Obregón A M, Oyarce K, Santos J L, Valladares M, Goldfield G
Escuela de Nutrición y dietética. Facultad de Ciencias de la Salud, Universidad San Sebastián, Campus Las Tres Pascualas Lientur 1457, Código Postal 4080871, Concepción, Chile.
Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
J Physiol Biochem. 2017 Feb;73(1):29-35. doi: 10.1007/s13105-016-0521-5. Epub 2016 Oct 11.
Studies conducted in monozygotic and dizygotic twins have established a strong genetic component in eating behavior. Rare mutations and common variants of the melanocortin 4 receptor (MC4R) gene have been linked to obesity and eating behavior scores. However, few studies have assessed common variants in MC4R gene with the rewarding value of food in children. The objective of the study was to evaluate the association between the MC4R rs17782313 polymorphism with homeostatic and non-homeostatic eating behavior patterns in Chileans children. This is a cross-sectional study in 258 Chilean children (44 % female, 8-14 years old) showing a wide variation in BMI. Anthropometric measurements (weight, height, Z-score of BMI and waist circumference) were performed by standard procedures. Eating behavior was assessed using the Eating in Absence of Hunger Questionnaire (EAHQ), the Child Eating Behavior Questionnaire (CEBQ), the Three-Factor Eating Questionnaire (TFEQ), and the Food Reinforcement Value Questionnaire (FRVQ). Genotype of the rs17782313 nearby MC4R was determined by a Taqman assay. Association of the rs17782313 C allele with eating behavior was assessed using non-parametric tests. We found that children carrying the CC genotype have higher scores of food responsiveness (p value = 0.02). In obese girls, carriers of the C allele showed lower scores of satiety responsiveness (p value = 0.02) and higher scores of uncontrolled eating (p value = 0.01). Obese boys carrying the C allele showed lower rewarding value of food in relation to non-carriers. The rs17782313 C allele is associated with eating behavior traits that may predispose obese children to increased energy intake and obesity.
在同卵双胞胎和异卵双胞胎中进行的研究已证实饮食行为存在强大的遗传因素。黑皮质素4受体(MC4R)基因的罕见突变和常见变异与肥胖及饮食行为评分有关。然而,很少有研究评估MC4R基因的常见变异与儿童食物奖励价值之间的关系。本研究的目的是评估智利儿童中MC4R rs17782313多态性与稳态和非稳态饮食行为模式之间的关联。这是一项针对258名智利儿童(44%为女性,年龄8至14岁)的横断面研究,这些儿童的BMI存在广泛差异。通过标准程序进行人体测量(体重、身高、BMI的Z评分和腰围)。使用饥饿时不进食问卷(EAHQ)、儿童饮食行为问卷(CEBQ)、三因素饮食问卷(TFEQ)和食物强化价值问卷(FRVQ)评估饮食行为。通过Taqman分析确定MC4R附近rs17782313的基因型。使用非参数检验评估rs17782313 C等位基因与饮食行为的关联。我们发现携带CC基因型的儿童食物反应性得分更高(p值 = 0.02)。在肥胖女孩中,C等位基因携带者的饱腹感反应得分较低(p值 = 0.02),不受控制的饮食得分较高(p值 = 0.01)。携带C等位基因的肥胖男孩与非携带者相比,食物奖励价值较低。rs17782313 C等位基因与饮食行为特征相关,这些特征可能使肥胖儿童更容易增加能量摄入和肥胖。