Maternal Characteristics Associated With Child Growth and Adiposity
Maternal Characteristics Associated With Child Growth and Adiposity. Search for Nutrigenomic Biomarkers in Peripheral Blood
The goal of this observational study is to investigate the concentrations of leptin, insulin, liver expressed antimicrobial peptide 2 (LEAP2), and cortisol in plasma and breast milk and their relationship with eating behavior, growth, adiposity and with the levels of these hormones in infants, comparing mothers with normal weight and with pre-pregnancy overweight/obesity. The main question[s] it aims to answer are:
- Are maternal hormones associated with child growth and adiposity
- Are maternal hormone receptors associated with child growth and adiposity
- Are infant hormones and their receptors associated with child growth and adiposity
- Are maternal and infant hormones and their receptors associated with child eating behavior Participants will provide milk and blood samples. Researchers will compare mothers with normal weight and with pre-pregnancy overweight/obesity to see if there are differences in child growth and adiposity .
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Maria F Andreoli, PhD
- Phone Number: 1767 54 221 4535901
- Email: mfandreoli@gmail.com
Study Locations
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-
Buenos Aires
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La Plata, Buenos Aires, Argentina, 1900
- Recruiting
- Instituto de Desarrollo e Investigaciones Pediátricas Prof. Dr. Fernando E. Viteri
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Contact:
- Maria F Andreoli, PhD
- Phone Number: 1767 54 221 4535901
- Email: mfandreoli@gmail.com
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Contact:
- Ana Kruger, BsC
- Phone Number: 1767 54 221 4535901
- Email: krugluzana@gmail.com
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Lactating women with pre-pregnancy normal weight and overweight or obesity as described by the World Health Organization.
Exclusion Criteria:
- Diabetes (Type I or II or gestational)
- Multiple pregnancy
- Hypertensive disorders during pregnancy
- Delivery of pre-term infant (<37 weeks).
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
mothers with pre-pregnancy normal weight and their infants
mothers with pre-pregnancy normal weight according to World Health Organization will provide blood and milk samples
|
|
|
mothers with pre-pregnancy overweight or obesity and their infants
mothers with pre-pregnancy overweight or obesity according to World Health Organization will provide blood and milk samples
|
the consequences of maternal pregestational overweight/obesity on infant´s growth and adiposity will be studied
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
infant weight
Time Frame: from birth to 2 years old
|
weight in kilograms
|
from birth to 2 years old
|
|
infant height
Time Frame: from birth to 2 years old
|
height in centimeters
|
from birth to 2 years old
|
|
infant body mass index (BMI)
Time Frame: from birth to 2 years old
|
weight and height will be combined to report BMI in kg/m^2
|
from birth to 2 years old
|
|
infant upper arm circumference
Time Frame: from birth to 2 years old
|
upper arm circumference in centimeters
|
from birth to 2 years old
|
|
infant skinfold thickness
Time Frame: from birth to 2 years old
|
skinfold thickness in centimeters
|
from birth to 2 years old
|
|
infant blood leptin concentration
Time Frame: six months old
|
blood leptin concentration (ng/ml)
|
six months old
|
|
infant blood cortisol concentration
Time Frame: six months old
|
blood cortisol concentration (ug%)
|
six months old
|
|
infant saliva cortisol concentration
Time Frame: six months old
|
saliva cortisol (ug%)
|
six months old
|
|
infant blood insulin concentration
Time Frame: six months old
|
blood insulin concentration (uU/ml)
|
six months old
|
|
infant insulin receptor gene expression in peripheral blood mononuclear cells
Time Frame: six months old
|
insulin receptor gene expression in peripheral blood mononuclear cells (relative expression)
|
six months old
|
|
infant leptin receptor gene expression in peripheral blood mononuclear cells
Time Frame: six months old
|
leptin receptor gene expression in peripheral blood mononuclear cells (relative expression)
|
six months old
|
|
infant glucocorticoid receptor gene expression in peripheral blood mononuclear cells
Time Frame: six months old
|
glucocorticoid receptor gene expression in peripheral blood mononuclear cells (relative expression)
|
six months old
|
|
infant blood LEAP2 concentration
Time Frame: six months old
|
blood LEAP2 concentration (pg/ml)
|
six months old
|
|
infant eating behavior assessed in a Taste acceptance test
Time Frame: at 18 month od
|
