The hormone leptin produced in the adipose tissue is involved in the regula
tion of body weight. This study investigates whether plasma leptin levels a
re related to an infant's birthweight, and whether the levels change with f
eeding. We measured plasma leptin levels from infants who were large for ge
stational age (n = 21), small for gestational age (n = 21), and appropriate
for gestational age (n = 20). Two blood samples were collected before and
after breastfeeding from each infant and plasma leptin concentrations were
determined by radioimmunoassay. Leptin concentration was found to be increa
sed in large for gestational age infants and to be decreased in small for g
estational age infants compared with the level in appropriate for gestation
al age infants. There was a positive correlation between plasma leptin leve
ls and both the infants' birthweights and the body mass indexes. Plasma lep
tin concentrations were found to be decreased during fasting and to be incr
eased after feeding (p < 0.01). It is concluded that the plasma leptin leve
ls correlate with the size of adipose tissue mass and are related to the nu
tritional status.