Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 2.1
5-Year Impact Factor – 2.2
Scopus CiteScore – 3.4 (CiteScore Tracker 3.4)
Index Copernicus  – 161.11; MEiN – 140 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

Download original text (EN)

Advances in Clinical and Experimental Medicine

2018, vol. 27, nr 3, March, p. 343–349

doi: 10.17219/acem/65854

Publication type: original article

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Cord blood lipid profile in healthy newborns: A prospective single-center study

Elżbieta Pac-Kożuchowska1,A,B,C,D,E,F, Anna Rakuś-Kwiatosz1,C,D,E,F, Paulina Krawiec1,C,D,E,F

1 3rd Department of Paediatrics, Medical University of Lublin, Poland

Abstract

Background. Atherosclerosis may originate during the fetal period, therefore it is reasonable to identify early risk markers of lifestyle diseases.
Objectives. The aim of the study was to determine the relationship between fetal and maternal factors, and the neonatal cord blood lipid profile in term newborns.
Material and Methods. In the study group, there were 206 healthy Polish newborns. Newborn characteristics included sex, gestational age at birth, Apgar score, and anthropometric data (weight and length at birth, neonatal ponderal index, head, chest and abdominal circumferences, placenta weight, and placental-fetal weight ratio). Cord blood samples were collected for total cholesterol (TC), high-density lipoprotein (HDL), low-density lipoprotein (LDL), and triglycerides (TG). Information regarding selected maternal factors was collected.
Results. The cord blood concentration of TC (p = 0.0007), HDL (p = 0.001) and LDL (p = 0.003) was higher in girls than in boys. A significant positive correlation was found between TG and gestational age (p < 0.0001; r = 0.29). Significant negative correlations between maternal preconception BMI and TC (p = 0.03; r = −0.14), HDL (p = 0.04; r = −0.13) and LDL (p = 0.02; r = −0.15) were observed.
Conclusion. In our study group, the influence of the newborns’ gender, gestational age and mothers’ preconception BMI on lipid concentration was observed. Further investigations are needed to determine markers in cord blood that may predict future metabolic disorders.

Key words

cord blood, lipids, placenta, atherosclerosis, newborns

References (31)

