Maternal adipokines and insulin as biomarkers of pregnancies complicated by overweight and obesity

Diabetology & Metabolic Syndrome Volume: 8 Published: 2016

Adiponectin, leptin, resistin and insulin levels according to weight classes of the pregnant women. (Values as mean ± standard error of the mean; *p < 0.05—ANOVA, followed by the Tukey–Kramer test)

SEE PDF Full Length Article

Writers: Joice Monaliza VerniniJusciéle Brogin MoreliRoberto Antônio Araújo CostaCarlos Antonio NegratoMarilza Vieira Cunha Rudge and Iracema Mattos Paranhos Calderon

Keywords: Adipokines; Pregnancy; Obesity; Insulin resistance; Hyperglycemia

Abstract

Background

Maternal obesity is associated with several adverse pregnancy outcomes. This study was conducted aiming to evaluate maternal levels of adipokines and insulin in pregnancies complicated by overweight and obesity and its correlations with maternal and fetal outcomes.

Methods

This cross-sectional study included 72 mother–newborn pairs. Mothers were classified as having normal weight (n = 23), overweight (n = 18), and obesity (n = 31). Maternal adiponectin, leptin, resistin and insulin levels at the end of pregnancy were compared among groups and correlated with maternal and perinatal outcomes. Data were analyzed by ANOVA and correlation tests, with a p value <0.05 being considered as significant.

Results

Obese pregnant women showed higher leptin levels (p = 0.0021). Leptin levels were positively correlated with prepregnancy body mass index—BMI (r = 0.57), gestational (37 or 38 weeks of gestation) BMI (r = 0.39), hypertension (r = 0.27), and hyperglycemia (r = 0.30), and negatively associated with newborns’ abdominal circumference (r = −0.25). Adiponectin concentrations were negatively correlated with gestational BMI (r = −0.29) and newborns’ cephalic circumference (r = −0.27) and positively correlated with birth weight (r = 0.23). Insulin concentrations correlated positively with prepregnancy BMI (r = 0.38), gestational BMI (r = 0.24) and maternal hyperglycemia (r = 0.26).

Conclusions

Our findings support the relationship between markers of obesity and maternal–fetal outcomes. Maternal insulin and adipokines levels showed an independent relationship with mother and newborns outcomes, respectively. In this studied population, the results indirectly reinforce the importance of maternal weight control before and during pregnancy to avoid adverse outcomes to mother and their newborns.

Centro de Desenvolvimento de Materiais Funcionais
Sobre Centro de Desenvolvimento de Materiais Funcionais 140 Artigos
O CDMF é um dos Centros de Pesquisa, Inovação e Difusão (CEPID) apoiados pela FAPESP. O Centro também recebe investimento do CNPq, a partir do Instituto Nacional de Ciência e Tecnologia dos Materiais em Nanotecnologia (INCTMN).