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Genetic and Environmental Risk Factors in the Development of Obesity

Ahmad, Shafqat LU (2015) In Lund University Faculty of Medicine Doctoral Dissertation Series 2015:112.
Abstract
Lifestyle behaviors and genetic variation have clear and distinguishable effects on obesity risk; however, the

pattern of disease occurrence within and between populations that differ in their genetic and environmental

underpinnings suggests obesity is caused in part by the interaction between adverse lifestyle behaviors and the

genetic risk profile of an individual. This thesis aims to investigate the joint effects of genetic and environmental

(specifically lifestyle) risk factors for obesity and its comorbidities using cross-sectional and longitudinal

epidemiological cohorts and clinical trials. Characterizing interactions may help optimize prevention and treatment

strategies by... (More)
Lifestyle behaviors and genetic variation have clear and distinguishable effects on obesity risk; however, the

pattern of disease occurrence within and between populations that differ in their genetic and environmental

underpinnings suggests obesity is caused in part by the interaction between adverse lifestyle behaviors and the

genetic risk profile of an individual. This thesis aims to investigate the joint effects of genetic and environmental

(specifically lifestyle) risk factors for obesity and its comorbidities using cross-sectional and longitudinal

epidemiological cohorts and clinical trials. Characterizing interactions may help optimize prevention and treatment

strategies by identifying risk groups of people for targeted interventions. The work in this thesis was conducted in

the cross-sectional European ancestry sample of 111,421 individuals from the GLACIER, MDC, INTER99,

HEALTH2006, HPFS, NHS, WGHS, InterAct, MESTSIM, TwinGene cohorts (paper I), 14,131 Pakistani adults

from the PROMIS cohort (paper II), 3,541 adult from the prospective GLACIER Study (paper III) and in 5,730

participants of the DPP and Look AHEAD clinical trial (paper IV). In paper I, we reported that physical activity,

assessed by the Cambridge physical activity index, diminishes the genetic risk of obesity predisposed by 12 BMIassociated

genetic variants (Pinteraction=0.015). In sensitivity analyses, the interaction was only evident in the

Northern American (N= 39,810) but not the European (N= 71,611) cohorts. In paper II, by employing genomewide

heterogeneity of variance approach in GWAS data in PROMIS study, we identified one locus, FLJ33534

rs140133294 that associated with variance of BMI (P-value of 3.1 x 10-8). In subsequent analysis the association

of this locus on BMI was found to be significant modified by smoking (Pinteraction= 0.0005). In paper III, we a

genetic risk score based upon 97 BMI-associated genetic variants was significantly associated with change in BMI

(β=0.014 kg/m2 per allele per 10-year follow-up, SE= 0.006, P=0.015). Three of the BMI- loci (PARK2

rs13191362, C6orf106 rs205262, C9orf93 rs4740619) were individually significantly associated with 10 year

change in BMI. In paper IV, we observed that lifestyle interventions modified the response of MTIF3 rs1885988

genetic variant to weight loss. In the meta-analyzed sample of DPP and Look AHEAD, each copy of the minor Gallele

at MTIF3 rs1885988 was associated with weight loss across all four years of the lifestyle interventions (P=

2.4×10-3), while no association with weight loss was observed in the control arm (P= 0.11). In conclusion, this

thesis work shows that gene-lifestyle interactions influence human weight maintenance on several levels, although

