001 and 2004. The participants were enrolled at mid-pregnancy (12 to 27 weeks of gestation) and followed up until delivery. This analysis focused on a cohort of 1002 women who were primigravid, had singleton live births, had longitudinal measures of gestational weight, and whose mid-pregnancy plasma samples underwent analysis for 18 proteins. Results Higher plasma concentrations of leptin (mean difference in GWG percent adequacy comparing highest with lowest quartiles: 10.24; 95% CI 3.31, 17.16; p-trend = 0.003) and chitinase-3-like protein-1 (CH3L1) (mean difference in GWG percent adequacy comparing highest with lowest quartiles: 7.02; 95% CI 0.31, 13.72; p-trend = 0.007) were associated with greater GWG in a dose-response pattern. Higher leptin concentrations were associated with a lower risk of inadequate GWG (risk ratio comparing highest with lowest quartiles: 0.77; 95% CI 0.65, 0.91; p-trend = 0.001) and a higher risk of excessive GWG (risk ratio comparing highest with lowest quartiles: 1.57; 95% CI 1.03, 2.39; p-trend = 0.03). Higher CH3L1 concentrations were associated with a higher risk of excessive GWG (p-trend = 0.007). The associations of leptin and CH3L1 with inadequate GWG were stronger during the second than the third trimester. The other 16 proteins examined were not significantly associated with GWG. Conclusions Mid-pregnancy plasma leptin concentrations may be associated with GWG and have clinical predictive utility in identifying women at a higher risk of inadequate or excessive gestational weight gain. |
| اللغة: | English |
| تدمد: | 1471-2393 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a1a485195a7c4230d3a3f208064a43c7Test https://doaj.org/article/023fc5a818da4319aa73e54d87c85930Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a1a485195a7c4230d3a3f208064a43c7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712393 |
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