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Submitted on April 29, 2005
Accepted on December 27, 2005
University Department of Growth and Reproduction, Copenhagen University Hospital, and Department of Biostatistics, University of Copenhagen, Copenhagen, Denmark
* To whom correspondence should be addressed. E-mail: katharina.main{at}rh.hosp.dk.
Context: Many aspects of hormonal regulation and mechanisms of normal infancy growth are poorly understood.
Objective: to establish determinants of serum growth factor levels in infancy and their association with growth
Design: prospective, longitudinal, population-based birth cohort 1997-2001
Participants: 942 healthy AGA infants (538 boys, 404 girls) and 49 SGA children (29 boys, 20 girls)
Interventions: anthropometrical measurements (0,3,18 and 36 months), serum sample (3 months)
Main Outcome Measures: Height, weight, serum IGF-I and IGFBP-3
Results: IGF-I levels showed no gender difference (boys 92 ng/ml (49, 162), girls 91 ng/ml (47, 149), P = 0.50). IGFBP-3 levels were significantly higher in females (2174 ng/ml [1295;3330] than in males (2103 ng/ml [1266;3143]), P = 0.04. Infants receiving breast milk had lower IGF-I levels (90 ng /ml (48, 154)), than infants receiving formula (n = 62) (97 ng/ml (58, 165)) or both (n = 123) (94 ng /ml (48, 169)), P < 0.001. IGF-I and IGFBP-3 levels were positively associated with weight gain and height gain from birth to 3 months of age in AGA, but not in SGA children. SGA children had significantly lower IGF-I (88.0 ng/ml (28, 145), P = 0.05) and IGFBP-3 levels (1835 ng/ml [1180;2793], P < 0.001) than AGA children.
Conclusion: We found a significant, but weak, association between IGF-I and IGFBP-3 levels at 3 months and postnatal growth in AGA, but not SGA children. Other factors than IGF-I must contribute to the regulation of normal postnatal growth, and these may differ between AGA and SGA children. IGFBP-3, but not IGF-I, showed a gender difference, which may reflect an influence of the postnatal activation of the pituitary-gonadal axis on binding protein levels.
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