the clinical relevance remains to be determined. (Less)
Please use this url to cite or link to this publication:
author
supervisor
opponent
  • Professor Frayling, Timothy, University of Exeter, UK
organization
publishing date
type
Thesis
publication status
published
subject
in
Lund University Faculty of Medicine Doctoral Dissertation Series
volume
2015:112
pages
91 pages
publisher
Genetic and Molecular Epidemiology
defense location
Aulan, CRC, Jan Waldenströms gata 35 Skåne University Hospital Malmö, SE-205 02 Malmö, Sweden
defense date
2015-11-05 09:00
ISSN
1652-8220
ISBN
978-91-7619-191-0
language
English
LU publication?
yes
id
d58b3473-fdfa-42f7-92d9-7a6e36ba7aca (old id 8051739)
date added to LUP
2015-10-15 12:46:20
date last changed
2016-09-19 08:44:51
@phdthesis{d58b3473-fdfa-42f7-92d9-7a6e36ba7aca,
  abstract     = {Lifestyle behaviors and genetic variation have clear and distinguishable effects on obesity risk; however, the<br/><br>
pattern of disease occurrence within and between populations that differ in their genetic and environmental<br/><br>
underpinnings suggests obesity is caused in part by the interaction between adverse lifestyle behaviors and the<br/><br>
genetic risk profile of an individual. This thesis aims to investigate the joint effects of genetic and environmental<br/><br>
(specifically lifestyle) risk factors for obesity and its comorbidities using cross-sectional and longitudinal<br/><br>
epidemiological cohorts and clinical trials. Characterizing interactions may help optimize prevention and treatment<br/><br>
strategies by identifying risk groups of people for targeted interventions. The work in this thesis was conducted in<br/><br>
the cross-sectional European ancestry sample of 111,421 individuals from the GLACIER, MDC, INTER99,<br/><br>
HEALTH2006, HPFS, NHS, WGHS, InterAct, MESTSIM, TwinGene cohorts (paper I), 14,131 Pakistani adults<br/><br>
from the PROMIS cohort (paper II), 3,541 adult from the prospective GLACIER Study (paper III) and in 5,730<br/><br>
participants of the DPP and Look AHEAD clinical trial (paper IV). In paper I, we reported that physical activity,<br/><br>
assessed by the Cambridge physical activity index, diminishes the genetic risk of obesity predisposed by 12 BMIassociated<br/><br>
genetic variants (Pinteraction=0.015). In sensitivity analyses, the interaction was only evident in the<br/><br>
Northern American (N= 39,810) but not the European (N= 71,611) cohorts. In paper II, by employing genomewide<br/><br>
heterogeneity of variance approach in GWAS data in PROMIS study, we identified one locus, FLJ33534<br/><br>
rs140133294 that associated with variance of BMI (P-value of 3.1 x 10-8). In subsequent analysis the association<br/><br>
of this locus on BMI was found to be significant modified by smoking (Pinteraction= 0.0005). In paper III, we a<br/><br>
genetic risk score based upon 97 BMI-associated genetic variants was significantly associated with change in BMI<br/><br>
(β=0.014 kg/m2 per allele per 10-year follow-up, SE= 0.006, P=0.015). Three of the BMI- loci (PARK2<br/><br>
rs13191362, C6orf106 rs205262, C9orf93 rs4740619) were individually significantly associated with 10 year<br/><br>
change in BMI. In paper IV, we observed that lifestyle interventions modified the response of MTIF3 rs1885988<br/><br>
genetic variant to weight loss. In the meta-analyzed sample of DPP and Look AHEAD, each copy of the minor Gallele<br/><br>
at MTIF3 rs1885988 was associated with weight loss across all four years of the lifestyle interventions (P=<br/><br>
2.4×10-3), while no association with weight loss was observed in the control arm (P= 0.11). In conclusion, this<br/><br>
thesis work shows that gene-lifestyle interactions influence human weight maintenance on several levels, although<br/><br>
the clinical relevance remains to be determined.},
  author       = {Ahmad, Shafqat},
  isbn         = {978-91-7619-191-0},
  issn         = {1652-8220},
  language     = {eng},
  pages        = {91},
  publisher    = {Genetic and Molecular Epidemiology},
  school       = {Lund University},
  series       = {Lund University Faculty of Medicine Doctoral Dissertation Series},
  title        = {Genetic and Environmental Risk Factors in the Development of Obesity},
  volume       = {2015:112},
  year         = {2015},
}