饮食摄入作为修饰因素对巴西混合人群儿童中FTO基因变异与超重之间关联的影响:拉丁美洲社会变化、哮喘与过敏(SCAALA)队列研究
Effect of dietary consumption as a modifier on the association between FTO gene variants and excess body weight in children from an admixed population in Brazil: the Social Changes, Asthma and Allergy in Latin America (SCAALA) cohort study.
作者信息
Vilella Marília, Nunes de Oliveira Costa Gustavo, Lima Barreto Maurício, Alexandrina Figueredo Camila, Maria Alcantara-Neves Neuza, Cunha Rodrigues Laura, Maria Alvim de Matos Sheila, Leovigildo Fiaccone Rosemeire, Oliveira Pablo, Rocha Aline, de Cássia Ribeiro-Silva Rita
机构信息
1Departamento Ciência da Nutrição,Escola de Nutrição,Universidade Federal da Bahia- Av,Araújo Pinho, no 32,Canela, CEP: 40.110-150,Salvador,Bahia,Brasil.
2Instituto de Saúde Coletiva,Universidade Federal da Bahia,Rua Basílio da Gama,s/n Campus Universitário Canela, CEP: 40.110-040, Salvador,Bahia,Brasil.
出版信息
Br J Nutr. 2017 Jun;117(11):1503-1510. doi: 10.1017/S0007114517001386. Epub 2017 Jun 29.
Previous studies have shown associations of variants of the FTO gene with body weight, but none of these have involved Latin American populations with a high level of miscegenation, as is seen in the north-eastern Brazilian population. This study evaluated the association between SNP in the FTO gene and excess weight in Salvador, Bahia, Brazil. In addition, the effect of diet as a modifier on this association was also investigated. This cross-sectional study included 1191 participants aged 4-11 years, who were genotyped for 400 variants of the FTO gene. Direct anthropometric measures were made and dietary data were obtained by 24-h food recall. Multivariate logistic regression analyses were used to assess the associations of interest. Overall, 11·2 % of the individuals included in the study were overweight/obese. Interactions were identified between the percentage energy intake from proteins and obesity risk linked to the rs62048379 SNP (P interaction=0·01) and also between fat intake (PUFA:SFA ratio) and obesity risk linked to the rs62048379 SNP (P interaction=0·01). The T allele for the variant rs62048379 was positively associated with overweight/obesity in individuals whose percentage energy intake from protein was above the median (OR 2·00; 95 % CI 1·05, 3·82). The rs62048379 SNP was also associated with overweight/obesity in individuals whose PUFA:SFA ratio was below the median (OR 1·63; 95 % CI 1·05, 2·55). The association between FTO gene variants and excess body weight can be modulated by dietary characteristics, particularly by fatty acid distribution and dietary protein intake in children.
以往研究表明,FTO基因变异与体重有关,但这些研究均未涉及像巴西东北部人群那样混血程度高的拉丁美洲人群。本研究评估了巴西巴伊亚州萨尔瓦多市FTO基因单核苷酸多态性(SNP)与超重之间的关联。此外,还研究了饮食作为修饰因素对这种关联的影响。这项横断面研究纳入了1191名4至11岁的参与者,对其FTO基因的400个变异进行了基因分型。进行了直接人体测量,并通过24小时食物回忆法获取饮食数据。采用多变量逻辑回归分析来评估感兴趣的关联。总体而言,纳入研究的个体中有11.2%超重/肥胖。研究发现,蛋白质能量摄入百分比与rs62048379 SNP相关的肥胖风险之间存在相互作用(P相互作用=0.01),脂肪摄入(多不饱和脂肪酸:饱和脂肪酸比例)与rs62048379 SNP相关的肥胖风险之间也存在相互作用(P相互作用=0.01)。rs62048379变异的T等位基因与蛋白质能量摄入百分比高于中位数的个体超重/肥胖呈正相关(比值比2.00;95%置信区间1.05,3.82)。rs62048379 SNP也与多不饱和脂肪酸:饱和脂肪酸比例低于中位数的个体超重/肥胖有关(比值比1.63;95%置信区间1.05,2.55)。FTO基因变异与超重之间的关联可受饮食特征调节,尤其是儿童的脂肪酸分布和饮食蛋白质摄入量。