Outcome Measures Infant taste acceptance was assessed using two complementary measures: an Ingestion Ratio (IR) and a Liking Ratio (LR). Sweet and fat taste acceptance were evaluated using a lactose solution (0.2 M) and a fat emulsion (3.5% w/v), respectively, with water used as a reference. During each test, infants were sequentially offered bottles containing water and the tastant. Intake volume was determined by weighing bottles before and after ingestion. The IR was calculated as the volume of tastant consumed divided by the total volume of tastant plus water consumed, allowing comparison across infants by accounting for individual differences in sucking behavior. The LR was based on a blinded experimenter's assessment of the infant's overall behavioral response using a standardized 5-point scale ranging from strong rejection to strong acceptance. Both ratios ranged from 0 to 1, with 0.5 indicating indifference relative to water. |
at 18 month od
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
maternal blood leptin concentration
Time Frame: 15 days, three and six months postpartum
|
blood leptin concentration (ng/ml)
|
15 days, three and six months postpartum
|
|
maternal milk leptin concentration
Time Frame: 15 days, three and six months postpartum
|
milk leptin concentration (ng/ml)
|
15 days, three and six months postpartum
|
|
maternal blood insulin concentration
Time Frame: 15 days, three and six months postpartum
|
blood insulin concentration (uU/ml)
|
15 days, three and six months postpartum
|
|
maternal milk insulin concentration
Time Frame: 15 days, three and six months postpartum
|
milk insulin concentration (uU/ml)
|
15 days, three and six months postpartum
|
|
maternal blood cortisol concentration
Time Frame: 15 days, three and six months postpartum
|
blood cortisol concentration (ug%)
|
15 days, three and six months postpartum
|
|
maternal milk cortisol concentration
Time Frame: 15 days, three and six months postpartum
|
milk cortisol concentration (ug%)
|
15 days, three and six months postpartum
|
|
maternal insulin receptor gene expression in peripheral blood mononuclear cells
Time Frame: 15 days, three and six months postpartum
|
insulin receptor gene expression in peripheral blood mononuclear cells (relative expression)
|
15 days, three and six months postpartum
|
|
maternal leptin receptor gene expression in peripheral blood mononuclear cells
Time Frame: 15 days, three and six months postpartum
|
leptin receptor gene expression in peripheral blood mononuclear cells (relative expression)
|
15 days, three and six months postpartum
|
|
maternal glucocorticoid receptor gene expression in peripheral blood mononuclear cells
Time Frame: 15 days, three and six months postpartum
|
glucocorticoid receptor gene expression in peripheral blood mononuclear cells (relative expression)
|
15 days, three and six months postpartum
|
|
maternal blood LEAP2 concentration
Time Frame: 15 days, three and six months postpartum
|
blood LEAP2 concentration (pg/ml)
|
15 days, three and six months postpartum
|
|
maternal milk LEAP2 concentration
Time Frame: 15 days, three and six months postpartum
|
milk LEAP2 concentration (pg/ml)
|
15 days, three and six months postpartum
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Maria F Andreoli, BsC, Instituto de Desarrollo e Investigaciones Pediátricas Prof. Dr. Fernando E. Viteri
Publications and helpful links
General Publications
- Kruger AL, Malpeli A, Sala M, Casado C, Mendez I, Fotia L, Tournier A, Fasano MV, Andreoli MF. Human milk cortisol is inversely associated with infant BMI and mediates the association between maternal plasma and infant salivary cortisol concentrations. Int J Obes (Lond). 2025 Aug;49(8):1632-1641. doi: 10.1038/s41366-025-01815-4. Epub 2025 May 31.
- Kruger AL, Malpeli A, Sala M, Casado C, Mendez I, Fotia L, Lopez M, Tournier A, Castrogiovanni D, Heredia F, Llovera R, Schioth HB, Perello M, Andreoli MF. The Concentration of Liver-Expressed Antimicrobial Peptide 2 in Human Milk and Infant Plasma Is Positively Associated with Adiposity and Body Weight in the First Year of Life. J Nutr. 2024 Nov;154(11):3388-3399. doi: 10.1016/j.tjnut.2024.09.008. Epub 2024 Sep 12.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nutrition Disorders
- Overnutrition
- Body Weight
- Overweight
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Signs and Symptoms
- Obesity
- Pediatric Obesity
- Diagnostic Techniques and Procedures
- Diagnosis
- Physiological Phenomena
- Biochemical Phenomena
- Chemical Phenomena
- Physical Examination
- Body Weights and Measures
- Body Constitution
- Metabolism
- Body Fat Distribution
- Body Composition
- Adiposity
Other Study ID Numbers
Other Study ID Numbers
- L2022
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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