Can genetic-based advice help you lose weight? Findings from the Food4Me European randomized controlled trial

被引:49
作者
Celis-Morales, Carlos [1 ,2 ]
Marsaux, Cyril F. M. [3 ]
Livingstone, Katherine M. [1 ]
Navas-Carretero, Santiago [4 ]
San-Cristobal, Rodrigo [4 ]
Fallaize, Rosalind [5 ,6 ]
Macready, Anna L. [5 ,6 ]
O'Donovan, Clare [7 ]
Woolhead, Clara [7 ]
Forster, Hannah [7 ]
Kolossa, Silvia [8 ]
Daniel, Hannelore [8 ]
Moschonis, George [9 ]
Mavrogianni, Christina [9 ]
Manios, Yannis [9 ]
Surwillo, Agnieszka [10 ]
Traczyk, Iwona [10 ]
Drevon, Christian A. [11 ]
Grimaldi, Keith [12 ]
Bouwman, Jildau [13 ]
Gibney, Mike J. [7 ]
Walsh, Marianne C. [7 ]
Gibney, Eileen R. [7 ]
Brennan, Lorraine [7 ]
Lovegrove, Julie A. [5 ,6 ]
Alfredo Martinez, J. [4 ]
Saris, Wim H. M.
Mathers, John C. [1 ]
机构
[1] Newcastle Univ, Inst Cellular Med, Human Nutr Res Ctr, Newcastle Upon Tyne, Tyne & Wear, England
[2] Univ Glasgow, Inst Cardiovasc & Med Sci, Glasgow Cardiovasc Res Ctr, Glasgow, Lanark, Scotland
[3] Maastricht Univ, Med Ctr, Sch Nutr & Translat Res Metab NUTRIM, Dept Human Biol, Maastricht, Netherlands
[4] Univ Navarra, Ctr Nutr Res, Dept Nutr Food Sci & Physiol, Pamplona, Spain
[5] Univ Reading, Hugh Sinclair Unit Human Nutr, Reading, Berks, England
[6] Univ Reading, Inst Cardiovasc & Metab Res, Reading, Berks, England
[7] UCD, Inst Food & Hlth, Dublin, Ireland
[8] Tech Univ Munich, Biochem Unit, Res Ctr Nutr & Food Sci ZIEL, Munich, Germany
[9] Harokopio Univ, Dept Nutr & Dietet, Athens, Greece
[10] Natl Food & Nutr Inst, Warsaw, Poland
[11] Univ Oslo, Fac Med, Inst Basic Med Sci, Dept Nutr, Oslo, Norway
[12] Eurogenetica Ltd, Burnham on Sea, England
[13] Netherlands Org Appl Sci Res TNO, Microbiol & Syst Biol Grp, Zeist, Netherlands
基金
欧盟第七框架计划;
关键词
FTO; genotype; personalized nutrition; randomized controlled trial; weight; BODY-MASS INDEX; PHYSICAL-ACTIVITY; PERSONALIZED NUTRITION; FTO; INTERVENTIONS; INTERNET; OBESITY; ADULTS; WEB; TECHNOLOGY;
D O I
10.3945/ajcn.116.145680
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: There has been limited evidence about whether genotype-tailored advice provides extra benefits in reducing obesity-related traits compared with the benefits of conventional one-size-fitsall advice. Objective: We determined whether the disclosure of information on fat-mass and obesity-associated (FTO) genotype risk had a greater effect on a reduction of obesity-related traits in risk carriers than in nonrisk carriers across different levels of personalized nutrition. Design: A total of 683 participants (women: 51%; age range: 18-73 y) from the Food4Me randomized controlled trial were included in this analysis. Participants were randomly assigned to 4 intervention arms as follows: level 0, control group; level 1, dietary group; level 2, phenotype group; and level 3, genetic group. FTO (single nucleotide polymorphism rs9939609) was genotyped at baseline in all participants, but only subjects who were randomly assigned to level 3 were informed about their genotypes. Level 3 participants were stratified into risk carriers (AA/AT) and nonrisk carriers (TT) of the FTO gene for analyses. Height, weight, and waist circumference (WC) were self-measured and reported at baseline and months 3 and 6. Results: Changes in adiposity markers were greater in participants who were informed that they carried the FTO risk allele (level 3 AT/AA carriers) than in the nonpersonalized group (level 0) but not in the other personalized groups (level 1 and 2). Mean reductions in weight and WC at month 6 were greater for FTO risk carriers than for noncarriers in the level 3 group [-2.28 kg (95% CI: -3.06, -1.48 kg) compared with -1.99 kg (-2.19, -0.19 kg), respectively (P = 0.037); and -4.34 cm (-5.63, -3.08 cm) compared with -1.99 cm (-4.04, -0.05 cm), respectively, (P = 0.048)]. Conclusions: There are greater body weight and WC reductions in risk carriers than in nonrisk carriers of the FTO gene.
引用
收藏
页码:1204 / 1213
页数:10
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