Work

A Prospective Study of Prenatal Maternal Dietary Patterns and Offspring Adipokine Levels During Adolescence

Year: 2021

Type: article

Abstract: Maternal diet during pregnancy has been associated with offspring adipokine levels related to insulin resistance and hyperlipidemia during infancy. However, whether this relationship persists into adolescence is unknown. We examined the association between maternal prenatal diet patterns with adolescent leptin and adiponectin levels a Mexico City cohort. Data from 379 mother-adolescent dyads from the Mexico City ELEMENT cohort were analyzed. Diet patterns were derived from principal component analysis of food frequency questionnaire data collected during pregnancy trimesters. Adolescent serum leptin and adiponectin were measured at ages 10–17. Information on maternal covariates was measured during pregnancy. Multiple linear regression was used to examine overall and sex-stratified associations between quartiles of diet patterns with leptin and adiponectin, adjusting for maternal marital status, education, and parity. Three maternal diet patterns were identified: Prudent Diet (PD), high in fish and vegetables, the High Meat & Fat Diet (HMFD), high in pork and processed meats, and the Transitioning Diet (TD), high in corn tortillas and sugar beverages. At follow-up, the mean (SD) of leptin and adiponectin were 24.3 (18.2) ng/ml and 11.7 (3.9) ng/ml. A significant positive association was demonstrated between first trimester TD scores and adipokines in girls. In a multivariate-adjusted model, compared to girls in the lowest quartile (Q1) of the TD pattern, the highest quartile of the TD pattern (Q4) had 10.39 ng/mL higher leptin (95% CI: 3.1, 17.6; p for trend = 0.0024). In addition, compared to girls in the lowest quartile (Q1) of the TD pattern, those in the third quartile (Q3) of the TD pattern had 1.86 ng/mL lower adiponectin (95% CI: −3.5, −0.2; p for trend = 0.168). Associations were mostly consistent across all trimesters. During pregnancy, a Transitioning Diet pattern was positively associated with leptin and non-monotonically inversely associated with adiponectin in females. Findings suggest maternal diet patterns during pregnancy may influence offspring leptin and adiponectin levels in adolescent girls. Funded by grant P01ES022844.

Source: Current Developments in Nutrition

DOI: 10.1093/cdn/nzab046_042