  1. World Health Organisation media centre. The top 10 causes of death. http://www.who.int/mediacentre/factsheets/fs310/en/. Accessed June 10, 2016.
  2. Myśliwiec M, Walczak M, Małecka-Tendera E, et al. Management of familiar hypercholesterolemia in children and adolescents. Position paper of the Polish Lipid Expert Forum. J Clin Lipidol. 2014;8(2): 173–180.
  3. Cohen MS. Fetal and childhood onset of adult cardiovascular diseases. Pediatr Clin North Am. 2004;51:1697–1719.
  4. Barker DJ, Osmond C, Law CM. The intrauterine and early postnatal origins of cardiovascular disease and chronic bronchitis. J Epidemiol Community Health. 1989;43(3):237–240.
  5. Barker DJ, Winter PD, Osmond C, Margetts B, Simmonds SJ. Weight in infancy and death from ischaemic heart disease. Lancet. 1989; 2(8663):577–580.
  6. Pac-Kożuchowska E. The concentration of lipid parameters in newborns and in older children. Med Wieku Rozwoj. 2013;17(1):53–63.
  7. Badiee Z, Kelishadi R. Cord blood lipid profile in a population of Iranian term newborns. Pediatr Cardiol. 2008;29(3):574–579.
  8. Bastida S, Sánchez-Muniz FJ, Cuesta C, Perea S, Aragonés A. Male and female cord blood lipoprotein profile differences throughout the term-period. J Perinat Med. 1997;25(2):184–191.
  9. Kharb S, Kaur R, Singh V, Sangwan K. Birth weight, cord blood lipoprotein and apolipoprotein levels in Indian newborns. Int J Prev Med. 2010;1(1):29–33.
  10. Nayak CD, Agarwal V, Nayak DM. Correlation of cord blood lipid heterogeneity in neonates with their anthropometry at birth. Indian J Clin Biochem. 2013;28(2):152–157.
  11. Aletayeb SMH, Dehdashtian M, Aminzadeh M, et al. Correlation between umbilical cord blood lipid profile and neonatal birth weight. Pediatr Pol. 2013;88(6):521–525.
  12. Morrison KM, Anand SS, Yusuf S, et al. Maternal and pregnancy related predictors of cardiometabolic traits in newborns. PLoS One. 2013; 8(2):e55815.
  13. 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(6):518–524.
  14. Frias AE, Grove KL. Obesity: A transgenerational problem linked to nutrition during pregnancy. Semin Reprod Med. 2012;30(6):472–478.
  15. Forsén T, Eriksson JG, Tuomilehto J, Osmond C, Barker DJ. Growth in utero and during childhood among women who develop coronary heart disease: Longitudinal study. BMJ. 1999;319(7222):1403–1407.
  16. Forsén T, Eriksson JG, Tuomilehto J, Teramo K, Osmond C, Barker DJ. Mother’s weight in pregnancy and coronary heart disease in a cohort of Finnish men: Follow up study. BMJ. 1997;315(7112):837–840.
  17. Huang RC, Burke V, Newnham JP, et al. Perinatal and childhood origins of cardiovascular disease. Int J Obes (Lond). 2007;31(2):236–244.
  18. Barker DJ, Martyn CN, Osmond C, Hales CN, Fall CH. Growth in utero and serum cholesterol concentrations in adult life. BMJ. 1993; 307(6918): 1524–1527.
  19. Thornburg KL, O’Tierney PF, Louey S. Review: The placenta is a programming agent for cardiovascular disease. Placenta. 2010;31(Suppl): 54–59.
  20. Barker DJ, Bull AR, Osmond C, Simmonds SJ. Fetal and placental size and risk of hypertension in adult life. BMJ. 1990;301(6746):259–262.
  21. Thompson JM, Irgens LM, Skjaerven R, Rasmussen S. Placenta weight percentile curves for singleton deliveries. BJOG. 2007;114(6):715–720.
  22. Almog B, Shehata F, Aljabri S, Levin I, Shalom-Paz E, Shrim A. Placenta weight percentile curves for singleton and twins deliveries. Placenta. 2011;32(1):58–62.
  23. Hemachandra AH, Klebanoff MA, Duggan AK, Hardy JB, Furth SL. The association between intrauterine growth restriction in the full-term infant and high blood pressure at age 7 years: Results from the Collaborative Perinatal Project. Int J Epidemiol. 2006;35(4):871–877.
  24. Martyn CN, Barker DJ, Osmond C. Mothers' pelvic size, fetal growth, and death from stroke and coronary heart disease in men in the UK. Lancet. 1996;348(9037):1264-1268.
  25. Risnes KR, Romundstad PR, Nilsen TI, Eskild A, Vatten LJ. Placental weight relative to birth weight and long-term cardiovascular mortality: Findings from a cohort of 31,307 men and women. Am J Epidemiol. 2009;170(5):622–631.
  26. Herrera E, Ortega-Senovilla H. Lipid metabolism during pregnancy and its implications for fetal growth. Curr Pharm Biotechnol. 2014; 15(1):24–31.
  27. Ravelli AC, van Der Meulen JH, Osmond C, Barker DJ, Bleker OP. Obesity at the age of 50 y in men and women exposed to famine prenatally. Am J Clin Nutr. 1999;70(5):811–816.
  28. Neggers Y, Goldenberg RL. Some thoughts on body mass index, micronutrient intakes and pregnancy outcome. J Nutr. 2003;133
  29. Ehrenberg HM, Dierker L, Milluzzi C, Mercer BM. Low maternal weight, failure to thrive in pregnancy, and adverse pregnancy outcomes. 2003;189(6):1726–1730.
  30. Ehrenberg HM, Mercer BM, Catalano PM. The influence of obesity and diabetes on the prevalence of macrosomia. Am J Obstet Gynecol. 2004;191(3):964–968.
  31. Osrin D, Costello AML. Maternal nutrition and fetal growth: Practical issues in international health. Semin Neonatol. 2000;5(3):209–219.