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Published in: Endocrine 3/2018

Open Access 01-06-2018 | Original Article

Association between LEPR, FTO, MC4R, and PPARG-2 polymorphisms with obesity traits and metabolic phenotypes in school-aged children

Authors: Sílvia M. Almeida, José M. Furtado, Paulo Mascarenhas, Maria E. Ferraz, José C. Ferreira, Mariana P. Monteiro, Manuel Vilanova, Fernando P. Ferraz

Published in: Endocrine | Issue 3/2018

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Abstract

Purpose

Evaluate the relationship of leptin receptor (LEPR) rs1137101, fat mass obesity-associated (FTO) receptors 9939609, melanocortin-4 receptors (MC4R) rs2229616 and rs17782313, and proliferator-activated receptor-gamma (PPARG) rs1801282 with clinical and metabolic phenotypes in prepubertal children.

Research question

What is the effect of polymorphisms on clinical and metabolic phenotypes in prepubertal children?

Methods

A cross-sectional descriptive study was performed to evaluate anthropometric features, percentage body fat (%BF), biochemical parameters, and genotype in 773 prepubertal children.

Results

FTO rs9939609 was associated with an increase in body mass index (BMI) and BMI z-score (zBMI). MC4R rs17782313 was associated with a decrease in BMI and +0.06 units in zBMI. LEPR, and PPARG-2 polymorphisms were associated with decreases in BMI and an increase and decrease units in zBMI, respectively. The homozygous SNPs demonstrated increases (FTO rs993609 and MC4R rs17782313) and decreases (LEPR rs1137101, PPARG rs1801282) in zBMI than the homozygous form of the major allele. In the overweight/obese group, the MC4R rs17782313 CC genotype showed higher average weight, zBMI, waist circumference, waist-circumference-to-height ratio, and waist-hip ratio, and lower BMI, mid-upper arm circumference, calf circumference, and %BF (P< 0.05). FTO rs9939609 AT and AA genotypes were associated with lower triglycerides (P < 0.05).

