Prevention & lipidsCohort study

Significance of lipids, lipoproteins, and apolipoproteins during the first 14–16 months of life

Eur Heart JPublished

  • Prospective cohort study

Authors' conclusion

Lipid parameters changed during the first 14-16 months of life, and sex, gestational age, birth weight, breastfeeding, and high parental concentrations influenced concentrations. Children with high concentrations of atherogenic lipid traits at birth had higher concentrations at 2 and 14-16 months.

Study context

Population
Children from birth to 14–16 months and their parents (Copenhagen Baby Heart Study)
Participants
13,354 umbilical cord blood samples
Outcome
Lipid parameters (lipids, lipoproteins, apolipoproteins), influential factors, and whether high concentrations at birth predict high concentrations later
Follow-up
Birth, 2 months and 14-16 months

Main finding

As reported in the abstract

  • Cord blood lipid concentrations correlated highly with newborn venous samples
  • LDL-C, non-HDL-C, apolipoprotein B and lipoprotein(a) increased stepwise from birth to 2 months to 14-16 months
  • LDL-C, non-HDL-C and lipoprotein(a) >80th percentile at birth associated with significantly higher concentrations at 2 and 14-16 months (linear mixed models)
  • Lipid concentrations differed by sex, gestational age, birth weight, breastfeeding and parental lipid concentrations
  • venous samples at birth (n = 444), 2 months (n = 364), 14-16 months (n = 168)

Observational data: associations, not effects.

Original publication

Significance of lipids, lipoproteins, and apolipoproteins during the first 14–16 months of life. Eur Heart J. Published 26 August 2023. doi:10.1093/eurheartj/ehad547

Summarised from the published abstract; every number is checked against it