Recent genome-wide association studies have identified multiple loci associated with BMI or the waist:hip ratio (WHR). However, evidence on gene-lifestyle interactions is still scarce, and investigation of the effects of well-documented dietary and other lifestyle data is warranted to assess whether genetic risk can be modified by lifestyle. We assessed whether previously established BMI and WHR genetic variants associate with obesity and weight change in the Finnish Diabetes Prevention Study, and whether the associations are modified by dietary factors or physical activity. Individuals (n 459) completed a 3 d food record and were genotyped for twenty-six BMI- and fourteen WHR-related variants. The effects of the variants individually and in combination were investigated in relation to obesity and to 1- and 3-year weight change by calculating genetic risk scores (GRS). The GRS were separately calculated for BMI and the WHR by summing the increasing alleles weighted by their published effect sizes. At baseline, the GRS were not associated with total intakes of energy, macronutrients or fibre. The mean 1- and 3-year weight changes were not affected by the BMI or WHR GRS. During the 3-year follow-up, a trend for higher BMI by the GRS was detected especially in those who reported a diet low in fibre (P for interaction=0·065). Based on the present findings, it appears unlikely that obesity-predisposing variants substantially modify the effect of lifestyle modification on the success of weight reduction in the long term. In addition, these findings suggest that the association between the BMI-related genetic variants and obesity could be modulated by the diet.

译文

:最近的全基因组关联研究确定了与BMI或腰围:臀围比率(WHR)相关的多个基因座。然而,关于基因与生活方式相互作用的证据仍然很稀少,因此有必要对文献记录丰富的饮食和其他生活方式数据的影响进行研究,以评估生活方式是否可以改变遗传风险。在芬兰糖尿病预防研究中,我们评估了先前建立的BMI和WHR遗传变异是否与肥胖和体重变化有关,以及是否通过饮食因素或体育锻炼来改变这种关联。个体(n 459)完成了3 d的食物记录,并对26种BMI和14种WHR相关变种进行了基因分型。通过计算遗传风险评分(GRS),研究了与肥胖以及1年和3年体重变化有关的个体和组合变体的影响。通过将增加的等位基因加权并按其公布的效应大小加权,分别计算出BMI和WHR的GRS。在基线时,GRS与能量,大量营养素或纤维的总摄入量无关。平均1年和3年体重变化不受BMI或WHR GRS的影响。在3年的随访中,特别是在那些饮食中纤维含量较低(相互作用P = 0·065)的人群中,GRS发现了BMI升高的趋势。基于目前的发现,从长远来看,肥胖倾向的变异似乎不太可能实质性地改变生活方式对减肥成功的影响。此外,这些发现表明,饮食可以调节BMI相关遗传变异与肥胖之间的关联。

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