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Does a short breastfeeding period protect from FTO-induced adiposity in children?
George V Z Dedoussis1, Mary Yannakoulia, Nicholas J Timpson
1Department of Dietetics and Nutrition, Harokopio University, Athens, Greece. dedousi@hua.gr
Insights
Breastfeeding may modify the link between the FTO gene variant and obesity in Greek children, but this effect was not seen in British children. This suggests a potential protective role of breastfeeding against genetic predisposition to obesity.
Area of Science:
- Genetics and Epigenetics
- Pediatric Health
- Nutritional Epidemiology
Background:
- Common genetic variants, including the fat mass and obesity associated locus (FTO), are linked to obesity.
- The role of environmental factors, such as breastfeeding, in modulating these genetic associations is not fully understood.
Purpose of the Study:
- To investigate whether breastfeeding mediates the association between FTO gene variants and obesity indices in pediatric cohorts.
- To explore potential gene-environment interactions between FTO and breastfeeding in relation to body fatness.
Main Methods:
- Analysis of three independent pediatric cohorts (two Greek, one British) with genetic data and anthropometric measurements.
- Genotyping of specific FTO variants (rs9939609 and rs17817449) and assessment of breastfeeding history.
- Multivariate regression models incorporating breastfeeding as an interaction term with FTO variants.
Main Results:
- A significant association between the FTO gene variant (rs9939609) and obesity indices (BMI, waist circumference, skinfolds) was observed in Greek cohorts.
- Including breastfeeding (one month) as an interaction term attenuated or abolished these FTO-obesity associations in the Greek samples.
- No significant interaction between FTO variants and breastfeeding on obesity indices was found in the British cohort.
Conclusions:
- Breastfeeding may play a modifying role in the relationship between FTO gene variants and adiposity in Greek children.
- These findings highlight a potential gene-environment interaction but require replication, as they were not observed in the British cohort.
Context:
A number of studies have reported replicable associations between common genetic loci and obesity indices. One of these loci is the fat mass and obesity associated locus (FTO). We aimed to assess whether breastfeeding mediated the known association between FTO and indices of body fatness.
Methods:
This study includes three independent pediatric cohorts, two of Greek origin (the Gene-Diet Attica Investigation: GENDAI, n=1 138 and the "Growth, Exercise and Nutrition Epidemiological Study In preschoolers": the GENESIS study, n=2 374) and one British (the Avon Longitudinal Study of Parents and Children:ALSPAC, n=4 325). Among other information, breastfeeding history was recorded. A DNA sample was ascertained by either blood or saliva. Genotyping for FTO variants was performed in GENDAI and ALSPAC for the rs9939609, while in GENESIS, for the rs17817449 variant.
Results:
In all cohorts, multivariate analysis showed that the association between FTO:rs9939609 and measures of obesity was consistent across newly presented cohorts (GENDAI: Body mass index [BMI], β=0.43, p=0.009; Waist Circumference, β=1.067, p=0.019; triceps skinfold, β=0.972, p=0.003; subscapular skinfold, β=0.593, p=0.023; GENESIS: Waist Circumference, β=0.473, p=0.008 and subscapular skinfold, β=0.227, p=0.014). Inclusion of one month of breastfeeding as an interaction term effectively removed these associations with indices of obesity (BMI, Waist-Hip-Ratio and subscapular skinfold). No evidence of such interaction was observed for the independent cohort of British children.
Conclusions:
Our findings indicate that in two moderately sized Greek samples, breastfeeding may exert a modifying effect on the relationship between variants at the FTO locus and indices of adiposity. These findings were not replicated in a larger British collection.
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