Conclusions

We showed that MC4R rs17782313 and FTO rs9939609 were positively associated with zBMI, with weak and very weak effects, respectively, suggesting a very scarce contribution to childhood obesity. LEPR rs1137101 and PPARG-2 rs1801282 had weak and medium negative effects on zBMI, respectively, and may slightly protect against childhood obesity.
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Literature
2.
go back to reference Y.N. Ang, B.S. Wee, B.K. Poh, M.N. Ismail, Multifactorial influences of childhood obesity. Curr. Obes. Rep. 2(1), 10–22 (2012)CrossRef Y.N. Ang, B.S. Wee, B.K. Poh, M.N. Ismail, Multifactorial influences of childhood obesity. Curr. Obes. Rep. 2(1), 10–22 (2012)CrossRef
3.
go back to reference S.M. Grundy, Multifactorial causation of obesity: implications for prevention. Am. J. Clin. Nutr. 67(Suppl 3), 563S–572SS (1998)CrossRefPubMed S.M. Grundy, Multifactorial causation of obesity: implications for prevention. Am. J. Clin. Nutr. 67(Suppl 3), 563S–572SS (1998)CrossRefPubMed
4.
go back to reference J.V. Hjelmborg, C. Fagnani, K. Silventoinen, et al., Genetic influences on growth traits of BMI: a longitudinal study of adult twins. Obesity 16(4), 847–852 (2008).CrossRefPubMed J.V. Hjelmborg, C. Fagnani, K. Silventoinen, et al., Genetic influences on growth traits of BMI: a longitudinal study of adult twins. Obesity 16(4), 847–852 (2008).CrossRefPubMed
5.
go back to reference H.H.M. Maes, M.C. Neale, L.J. Eaves, Genetic and environmental factors in relative body weight and human adiposity. Behav. Genet. 27(4), 325–351 (1997)CrossRefPubMed H.H.M. Maes, M.C. Neale, L.J. Eaves, Genetic and environmental factors in relative body weight and human adiposity. Behav. Genet. 27(4), 325–351 (1997)CrossRefPubMed
6.
go back to reference J. Wardle, S. Carnell, C.M. Haworth, R. Plomin, Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment. Am. J. Clin. Nutr. 87(2), 398–404 (2008)CrossRefPubMed J. Wardle, S. Carnell, C.M. Haworth, R. Plomin, Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment. Am. J. Clin. Nutr. 87(2), 398–404 (2008)CrossRefPubMed
7.
8.
go back to reference T.M. Frayling, N.J. Timpson, M.N. Weedon et al., A Common Variant in the FTO Gene Is Associated with Body Mas Index and Predisposes to Childhood and Adult Obesity. Science 316(5826), 889–894 (2007)CrossRefPubMedPubMedCentral T.M. Frayling, N.J. Timpson, M.N. Weedon et al., A Common Variant in the FTO Gene Is Associated with Body Mas Index and Predisposes to Childhood and Adult Obesity. Science 316(5826), 889–894 (2007)CrossRefPubMedPubMedCentral
9.
go back to reference D. Albuquerque, C. Nóbrega, L. Manco, Association of FTO polymorphisms with obesity and obesity-related outcomes in Portuguese children. PLoS One 8(1), e54370 (2013)CrossRefPubMedPubMedCentral D. Albuquerque, C. Nóbrega, L. Manco, Association of FTO polymorphisms with obesity and obesity-related outcomes in Portuguese children. PLoS One 8(1), e54370 (2013)CrossRefPubMedPubMedCentral
10.
go back to reference J. Bradfield, H. Taal, N. Timpson et al., A genome-wide association meta-analysis identifies new childhood obesity loci. Nat. Genet. 44(5), 526–531 (2012)CrossRefPubMedPubMedCentral J. Bradfield, H. Taal, N. Timpson et al., A genome-wide association meta-analysis identifies new childhood obesity loci. Nat. Genet. 44(5), 526–531 (2012)CrossRefPubMedPubMedCentral
11.
go back to reference C. Dina, D. Meyre, S. Gallina et al., Variation in FTO contributes to childhood obesity and severe adult obesity. Nat. Genet. 39(6), 724–726 (2007)CrossRefPubMed C. Dina, D. Meyre, S. Gallina et al., Variation in FTO contributes to childhood obesity and severe adult obesity. Nat. Genet. 39(6), 724–726 (2007)CrossRefPubMed
12.
go back to reference A. Scuteri, S. Sanna, W.M. Chen et al., Genome-wide association scan shows genetic variants in the FTO gene are associated with obesity-related traits. PLoS Genet. 3(7), e115 (2007)CrossRefPubMedPubMedCentral A. Scuteri, S. Sanna, W.M. Chen et al., Genome-wide association scan shows genetic variants in the FTO gene are associated with obesity-related traits. PLoS Genet. 3(7), e115 (2007)CrossRefPubMedPubMedCentral
13.
go back to reference R. Larder, M.K. Cheung, Y.C. Tung, G.S. Yeo, A.P. Coll, Where to go with FTO? Tends. Endocrinol. Metab. 22(2), 53–59 (2011) R. Larder, M.K. Cheung, Y.C. Tung, G.S. Yeo, A.P. Coll, Where to go with FTO? Tends. Endocrinol. Metab. 22(2), 53–59 (2011)
14.
go back to reference Y.C. Tung, G.S. Yeo, From GWAS to biology: lessons from FTO. Ann. N.Y. Acad. Sci. 1220(1), 162–171 (2011)CrossRefPubMed Y.C. Tung, G.S. Yeo, From GWAS to biology: lessons from FTO. Ann. N.Y. Acad. Sci. 1220(1), 162–171 (2011)CrossRefPubMed
15.
go back to reference C. Buettner, A. Pocai, E.D. Muse, A.M. Etgen, M.G. Myers Jr., L. Rosseti, Critical role of STAT3 in leptin’ s metabolic actions. Cell. Metab. 4(1), 49–60 (2006)CrossRefPubMedPubMedCentral C. Buettner, A. Pocai, E.D. Muse, A.M. Etgen, M.G. Myers Jr., L. Rosseti, Critical role of STAT3 in leptin’ s metabolic actions. Cell. Metab. 4(1), 49–60 (2006)CrossRefPubMedPubMedCentral
16.
go back to reference P. Wang, F.J. Yang, H. Du et al., Involvement of Leptin Receptor Long Isoform (LepRb)-STAT3 Signaling Pathway in Brain Fat Mass- and Obesity-Associated (FTO) Downregulation during Energy Restriction. Mol. Med. 17(5-6), 523–532 (2011)CrossRefPubMedPubMedCentral P. Wang, F.J. Yang, H. Du et al., Involvement of Leptin Receptor Long Isoform (LepRb)-STAT3 Signaling Pathway in Brain Fat Mass- and Obesity-Associated (FTO) Downregulation during Energy Restriction. Mol. Med. 17(5-6), 523–532 (2011)CrossRefPubMedPubMedCentral
