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Updated: Sep 28, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
"GENYAL" Study to Childhood Obesity Prevention: Methodology and Preliminary Results
Helena Marcos-Pasero1,2, Elena Aguilar-Aguilar1, Rocío de la Iglesia3
1Nutrition and Clinical Trials Unit, GENYAL Platform, IMDEA-Food Institute, CEI UAM + CSIC, Madrid, Spain.
Insights
The GENYAL study identifies children at risk for obesity by analyzing genetic and environmental factors. This predictive model aims to guide interventions for preventing childhood obesity and its complications.
Area of Science:
- Pediatric Obesity Research
- Genetics and Environmental Health
- Preventive Medicine
Background:
- Childhood obesity is a growing public health concern with complex origins.
- Identifying at-risk children early is crucial for effective prevention strategies.
- Both genetic predispositions and environmental influences contribute to obesity development.
Purpose of the Study:
- To design and validate a predictive model for childhood obesity.
- To identify children who would benefit most from targeted obesity prevention interventions.
- To integrate genetic and environmental factors into a comprehensive risk assessment.
Main Methods:
- Cluster randomized clinical trial with a 5-year follow-up.
- Annual collection of anthropometric, social, health, dietary, and physical activity data.
- Assessment of 26 single nucleotide polymorphisms (SNPs) and development of Machine Learning models.
Main Results:
- Baseline prevalence of excess weight ranged from 19.0% to 32.2% across different criteria.
- Significant associations found between child's nutritional status and maternal BMI, school location, dairy intake, and 8 specific SNPs.
- Preliminary data indicate the interplay of environmental and genetic factors in childhood obesity.
Conclusions:
- Environmental and genetic factors are integral to the development of childhood obesity.
- The GENYAL study aims to validate a predictive model as a novel strategy against obesity.
- Early identification and intervention based on personalized risk assessment are key to combating childhood obesity.
Objective:
This article describes the methodology and summarizes some preliminary results of the GENYAL study aiming to design and validate a predictive model, considering both environmental and genetic factors, that identifies children who would benefit most from actions aimed at reducing the risk of obesity and its complications.
Design:
The study is a cluster randomized clinical trial with 5-year follow-up. The initial evaluation was carried out in 2017. The schools were randomly split into intervention (nutritional education) and control schools. Anthropometric measurements, social and health as well as dietary and physical activity data of schoolchildren and their families are annually collected. A total of 26 single nucleotide polymorphisms (SNPs) were assessed. Machine Learning models are being designed to predict obesity phenotypes after the 5-year follow-up.
Settings:
Six schools in Madrid.
Participants:
A total of 221 schoolchildren (6-8 years old).
Results:
Collected results show that the prevalence of excess weight was 19.0, 25.4, and 32.2% (according to World Health Organization, International Obesity Task Force and Orbegozo Foundation criteria, respectively). Associations between the nutritional state of children with mother BMI [β = 0.21 (0.13-0.3), p (adjusted) <0.001], geographical location of the school [OR = 2.74 (1.24-6.22), p (adjusted) = 0.06], dairy servings per day [OR = 0.48 (0.29-0.75), p (adjusted) = 0.05] and 8 SNPs [rs1260326, rs780094, rs10913469, rs328, rs7647305, rs3101336, rs2568958, rs925946; p (not adjusted) <0.05] were found.
Conclusions:
These baseline data support the evidence that environmental and genetic factors play a role in the development of childhood obesity. After 5-year follow-up, the GENYAL study pretends to validate the predictive model as a new strategy to fight against obesity.
Clinical Trial Registration:
This study has been registered in ClinicalTrials.gov with the identifier NCT03419520, https://clinicaltrials.gov/ct2/show/NCT03419520.
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