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Association between Common Variation at the FTO Locus and Changes in Body Mass Index from Infancy to Late Childhood: The Complex Nature of Genetic Association through Growth and Development

Sovio, U; Mook-Kanamori, DO; Warrington, NM; Lawrence, R; Briollais, L; Palmer, CNA; Cecil, J; ... Early Growth Genetics Consortium; + view all (2011) Association between Common Variation at the FTO Locus and Changes in Body Mass Index from Infancy to Late Childhood: The Complex Nature of Genetic Association through Growth and Development. PLOS GENET , 7 (2) , Article e1001307. 10.1371/journal.pgen.1001307. Green open access

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Abstract

An age-dependent association between variation at the FTO locus and BMI in children has been suggested. We meta-analyzed associations between the FTO locus (rs9939609) and BMI in samples, aged from early infancy to 13 years, from 8 cohorts of European ancestry. We found a positive association between additional minor (A) alleles and BMI from 5.5 years onwards, but an inverse association below age 2.5 years. Modelling median BMI curves for each genotype using the LMS method, we found that carriers of minor alleles showed lower BMI in infancy, earlier adiposity rebound (AR), and higher BMI later in childhood. Differences by allele were consistent with two independent processes: earlier AR equivalent to accelerating developmental age by 2.37% (95% CI 1.87, 2.87, p = 10(-20)) per A allele and a positive age by genotype interaction such that BMI increased faster with age (p = 10 223). We also fitted a linear mixed effects model to relate genotype to the BMI curve inflection points adiposity peak (AP) in infancy and AR. Carriage of two minor alleles at rs9939609 was associated with lower BMI at AP (-0.40% (95% CI: -0.74, -0.06), p = 0.02), higher BMI at AR (0.93% (95% CI: 0.22, 1.64), p = 0.01), and earlier AR (-4.72% (-5.81, -3.63), p = 10 217), supporting cross-sectional results. Overall, we confirm the expected association between variation at rs9939609 and BMI in childhood, but only after an inverse association between the same variant and BMI in infancy. Patterns are consistent with a shift on the developmental scale, which is reflected in association with the timing of AR rather than just a global increase in BMI. Results provide important information about longitudinal gene effects and about the role of FTO in adiposity. The associated shifts in developmental timing have clinical importance with respect to known relationships between AR and both later-life BMI and metabolic disease risk.

Type: Article
Title: Association between Common Variation at the FTO Locus and Changes in Body Mass Index from Infancy to Late Childhood: The Complex Nature of Genetic Association through Growth and Development
Open access status: An open access version is available from UCL Discovery
DOI: 10.1371/journal.pgen.1001307
Publisher version: http://dx.doi.org/10.1371/journal.pgen.1001307
Language: English
Additional information: © 2011 Sovio et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The contributing studies received financial support from the following sources: ALSPAC - The UK Medical Research Council, the Wellcome Trust and the University of Bristol provide core support for ALSPAC. BCG - Follow-up was funded by grants from the UK Department of Health, British Heart Foundation, Diabetes UK, and British Lung Foundation. CH - We gratefully acknowledge the financial support of the University of Bristol, Cancer Research UK, and the Medical Research Council for different elements of the cohort follow-up. GENR - The Generation R Study is made possible by financial support from the Erasmus Medical Center, Rotterdam, the Erasmus University Rotterdam, and the Netherlands Organization for Health Research and Development (ZonMw). UFS - The study was supported by the Swedish Research Council for Medicine. NFBC1966 - Work on the NFBC1966 was supported by the Academy of Finland (104781), Medical Research Council, UK (studentship grant G0500539), and the Wellcome Trust (Project Grant GR069224). RAINE - The authors gratefully acknowledge the NH&MRC for their long term support over the last 20 years and also the following Institutions for providing funding for Core Management of the Raine Study: The University of Western Australia (UWA), Raine Medical Research Foundation, UWA Faculty of Medicine, Dentistry, and Health Sciences, The Telethon Institute for Child Health Research and Women and Infants Research Foundation. RAINE is currently supported by the National Health and Medical Research Council of Australia (Grant ID 403981 and ID 003209) and the Canadian Institutes of Health Research (Grant ID MOP-82893). EBS - This study was funded by the Biotechnology and Biological Sciences Research Council project grant D13460. In addition to this, contributing authors received financial support from the following sources: US was funded by the MRC UK studentship grant G0500539 and is currently funded by MRC. TJC is funded by the Medical Research Council (grant no G07000961). GDS works within the MRC Centre for Causal Analyses in Translational Epidemiology which is capacity funded by grant G0600705. VWVJ receives funding from the Netherlands Organization for Health Research (ZonMw 90700303). M-RJ: Academy of Finland (project grants 104781, 120315 and Center of Excellence in Complex Disease Genetics), University Hospital Oulu, Biocenter, University of Oulu, Finland, the European Commission (EURO-BLCS, Framework 5 award QLG1-CT-2000-01643), NHLBI grant 5R01HL087679-02 through the STAMPEED program (1RL1MH083268-01), NIH/NIMH (5R01MH63706:02), ENGAGE project and grant agreement HEALTH-F4-2007-201413, and the Medical Research Council, UK (Salve/PrevMetSyn). NJT is funded by the MRC Centre for Causal Analyses in Translational Epidemiology grant number G0600705. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Keywords: FAT MASS, ADULT OBESITY, ENERGY-INTAKE, BIRTH COHORT, RISK-FACTORS, FOOD-INTAKE, ADIPOSITY, CHILDREN, AGE, WEIGHT
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/1299890
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