The Role of Pre-Pregnancy Body Mass Index (BMI) in Predicting Maternal Serum Leptin

سال انتشار: 1397
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 35

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شناسه ملی سند علمی:

JR_IJHS-4-4_007

تاریخ نمایه سازی: 29 بهمن 1402

چکیده مقاله:

Background: The key role of leptin is regulation of appetite and body lipid and pregnancy is a condition associated with overeating, reduction in heating and adaptation of lipid cells, culminating in increased body fat mass. So, this study was conducted to examine the relationship between changes in pre-pregnancy BMI and leptin.Methods: This Longitudinal study was conducted on ۴۵ women in the first trimester of pregnancy using a longitudinal approach and convenience sampling method in Tehran city in ۲۰۱۵. The mothers in terms of pre-pregnancy BMI were divided into two groups: group A (n=۲۲ with normal BMI) and group B (n=۲۳ with high BMI), with maternal serum leptin being taken in ۶-۱۲ weeks and ۱۵-۲۰ weeks of pregnancy and measured by enzyme-linked immunosorbent assay (ELISA). The statistical data were analyzed by SPSS V.۲۱ using Kolmogorov Smirnov, independent t-test, two-sample Chi square, Mann-Whitney, Regression, Pearson and Landa tests with P.V<۰.۰۵.Results: The mean age of mothers in the present study was ۲۷.۴۷±۵.۵۵ years with a minimum age of ۱۹ and a maximum age of ۳۷ years. The mean plasma leptin of the first and second trimesters of pregnancy was significantly higher in the high BMI group than in the normal group. The correlation showed that the first trimester leptin and changes in leptin levels of pregnancy with pre-pregnancy BMI were significantly higher in the normal group (P=۰.۰۴ and P=۰.۰۰۳).Conclusions: BMI before and during pregnancy can be a predictor of maternal serum leptin in pregnancy weight gain.Background: The key role of leptin is regulation of appetite and body lipid and pregnancy is a condition associated with overeating, reduction in heating and adaptation of lipid cells, culminating in increased body fat mass. So, this study was conducted to examine the relationship between changes in pre-pregnancy BMI and leptin. Methods: This Longitudinal study was conducted on ۴۵ women in the first trimester of pregnancy using a longitudinal approach and convenience sampling method in Tehran city in ۲۰۱۵. The mothers in terms of pre-pregnancy BMI were divided into two groups: group A (n=۲۲ with normal BMI) and group B (n=۲۳ with high BMI), with maternal serum leptin being taken in ۶-۱۲ weeks and ۱۵-۲۰ weeks of pregnancy and measured by enzyme-linked immunosorbent assay (ELISA). The statistical data were analyzed by SPSS V.۲۱ using Kolmogorov Smirnov, independent t-test, two-sample Chi square, Mann-Whitney, Regression, Pearson and Landa tests with P.V<۰.۰۵. Results: The mean age of mothers in the present study was ۲۷.۴۷±۵.۵۵ years with a minimum age of ۱۹ and a maximum age of ۳۷ years. The mean plasma leptin of the first and second trimesters of pregnancy was significantly higher in the high BMI group than in the normal group. The correlation showed that the first trimester leptin and changes in leptin levels of pregnancy with pre-pregnancy BMI were significantly higher in the normal group (P=۰.۰۴ and P=۰.۰۰۳). Conclusions: BMI before and during pregnancy can be a predictor of maternal serum leptin in pregnancy weight gain.

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نویسندگان

Marzieh Faghani Aghoozi ۱

۱. Department of Midwifery and Reproductive Health, Medical Sciences Faculty, Tarbiat Modares University, Tehran, Department of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

Najmeh Tehranian ۲*

۲. Department of Midwifery and Reproductive Health, Medical Sciences Faculty, Tarbiat Modares University, Tehran , Iran.

Fahimeh Ramezani Tehrani ۳

۳. Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Amir Hamta ۴

۴. Pediatrics Clinical Research Development Center, Assistant Professor of biostatistcs, Department of Social Medicine, Faculty of Medical Sciences, Qom University of Medical Sciences, Qom, Iran.

Malihe Amreian ۵

۵ Department of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

Mahdieh Kiani ۵

۵. Department of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

Mona Joz Mohtashami ۶

۶. Department of Anesthesiology, School of Allied Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.

Masoumeh Mirzamoradi ۷

۷. Department of obstetrics and Gynecology, Mahdiyeh Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.