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ORIGINALRESEARCH                                                             doi:10.1111/ijpo.12113



              Validation of obesity susceptibility loci identified by

              genome-wide association studies in early childhood in

              South Brazilian children

                              1
                                                                                                   1
                                                                       2
              M. R. Zandoná, C. N. Sangalli,  1,3  P. d. B. Campagnolo, M. R. Vitolo, 1,3  S. Almeida and          ORIGINALRESEARCH
              V. S. Mattevi 1

              1
               Graduate Program in Health Sciences, Federal  Summary
              University of Health Sciences of Porto Alegre, Porto
                        2
              Alegre, RS, Brazil; Department of Nutrition, Vale  Background: The prevalence of childhood obesity has been dramati-
              do Rio do Sinos University, São Leopoldo, RS,  cally increasing in developing countries as it has been reported for devel-
                  3
              Brazil; Nutrition Research Group (NUPEN),  oped nations. Identifying susceptibility genes in early life could provide the
              Federal University of Health Sciences of Porto  foundations for interventions in lifestyle to prevent obese children to
              Alegre, Porto Alegre, RS, Brazil
                                           become obese adults.
                                           Objectives: The objective of this study was to evaluate the influence of
              Address for correspondence: VS Mattevi,  genetic variants related to obesity identified by genome-wide association
              Universidade Federal de Ciências da Saúde de
                                           studies (MC4R, TMEM18, KCTD15, SH2B1, SEC16B, BDNF, NEGR1,
              Porto Alegre, Rua Sarmento Leite, 245, sala
                                           OLFM4 and HOXB5 genes) on anthropometric and dietary phenotypes in
              309, CEP 90050-170, Porto Alegre, RS, Brazil.
                                           two Brazilian cohorts followed-up since birth.
              E-mail: vmattevi@ufcspa.edu.br
                                           Methods: There were 745 children examined at birth, after 1 year and
              Received 3 July 2015; revised 11 December 2015;
              accepted 4 January 2016      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.
                                           Results: 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.
                                           Conclusions: 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.

                                           Keywords: Children, energy intake, genetic susceptibility, overweight.



              Introduction                                   influencing body mass index (BMI), with heritability
                                                             estimations varying from 40% to 70% (2).
              Childhood obesity prevalence has increased very fast  Genome-wide association studies (GWAS) have
              over recent decades, and now it represents a serious  identified several loci in the human genome containing
              public health concern not restricted to developed  genetic variants associated with common diseases,
              nations but in the developing countries as well.  such as obesity. More than 97 genetic loci have been
              Preventing overweight from early childhood is of  robustly associated with obesity-related traits (3), but,
              great importance in terms of public health because  in general, a little overlap in the results of these studies
              most times overweight tracks through adulthood (1).  has been observed. A review of GWAS for obesity-
              This complex phenotype results from the interaction  related traits published until September 2012 (during
              of environmental and multiple genetic factors  the conception of this study) revealed that until that




              © 2016 World Obesity. Pediatric Obesity ••, ••–••
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