Related Experiment Video
Updated: Jul 16, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Elucidating pathways to pediatric obesity: a study evaluating obesity polygenic risk scores related to appetitive
Timothy J Renier1, Dabin Yeum2, Jennifer A Emond3,4
1Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA. Timothy.J.Renier.GR@dartmouth.edu.
Insights
Genetic obesity risk in children is linked to appetite traits, which partially explain the connection between genetic predisposition and body mass index (BMI). This research clarifies pathways to pediatric obesity.
Area of Science:
- Pediatric Obesity Research
- Behavioral Genetics
- Child Health
Background:
- Obesity polygenic risk scores (PRS) explain significant body mass index (BMI) variation.
- Associations between PRS and children's appetitive traits are not well understood.
- Understanding these links can illuminate pathways to pediatric obesity.
Purpose of the Study:
- To assess the association between obesity polygenic risk scores (PRS) and appetitive traits in children.
- To investigate the role of appetitive traits in mediating the relationship between genetic obesity risk and BMI.
Main Methods:
- Included 248 children aged 9-12 years, with DNA genotyping performed.
- Computed four weighted polygenic risk scores (PRS) for obesity.
- Assessed appetitive traits using the Child Eating Behavior Questionnaire and measured BMI.
Main Results:
- Positive associations were found between obesogenic appetitive traits and BMI, and between PRS and BMI.
- Most PRS, particularly a pediatric-specific PRS, were significantly associated with an obesogenic appetite score.
- Obesogenic appetite score partially mediated the association between PRS and BMI, explaining up to 21.3% of the effect.
Conclusions:
- Genetic obesity risk significantly predicts children's appetitive traits.
- Appetitive traits partially mediate the relationship between genetic obesity risk and BMI in children.
- Findings enhance understanding of the complex pathways contributing to pediatric obesity.
Background/Objectives:
Obesity polygenic risk scores (PRS) explain substantial variation in body mass index (BMI), yet associations between PRSs and appetitive traits in children remain unclear. To better understand pathways leading to pediatric obesity, this study aimed to assess the association of obesity PRSs and appetitive traits.
Subjects/Methods:
This study included 248 unrelated children aged 9-12 years. DNA from the children was genotyped (236 met quality control thresholds) and four weighted polygenic risk scores from previous studies were computed and standardized: a 97 SNP PRS, 266 SNP pediatric-specific PRS, 466 SNP adult-specific PRS, and ~2 million SNP PRS. Appetitive traits were assessed using a parent-completed Child Eating Behavior Questionnaire, which evaluated food approach/avoidance traits and a composite obesogenic appetite score. BMI was directly measured and standardized by age and sex. Three associations were evaluated with linear regression: (1) appetitive traits and BMI, (2) PRSs and BMI, and (3) PRSs and appetitive traits, the primary association of interest.
Results:
Expected positive associations were observed between obesogenic appetitive traits and BMI and all four PRSs and BMI. Examining the association between PRSs and appetitive traits, all PRSs except for the 466 SNP adult PRS were significantly associated with the obesogenic appetite score. Each standard deviation increase in the 266 SNP pediatric PRS was associated with an adjusted 2.1% increase in obesogenic appetite score (95% CI: 0.6%, 3.7%, p = 0.006). Significant partial mediation of the PRS-BMI association by obesogenic appetite score was found for these PRSs; for example, 21.3% of the association between the 266 SNP pediatric PRS and BMI was explained by the obesogenic appetite score.
Conclusions:
Genetic obesity risk significantly predicted appetitive traits, which partially mediated the association between genetic obesity risk and BMI in children. These findings build a clearer picture of pathways leading to pediatric obesity.
Related Concept Videos
Polygenic Traits
Obesity
Behavioral Genetics and Its Designs
The primary methodologies used in behavior genetics include family studies, twin studies, and adoption studies, each providing unique...
Human Genetics
The complex relationship between genetics and psychology is observable through common biological components such...
Regulation of Food Intake
Heritability

