Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/46917 |
Resumo: | Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil. |
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Magalhães, Elizabeth Soares da SilvaMéio, Maria Dalva Barbosa BakerPeixoto-Filho, Fernando MaiaGonzalez, SayonaraCosta, Ana Carolina Carioca daMoreira, Maria Elisabeth Lopes2021-04-26T19:54:16Z2021-04-26T19:54:16Z2020MAGALHÃES, Elizabeth Soares da Silva et al. Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels. European Journal of Pediatrics, v. 179, n. 8, p. 1239-1246, Aug. 2020.0340-6199https://www.arca.fiocruz.br/handle/icict/4691710.1007/s00431-020-03586-8engSpringer [Commercial Publisher], Belgian Pediatric Society [Associate Organisation], Swiss Pediatric Society [Associate Organisation], Belgian Pediatric Association [Associate Organisation]Adipokines / bloodAdolescentAdultBiomarkers / bloodCase-Control StudiesFemaleFetal Blood / metabolismGhrelin / bloodHumansHypertension, Pregnancy-Induced / bloodInfant, NewbornInfant, Small for Gestational AgeLinear ModelsMalePregnancyYoung AdultPremature Birth / bloodPrematureBirth / etiologyProspective StudiesRisk FactorsAdiponectinGhrelinIntrauterine growth restrictionLeptinPregnancy-induced hypertensionPretermPregnancy-induced hypertension, preterm birth, and cord blood adipokine levelsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Department of Obstetrics. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Department of Medical Genetics. Laboratory of Genomic Medicine. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Maternal hypertension may alter physiological parameters, dysregulating the release of hormones such as adipokines, thus influencing the fetal growth course. This study investigated whether hypertensive disorders of pregnancy alter cord blood adipokine levels and correlate these with anthropometric parameters in preterm infants. This is a prospective cohort study with pregnant women < 37-week gestation with and without hypertension and their offspring. Cord blood leptin, adiponectin, and ghrelin were analyzed by LUMINEX®. These adipokines were compared between the groups exposed or not to gestational hypertension using non-parametric statistical tests. The hypertensive pregnancies had significantly higher cord blood leptin (1.00 (IQR 0.67-1.20 ng/mL)) and adiponectin (18.52 (IQR 17.52-25.13 μg/mL)) levels than those without hypertension (0.07 (IQR 0.06-0.08 ng/mL) and 8.13 (IQR 6.50-8.68 μg/mL), respectively, p < 0.0001). The adipokine levels were higher in AGA and SGA infants in the exposed group for both moderate and late preterm. SGA had significantly higher ghrelin levels than the AGA infants. Ghrelin levels were negatively correlated with birth weight (r = - 0.613, p < 0.001), birth length (r = - 0.510, p < 0.001), head circumference (- 0.346, p < 0.002), and gestational age (r = - 0.612, p < 0.001).Conclusions: Our findings demonstrate an increase in adipokine levels in the cord blood of preterm newborn infants exposed to maternal hypertension. What is Known: • Clinical evidence suggests that concentration of the serum adipokines may be affected by risk of hypertension in both adults and pregnant women. • Maternal profile as hypertension alters intrauterine environment and could affect the function of fetal metabolism, impairing fetal growth. What is New: • Gestational hypertension modifies the adipokine profile, with higher rates already present at birth in cord blood samples. • Within the hypertensive group and stratifying for gestation age, ghrelin concentrations were higher in SGA newborns, both in the moderate and late preterm, compared with AGA newborns.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83134https://www.arca.fiocruz.br/bitstream/icict/46917/1/license.txt0ab46789d568c4ba27c7b5d29a9fe9c4MD51ORIGINALMagalhães_Elizabeth_etal_IFF_2020.pdfMagalhães_Elizabeth_etal_IFF_2020.pdfapplication/pdf469654https://www.arca.fiocruz.br/bitstream/icict/46917/2/Magalh%c3%a3es_Elizabeth_etal_IFF_2020.pdfb0fc160649bdd54243ac2f96186d271aMD52TEXTMagalhães_Elizabeth_etal_IFF_2020.pdf.txtMagalhães_Elizabeth_etal_IFF_2020.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv |
Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels |
title |
Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels |
spellingShingle |
Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels Magalhães, Elizabeth Soares da Silva Adipokines / blood Adolescent Adult Biomarkers / blood Case-Control Studies Female Fetal Blood / metabolism Ghrelin / blood Humans Hypertension, Pregnancy-Induced / blood Infant, Newborn Infant, Small for Gestational Age Linear Models Male Pregnancy Young Adult Premature Birth / blood PrematureBirth / etiology Prospective Studies Risk Factors Adiponectin Ghrelin Intrauterine growth restriction Leptin Pregnancy-induced hypertension Preterm |
title_short |
Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels |
title_full |
Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels |
title_fullStr |
Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels |
title_full_unstemmed |
Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels |
title_sort |
Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels |
author |
Magalhães, Elizabeth Soares da Silva |
author_facet |
Magalhães, Elizabeth Soares da Silva Méio, Maria Dalva Barbosa Baker Peixoto-Filho, Fernando Maia Gonzalez, Sayonara Costa, Ana Carolina Carioca da Moreira, Maria Elisabeth Lopes |
author_role |
author |
author2 |
Méio, Maria Dalva Barbosa Baker Peixoto-Filho, Fernando Maia Gonzalez, Sayonara Costa, Ana Carolina Carioca da Moreira, Maria Elisabeth Lopes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Magalhães, Elizabeth Soares da Silva Méio, Maria Dalva Barbosa Baker Peixoto-Filho, Fernando Maia Gonzalez, Sayonara Costa, Ana Carolina Carioca da Moreira, Maria Elisabeth Lopes |
dc.subject.mesh.pt_BR.fl_str_mv |
Adipokines / blood Adolescent Adult Biomarkers / blood Case-Control Studies Female Fetal Blood / metabolism Ghrelin / blood Humans Hypertension, Pregnancy-Induced / blood Infant, Newborn Infant, Small for Gestational Age Linear Models Male Pregnancy Young Adult Premature Birth / blood PrematureBirth / etiology Prospective Studies Risk Factors |
topic |
Adipokines / blood Adolescent Adult Biomarkers / blood Case-Control Studies Female Fetal Blood / metabolism Ghrelin / blood Humans Hypertension, Pregnancy-Induced / blood Infant, Newborn Infant, Small for Gestational Age Linear Models Male Pregnancy Young Adult Premature Birth / blood PrematureBirth / etiology Prospective Studies Risk Factors Adiponectin Ghrelin Intrauterine growth restriction Leptin Pregnancy-induced hypertension Preterm |
dc.subject.en.pt_BR.fl_str_mv |
Adiponectin Ghrelin Intrauterine growth restriction Leptin Pregnancy-induced hypertension Preterm |
description |
Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020 |
dc.date.accessioned.fl_str_mv |
2021-04-26T19:54:16Z |
dc.date.available.fl_str_mv |
2021-04-26T19:54:16Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MAGALHÃES, Elizabeth Soares da Silva et al. Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels. European Journal of Pediatrics, v. 179, n. 8, p. 1239-1246, Aug. 2020. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/46917 |
dc.identifier.issn.pt_BR.fl_str_mv |
0340-6199 |
dc.identifier.doi.none.fl_str_mv |
10.1007/s00431-020-03586-8 |
identifier_str_mv |
MAGALHÃES, Elizabeth Soares da Silva et al. Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels. European Journal of Pediatrics, v. 179, n. 8, p. 1239-1246, Aug. 2020. 0340-6199 10.1007/s00431-020-03586-8 |
url |
https://www.arca.fiocruz.br/handle/icict/46917 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Springer [Commercial Publisher], Belgian Pediatric Society [Associate Organisation], Swiss Pediatric Society [Associate Organisation], Belgian Pediatric Association [Associate Organisation] |
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Springer [Commercial Publisher], Belgian Pediatric Society [Associate Organisation], Swiss Pediatric Society [Associate Organisation], Belgian Pediatric Association [Associate Organisation] |
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