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Omega-3 polygenic score protects against altered eating behavior in intrauterine growth-restricted children
Angela M Jaramillo-Ospina1, Gabriel T Roman2, Danitsa M Rodrigues3
1Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, QC, Canada.
Insights
Infants born with intrauterine growth restriction (IUGR) may have altered eating behaviors. Genetics influence this, with higher omega-3 polyunsaturated fatty acids (PUFA) offering protection against eating issues in IUGR infants.
Area of Science:
- Pediatric Nutrition
- Developmental Pediatrics
- Nutrigenetics
Background:
- Intrauterine growth restriction (IUGR) is linked to eating behavior alterations in infants.
- Omega-3 polyunsaturated fatty acids (PUFA) may offer protective effects against these alterations.
Purpose of the Study:
- To investigate if a genetic background favoring omega-3 PUFA production influences eating behaviors in children born with IUGR.
- To explore the association between genetic predisposition for PUFA metabolism and eating behaviors in IUGR and non-IUGR children.
Main Methods:
- Utilized data from MAVAN and GUSTO cohorts, including IUGR/non-IUGR infants assessed at 4-5 years old.
- Child eating behaviors were reported by parents using the Child Eating Behavior Questionnaire (CEBQ).
- Polygenic scores for serum PUFA levels were calculated based on genome-wide association studies (GWAS).
Main Results:
- Significant interactions were found between IUGR status and polygenic scores for omega-3 and omega-6/omega-3 PUFA ratios concerning specific eating behaviors.
- In IUGR infants, a higher polygenic score for omega-3 PUFA was associated with reduced emotional overeating.
- Conversely, a higher polygenic score for the omega-6/omega-3 PUFA ratio was linked to increased desire to drink and emotional overeating in IUGR infants.
Conclusions:
- Genetic predisposition for higher omega-3 PUFA levels appears protective against eating behavior alterations in infants born with IUGR.
- A genetic profile favoring a higher omega-6/omega-3 PUFA ratio increases the risk of altered eating behaviors specifically in the IUGR group.
- Individual genetic differences modulate the impact of IUGR on eating outcomes, influencing vulnerability and resilience.
Background:
Alterations in eating behavior are common in infants with intrauterine growth restriction (IUGR); omega-3 polyunsaturated fatty acids (PUFA) could provide protection. We hypothesized that those born IUGR with a genetic background associated with increased production of omega-3-PUFA will have more adaptive eating behaviors during childhood.
Methods:
IUGR/non-IUGR classified infants from MAVAN and GUSTO cohorts were included at the age of 4 and 5 years, respectively. Their parents reported child's eating behaviors using the child eating behavior questionnaire-CEBQ. Based on the GWAS on serum PUFA (Coltell 2020), three polygenic scores were calculated.
Results:
Significant interactions between IUGR and polygenic score for omega-3-PUFA on emotional overeating (β = -0.15, P = 0.049 GUSTO) and between IUGR and polygenic score for omega-6/omega-3-PUFA on desire to drink (β = 0.35, P = 0.044 MAVAN), pro-intake/anti-intake ratio (β = 0.10, P = 0.042 MAVAN), and emotional overeating (β = 0.16, P = 0.043 GUSTO) were found. Only in IUGR, a higher polygenic score for omega-3-PUFA associated with lower emotional overeating, while a higher polygenic score for omega-6/omega-3-PUFA ratio was associated with a higher desire to drink, emotional overeating, and pro-intake/anti-intake.
Conclusion:
Only in IUGR, the genetic background for higher omega-3-PUFA is associated with protection against altered eating behavior, while the genetic score for a higher omega-6/omega-3-PUFA ratio is associated with altered eating behavior.
Impact:
A genetic background related to a higher polygenic score for omega-3 PUFA protected infants born IUGR against eating behavior alterations, while a higher polygenic score for omega-6/omega-3 PUFA ratio increased the risk of having eating behavior alterations only in infants born IUGR, irrespective of their adiposity in childhood. Genetic individual differences modify the effect of being born IUGR on eating outcomes, increasing the vulnerability/resilience to eating disorders in IUGR group and likely contributing to their risk for developing metabolic diseases later in life.
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