Zandoná M R, Sangalli C N, Campagnolo P D B, Vitolo M R, Almeida S, Mattevi V S
Graduate Program in Health Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil.
Nutrition Research Group (NUPEN), Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil.
Pediatr Obes. 2017 Feb;12(1):85-92. doi: 10.1111/ijpo.12113. Epub 2016 Mar 23.
The prevalence of childhood obesity has been dramatically increasing in developing countries as it has been reported for developed nations. Identifying susceptibility genes in early life could provide the foundations for interventions in lifestyle to prevent obese children to become obese adults.
The objective of this study was to evaluate the influence of genetic variants related to obesity identified by genome-wide association studies (MC4R, TMEM18, KCTD15, SH2B1, SEC16B, BDNF, NEGR1, OLFM4 and HOXB5 genes) on anthropometric and dietary phenotypes in two Brazilian cohorts followed-up since birth.
There were 745 children examined at birth, after 1 year and after 3.5 years of follow-up. Ten single nucleotide polymorphisms were genotyped. Anthropometric and dietary parameters were compared among genotypes. Children were classified as overweight when body mass index Z-score was >+1.
Overweight prevalence was 30.7% at 3.5 years old. Significant associations were identified at 3.5 years old for TMEM18 rs6548238, NEGR1 rs2815752, BDNF rs10767664 and rs6265 (1 year old and 3.5 years old) with anthropometric phenotypes and at 3.5 years old for SEC16B rs10913469 with dietary parameters.
Our results indicate that genetic variants in/near these genes contribute to obesity susceptibility in childhood and highlight the age at which they begin to affect obesity-related phenotypes.
正如在发达国家所报道的那样,发展中国家儿童肥胖症的患病率一直在急剧上升。识别生命早期的易感基因可为干预生活方式以防止肥胖儿童成长为肥胖成年人提供基础。
本研究的目的是评估通过全基因组关联研究确定的与肥胖相关的基因变异(MC4R、TMEM18、KCTD15、SH2B1、SEC16B、BDNF、NEGR1、OLFM4和HOXB5基因)对两个自出生起就进行随访的巴西队列中人体测量和饮食表型的影响。
对745名儿童在出生时、1岁和3.5岁随访后进行了检查。对10个单核苷酸多态性进行了基因分型。比较了不同基因型之间的人体测量和饮食参数。当体重指数Z评分>+1时,儿童被分类为超重。
3.5岁时超重患病率为30.7%。在3.5岁时,发现TMEM18 rs6548238、NEGR1 rs2815752、BDNF rs10767664和rs6265(1岁和3.5岁)与人体测量表型有显著关联,在3.5岁时,SEC16B rs10913469与饮食参数有显著关联。
我们的结果表明,这些基因内部或附近的基因变异导致儿童肥胖易感性,并突出了它们开始影响肥胖相关表型的年龄。