Effects of size at birth, childhood growth patterns and growth hormone treatment on leukocyte telomere length.

<h4>Background</h4>Small size at birth and rapid growth in early life are associated with increased risk of cardiovascular disease in later life. Short children born small for gestational age (SGA) are treated with growth hormone (GH), inducing catch-up in length. Leukocyte telomere leng...

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Main Authors: Carolina C J Smeets, Veryan Codd, Matthew Denniff, Nilesh J Samani, Anita C S Hokken-Koelega
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171825&type=printable
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author Carolina C J Smeets
Veryan Codd
Matthew Denniff
Nilesh J Samani
Anita C S Hokken-Koelega
author_facet Carolina C J Smeets
Veryan Codd
Matthew Denniff
Nilesh J Samani
Anita C S Hokken-Koelega
author_sort Carolina C J Smeets
collection DOAJ
description <h4>Background</h4>Small size at birth and rapid growth in early life are associated with increased risk of cardiovascular disease in later life. Short children born small for gestational age (SGA) are treated with growth hormone (GH), inducing catch-up in length. Leukocyte telomere length (LTL) is a marker of biological age and shorter LTL is associated with increased risk of cardiovascular disease.<h4>Objectives</h4>To investigate whether LTL is influenced by birth size, childhood growth and long-term GH treatment.<h4>Methods</h4>We analyzed LTL in 545 young adults with differences in birth size and childhood growth patterns. Previously GH-treated young adults born SGA (SGA-GH) were compared to untreated short SGA (SGA-S), SGA with spontaneous catch-up to a normal body size (SGA-CU), and appropriate for gestational age with a normal body size (AGA-NS). LTL was measured using a quantitative PCR assay.<h4>Results</h4>We found a positive association between birth length and LTL (p = 0.04), and a trend towards a positive association between birth weight and LTL (p = 0.08), after adjustments for gender, age, gestational age and adult body size. Weight gain during infancy and childhood and fat mass percentage were not associated with LTL. Female gender and gestational age were positively associated with LTL, and smoking negatively. After adjustments for gender, age and gestational age, SGA-GH had a similar LTL as SGA-S (p = 0.11), SGA-CU (p = 0.80), and AGA-NS (p = 0.30).<h4>Conclusions</h4>Larger size at birth is positively associated with LTL in young adulthood. Growth patterns during infancy and childhood are not associated with LTL. Previously GH-treated young adults born SGA have similar LTL as untreated short SGA, SGA with spontaneous catch-up and AGA born controls, indicating no adverse effects of GH-induced catch-up in height on LTL.
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spelling doaj-art-06360cd212ba41c69cabd41681eaf8b42025-08-20T02:03:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01122e017182510.1371/journal.pone.0171825Effects of size at birth, childhood growth patterns and growth hormone treatment on leukocyte telomere length.Carolina C J SmeetsVeryan CoddMatthew DenniffNilesh J SamaniAnita C S Hokken-Koelega<h4>Background</h4>Small size at birth and rapid growth in early life are associated with increased risk of cardiovascular disease in later life. Short children born small for gestational age (SGA) are treated with growth hormone (GH), inducing catch-up in length. Leukocyte telomere length (LTL) is a marker of biological age and shorter LTL is associated with increased risk of cardiovascular disease.<h4>Objectives</h4>To investigate whether LTL is influenced by birth size, childhood growth and long-term GH treatment.<h4>Methods</h4>We analyzed LTL in 545 young adults with differences in birth size and childhood growth patterns. Previously GH-treated young adults born SGA (SGA-GH) were compared to untreated short SGA (SGA-S), SGA with spontaneous catch-up to a normal body size (SGA-CU), and appropriate for gestational age with a normal body size (AGA-NS). LTL was measured using a quantitative PCR assay.<h4>Results</h4>We found a positive association between birth length and LTL (p = 0.04), and a trend towards a positive association between birth weight and LTL (p = 0.08), after adjustments for gender, age, gestational age and adult body size. Weight gain during infancy and childhood and fat mass percentage were not associated with LTL. Female gender and gestational age were positively associated with LTL, and smoking negatively. After adjustments for gender, age and gestational age, SGA-GH had a similar LTL as SGA-S (p = 0.11), SGA-CU (p = 0.80), and AGA-NS (p = 0.30).<h4>Conclusions</h4>Larger size at birth is positively associated with LTL in young adulthood. Growth patterns during infancy and childhood are not associated with LTL. Previously GH-treated young adults born SGA have similar LTL as untreated short SGA, SGA with spontaneous catch-up and AGA born controls, indicating no adverse effects of GH-induced catch-up in height on LTL.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171825&type=printable
spellingShingle Carolina C J Smeets
Veryan Codd
Matthew Denniff
Nilesh J Samani
Anita C S Hokken-Koelega
Effects of size at birth, childhood growth patterns and growth hormone treatment on leukocyte telomere length.
PLoS ONE
title Effects of size at birth, childhood growth patterns and growth hormone treatment on leukocyte telomere length.
title_full Effects of size at birth, childhood growth patterns and growth hormone treatment on leukocyte telomere length.
title_fullStr Effects of size at birth, childhood growth patterns and growth hormone treatment on leukocyte telomere length.
title_full_unstemmed Effects of size at birth, childhood growth patterns and growth hormone treatment on leukocyte telomere length.
title_short Effects of size at birth, childhood growth patterns and growth hormone treatment on leukocyte telomere length.
title_sort effects of size at birth childhood growth patterns and growth hormone treatment on leukocyte telomere length
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171825&type=printable
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AT nileshjsamani effectsofsizeatbirthchildhoodgrowthpatternsandgrowthhormonetreatmentonleukocytetelomerelength
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