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饮食模式与染色体 9p21 rs1333048 多态性相互作用,影响伊朗成年人明显健康人群的肥胖和心血管风险因素的发生风险。

Dietary patterns interact with chromosome 9p21 rs1333048 polymorphism on the risk of obesity and cardiovascular risk factors in apparently healthy Tehrani adults.

机构信息

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), P.O. Box: 14155-6117, Tehran, Iran.

Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Eur J Nutr. 2020 Feb;59(1):35-43. doi: 10.1007/s00394-018-1872-1. Epub 2019 Jan 2.

Abstract

PURPOSE

Gene-dietary patterns may contribute to determining body composition and related biochemical indices. The aim of this study was to evaluate interactions between rs1333048 polymorphism and major dietary patterns on body fat percentage, general and central obesity, and related biochemical measurements.

METHODS

This cross-sectional study was conducted on 265 healthy Tehrani adults with mean age of 35 years (47.5% men, 52.5% women). Dietary patterns (DPs) were extracted by factor analysis. Bioelectrical impedance analysis was used for body analysis and rs1333048 was genotyped by the restriction fragment length polymorphism (PCR-RFLP) method.

RESULTS

Three DPs were extracted: restricted refined grains DP, legumes DP and healthy DP. AA genotype compared to CC genotype had greater odds for general obesity before (OR 3.14; 95% CI 1.008-9.60, P = 0.045) and after (OR 3.11; 95% CI 1.008-9.60, P = 0.048) adjusting for potential confounders. Individuals with AA genotype were more likely to be centrally obese before (OR 2.09; 95% CI 1.006-4.35, P = 0.048) and after (OR 2.63; 95% CI 1.12-6.17, P = 0.026) controlling for potential confounders. Significant interactions were observed between Legumes DP and rs1333048 SNP on waist circumference (P = 0.047), body fat % (BFP) (P = 0.048), hs-Crp (P = 0.042), BMI (P = 0.073), WHtR (P = 0.063) and odds for general obesity (P = 0.051). Following this DP reduced all these items for individuals with CC genotype, whereas increased them for people who carry CA or AA genotypes.

CONCLUSIONS

The findings indicate that there are significant associations between AA genotype of rs1333048 SNP and general and central obesity, and significant interaction between alleles of this SNP and major dietary patterns on the odds of general obesity, BFP, waist circumference, BMI, WHtR and hs-Crp.

摘要

目的

基因-饮食模式可能有助于确定身体成分和相关生化指标。本研究旨在评估 rs1333048 多态性与主要饮食模式之间的相互作用对体脂肪百分比、全身和中心肥胖以及相关生化指标的影响。

方法

本横断面研究纳入了 265 名健康的德黑兰成年人,平均年龄 35 岁(47.5%为男性,52.5%为女性)。通过因子分析提取饮食模式(DP)。采用生物电阻抗分析进行身体分析,rs1333048 采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法进行基因分型。

结果

提取了三种 DP:限制精制谷物 DP、豆类 DP 和健康 DP。与 CC 基因型相比,AA 基因型在调整潜在混杂因素后,全身肥胖的比值比(OR)更高,OR 为 3.14(95%CI 1.008-9.60,P=0.045);OR 为 3.11(95%CI 1.008-9.60,P=0.048)。在调整潜在混杂因素后,与 CC 基因型相比,AA 基因型个体更有可能在腹部肥胖前(OR 2.09;95%CI 1.006-4.35,P=0.048)和腹部肥胖后(OR 2.63;95%CI 1.12-6.17,P=0.026)表现为中心肥胖。在控制潜在混杂因素后,豆类 DP 与 rs1333048 SNP 之间存在显著的交互作用,表现在腰围(P=0.047)、体脂肪百分比(BFP)(P=0.048)、高敏 C 反应蛋白(hs-Crp)(P=0.042)、体重指数(BMI)(P=0.073)、腰围与身高比(WHtR)(P=0.063)和全身肥胖的比值比(P=0.051)。在这种 DP 下,CC 基因型个体的所有这些项目都有所降低,而携带 CA 或 AA 基因型的个体则有所增加。

结论

研究结果表明,rs1333048 SNP 的 AA 基因型与全身和中心肥胖有显著相关性,该 SNP 等位基因与主要饮食模式之间存在显著交互作用,对全身肥胖、BFP、腰围、BMI、WHtR 和 hs-Crp 的比值比有影响。

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