Objective To investigate macrosomia inflammatory indexes in vivo tumor necrosis factor-α (TNF-α) and high-sensitivity C-reactive protein (hs-CRP) level and the correlation. Methods As from January to December 2012, 30 cases of normal weight newborn babies and 60 cases of macrosomiain were Maternal and Child Health Care Hospital of Shaanxi investigated.According to the pregnant mother BMI, macrosomia were further divided into cases of mother obesity and cases of mother normal weight.3 mL neonatal umbilical cord blood was taken from baby.After the centrifugal, serum was taken out and hs-CRP and TNF-α were tested with enzyme-linked immunoassay. Results Levels of hs-CRP in every two groups were statistically significant (P<0.05), and gradually increased in normal newborns, huge children of normal weight mothers, huge child of obesity mothers three groups difference.TNF-α in the three groups showed no significant difference between the newborn (P>0.05).Birth weight and hs-CRP was positively correlated (r=0.417, P<0.05).Birth weight and TNF-α was no significant correlation (P>0.05). Conclusion Macrosomia has low-grade inflammation, hs-CRP and birth weight has positively correlation.
Key words
macrosomia /
tumor necrosis factor-α /
high-sensitivity C-reactive protein
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References
[1] Wang Y, Mi J, Shan XY, et al.Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in china[J].Int J Obes(Lond), 2007, 31(4):177-188.
[2] Schubert CM, Sun SS, Burns TL, et al.Predictive ability of childhood netabolic components for adult metabolic syndrome and type 2 diabetes[J].J Pediatr, 2009, 155(S6):e1-7.
[3] Huang TT, Sun SS, Daniels SR.Understanding the nature of metabolic syndrome components in children and what they can and cannot do to predict adult disease[J].J Pediatr, 2009, 155(S6):e13-14.
[4] Oh DY, Morinaga H, Talukdar S, et al.Increased macrophage migration into adipose tissues in obese mice[J].Diabetes, 2012, 61(2):346-354.
[5] 王卫平, 毛萌.儿科学[M].8版.北京:人民卫生出版社, 2013:90-97.
[6] Waki H, Tontonoz P.Endocrine functions of adipose tissue[J].Annu Rev Pathol, 2007, 2:31-56.
[7] Maury E, Brichard SM.Adipokine dysregulation, adipose tissue inflammation and metabolic syndrome[J].Mol Cell Endocrinol, 2010, 314(1):1-16.
[8] Bochud M, Marquant F, Marques-Vidal PM, et al.Association between C-reactive protein and adiposity in women[J].J Clin Endocrinol Metab, 2009, 94(10):3969-3977.
[9] Devaraj S, Singh U, Jialal S, et al.Human C-reactive protein and the metabolic syndrome[J].Current Opinion In Lipidology, 2009, 20(3):182-189.
[10] Maury E, Brichard SM.Adipokine dysregulation, adipose tissue inflammation and metabolic syndrome[J].Mol Cell Endocrinol, 2010, 314(1):1-16.
[11] Hotamisligil GS, Shargill NS, Spicgelman BM.Asipose expression of tumor necrosis factor-alpha:direct role in obesity-linked insulin resistance[J].Science, 1993, 259(3):87-91.
[12] Barker DJ, Osmond C, Forsen TJ, et al.Trajectories of growth among children who have coronary events as adults[J], NEJM, 2005, 353:1802-1805.