Table 4.
Birth weight and metabolic health biomarkers in cord blood comparing SGA infants with low (SGA1) or normal (SGA2) maternal circulating PlGF concentrations to control infants.
| SGA1 (n = 49)b | SGA2 (n = 54)b | Control (n = 153)b | Adjusted SGA1 vs. SGA2 |
Pa |
SGA2 vs. control | |
|---|---|---|---|---|---|---|
| SGA1 vs. control | ||||||
| Birth weight, g | 2,645, 2,607 ± 337 | 2,797, 2,770 ± 238 | 3,424, 3,370 ± 304 | 0.001 | <0.001 | <0.001 |
| Cord blood | ||||||
| Insulin, pmol/l | 20.4, 29.6 ± 22.6 | 28.5, 43.7 ± 54.4 | 28.8, 37.7 ± 29.9 | 0.25 | 0.008 | 0.28 |
| Proinsulin, pmol/l | 8.7, 12.4 ± 11.5 | 9.3, 14.4 ± 19.0 | 12.4, 16.4 ± 15.3 | 0.79 | 0.046 | 0.009 |
| IGF-I, nmol/l | 3.9, 3.8 ± 2.2 | 4.2, 4.6 ± 2.8 | 8.0, 8.1 ± 3.4 | 0.18 | <0.001 | <0.001 |
| Leptin, ng/ml | 6.1, 7.3 ± 3.6 | 8.3, 10.2 ± 8.0 | 9.7, 11.8 ± 7.1 | 0.01 | 0.0002 | 0.02 |
| HMW adiponectin, μg/ml | 17.0, 17.4 ± 8.4 | 17.1, 18.6 ± 7.5 | 20.2, 20.8 ± 8.9 | 0.72 | 0.01 | 0.03 |
Data presented are median, mean ± SD; biomarkers data were log-transformed in all comparisons.
SGA, small for gestational age (<10th percentile); SGA1, SGA with low maternal PlGF concentration (<25th percentile or 462 pg/ml); SGA2, SGA with normal maternal PlGF1 (≥25th percentile). PlGF, placental growth factor; IGF-I, insulin-like growth factor-I; HMW, high-molecular weight; BMI, body mass index.
aP values for comparisons of mean values in log-transformed data from generalized linear models adjusting for maternal (age, parity, education, ethnicity, smoking, alcohol drinking, pre-pregnancy BMI, and family history of diabetes), pregnancy (gestational diabetes mellitus, gestational hypertensive disorder, and glucocorticoids use), and delivery (cesarean section, infant sex, gestational age, and duration of labor) characteristics; for cord blood insulin and proinsulin, the comparisons were further adjusted for cord blood glucose concentration (which affects insulin and proinsulin concentrations).
bThe effective sample sizes for comparisons between groups in generalized linear models (subjects with data on both maternal PlGF and cord blood biomarkers).
P values in bold: P ≤ 0.01.