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Relation between Polygenic Risk Score, Vitamin D Status and BMI-for-Age z Score in Chinese Preschool Children
Luolan Peng1, Tingting Liu1, Chao Han1
1Key Laboratory of Trace Element Nutrition of National Health Commission, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Insights
Maintaining adequate vitamin D levels may help lower BMI-for-age z-scores in Chinese preschoolers with low to intermediate genetic susceptibility to obesity. This study explored the interplay between genetics, vitamin D status, and childhood obesity.
Area of Science:
- Pediatric Endocrinology
- Nutritional Science
- Genetics
Background:
- Childhood obesity is a growing concern, influenced by both genetic predisposition and nutritional factors like vitamin D deficiency.
- The specific role of vitamin D status in relation to polygenic risk for childhood obesity remains unclear.
Purpose of the Study:
- To investigate the relationship between genetic factors, vitamin D status, and BMI-for-age z-score (zBMI) in Chinese preschool children.
- To determine if vitamin D status modifies the association between polygenic risk scores and childhood obesity.
Main Methods:
- 1046 Chinese preschool children (3.7–6.6 years) were analyzed.
- Polygenic risk score (PRS) was calculated using 55 BMI-related SNPs.
- Serum 25(OH)D levels measured by LC/MS-MS served as the index for vitamin D status.
Main Results:
- Polygenic risk score (PRS) positively correlated with zBMI (rS=0.0953, p=0.0022).
- Vitamin D status (25(OH)D) negatively correlated with zBMI (rS=-0.1082, p=0.0005).
- Higher zBMI was observed in vitamin D insufficient preschoolers within low and intermediate PRS groups. Genetic risk positively associated with zBMI in vitamin D sufficient children.
Conclusions:
- Vitamin D status is negatively associated with zBMI in Chinese preschoolers.
- Adequate vitamin D levels may help mitigate zBMI in children with low and intermediate genetic susceptibility to obesity.
Background:
Both genetics and vitamin D deficiency are associated with childhood obesity. However, the role of vitamin D status between polygenic and childhood obesity has been unknown. The current study aimed to determine the relation between genetic factors, vitamin D status, and BMI-for-age z score (zBMI) in Chinese preschool children.
Methods:
A total of 1046 participants aged 3.7 to 6.6 years old from the Long-term Health Effects Assessment Project of Infants and Toddlers Nutritional Pack (LHEAPITNP) were included in this study. The polygenic risk score (PRS) was established based on 55 BMI-related single nucleotide polymorphisms (SNPs) derived from a published genome-wide association study (GWAS) for BMI. Serum 25(OH)D was used as an index of vitamin D status and measured with liquid chromatography-tandem mass spectrometry (LC/MS-MS) assay. The Wilcoxon test or Kruskal-Wallis test was used to compare the differences of variables between different groups and Spearman correlation analysis was used for analyzing the correlations between the PRS, 25(OH)D levels, and zBMI.
Results:
The PRS showed a positive relation to zBMI (rs = 0.0953, p = 0.0022) and 25(OH)D showed a negative relation to zBMI (rs = -0.1082, p = 0.0005) in the full-adjustment model. In addition, the differences in zBMI at different vitamin D statuses in the low-risk PRS group and the intermediate-risk PRS group were both statistically significant (plow = 0.0308, pintermediate = 0.0121), the median zBMI was both higher at vitamin D insufficiency status. And the difference in zBMI between different genetic risk groups was also statistically significant at vitamin D sufficiency status (p = 0.0077). Furthermore, genetic risk showed a positive relation to zBMI at vitamin D sufficiency status, and the p for trend was 0.0028.
Conclusions:
Our findings suggested that vitamin D was related to zBMI negatively in Chinese preschoolers and maintaining adequate vitamin D levels may only contribute to lower the zBMI in preschoolers with low and intermediate genetic susceptibility.
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