17.
go back to reference N. Yiannakouris, M. Yannakoulia, L. Melistas, J.L. Chan, D. Klimis-Zacas, C.S. Mantzoros, The Q223R polymorphism of the leptin receptor gene is significantly associated with obesity and predicts a small percentage of body weight and body composition variability. J. Clin. Endocrinol. Metab. 86(9), 4434–4439 (2001)CrossRefPubMed N. Yiannakouris, M. Yannakoulia, L. Melistas, J.L. Chan, D. Klimis-Zacas, C.S. Mantzoros, The Q223R polymorphism of the leptin receptor gene is significantly associated with obesity and predicts a small percentage of body weight and body composition variability. J. Clin. Endocrinol. Metab. 86(9), 4434–4439 (2001)CrossRefPubMed
18.
go back to reference Y.C. Chagnon, W.K. Chung, L. Pérusse, M. Chagnon, R.L. Leibel, C. Bouchard, Linkages and associations between the leptin receptor (LEPR) gene and human body composition in the Québec Family Study. Int. J. Obes. Relat. Metab. Disord. 23(3), 278–286 (1999)CrossRefPubMed Y.C. Chagnon, W.K. Chung, L. Pérusse, M. Chagnon, R.L. Leibel, C. Bouchard, Linkages and associations between the leptin receptor (LEPR) gene and human body composition in the Québec Family Study. Int. J. Obes. Relat. Metab. Disord. 23(3), 278–286 (1999)CrossRefPubMed
19.
go back to reference Y.C. Chagnon, J.H. Wilmore, I.B. Borecki et al., Associations between the leptin receptor gene and adiposity in middle-aged caucasian males from the HERITAGE Family Study. J. Clin. Endocrinol. Metab. 85(1), 29–34 (2000)PubMed Y.C. Chagnon, J.H. Wilmore, I.B. Borecki et al., Associations between the leptin receptor gene and adiposity in middle-aged caucasian males from the HERITAGE Family Study. J. Clin. Endocrinol. Metab. 85(1), 29–34 (2000)PubMed
20.
go back to reference M. Baltatzi, A. Hatzitolios, K. Tziomalos, F. Iliadis, Ch Zamboulis, Neuropeptide Y and alpha-melanocyte-stimulating hormone: Interaction in obesity and possible role in the development of hypertension. Int. J. Clin. Pract. 62(9), 1432–1440 (2008)CrossRefPubMed M. Baltatzi, A. Hatzitolios, K. Tziomalos, F. Iliadis, Ch Zamboulis, Neuropeptide Y and alpha-melanocyte-stimulating hormone: Interaction in obesity and possible role in the development of hypertension. Int. J. Clin. Pract. 62(9), 1432–1440 (2008)CrossRefPubMed
22.
go back to reference P. García-Solís, M. Reyes-Bastidas, K. Flores et al., Fat mass obesity-associated (FTO) (rs9939609) and melanocortin 4 receptor (MC4R) (rs17782313) SNP are positively associated with obesity and blood pressure in Mexican school-aged children. Br. J. Nutr. 10, 1–7 (2016) P. García-Solís, M. Reyes-Bastidas, K. Flores et al., Fat mass obesity-associated (FTO) (rs9939609) and melanocortin 4 receptor (MC4R) (rs17782313) SNP are positively associated with obesity and blood pressure in Mexican school-aged children. Br. J. Nutr. 10, 1–7 (2016)
23.
go back to reference R.J. Loos, C.M. Lindgren, S. Li et al., Common variants near MC4R are associated with fat mass, weight and risk of obesity. Nat. Genet. 40(6), 768–775 (2009)CrossRef R.J. Loos, C.M. Lindgren, S. Li et al., Common variants near MC4R are associated with fat mass, weight and risk of obesity. Nat. Genet. 40(6), 768–775 (2009)CrossRef
24.
go back to reference L. Qi, P. Kraft, D.J. Hunter, F.B. Hu, The common obesity variant near MC4R gene is associated with higher intakes of total energy and dietary fat, weight change and diabetes risk in women. Hum. Mol. Genet. 17(22), 3502–3508 (2008)CrossRefPubMedPubMedCentral L. Qi, P. Kraft, D.J. Hunter, F.B. Hu, The common obesity variant near MC4R gene is associated with higher intakes of total energy and dietary fat, weight change and diabetes risk in women. Hum. Mol. Genet. 17(22), 3502–3508 (2008)CrossRefPubMedPubMedCentral
25.
go back to reference B. Xi, G.R. Chandak, Y. Shen, Q. Wang, D. Zhou, Association between Common Polymorphism near the MC4R Gene and Obesity Risk : A Systematic Review and Meta-Analysis. PLoS One 7(9), e45731 (2012)CrossRefPubMedPubMedCentral B. Xi, G.R. Chandak, Y. Shen, Q. Wang, D. Zhou, Association between Common Polymorphism near the MC4R Gene and Obesity Risk : A Systematic Review and Meta-Analysis. PLoS One 7(9), e45731 (2012)CrossRefPubMedPubMedCentral
26.
go back to reference E.H. Young, N.J. Wareham, S. Farooqi et al., The V103I polymorphism of the MC4R gene and obesity: population based studies and meta-analysis of 29 563 individuals. Int. J. Obes. 31(9), 1437–1441 (2009)CrossRef E.H. Young, N.J. Wareham, S. Farooqi et al., The V103I polymorphism of the MC4R gene and obesity: population based studies and meta-analysis of 29 563 individuals. Int. J. Obes. 31(9), 1437–1441 (2009)CrossRef
27.
go back to reference D. Wang, J. Ma, S. Zhang et al., Association of the MC4R V103I polymorphism with obesity: a Chinese case-control study and meta-analysis in 55,195 individuals. Obesity 18(3), 573–579 (2010)CrossRefPubMed D. Wang, J. Ma, S. Zhang et al., Association of the MC4R V103I polymorphism with obesity: a Chinese case-control study and meta-analysis in 55,195 individuals. Obesity 18(3), 573–579 (2010)CrossRefPubMed
28.
go back to reference A.J. Vidal-Puig, R.V. Considine, M. Jimenez-Liñan et al., Peroxisome proliferator-activated receptor gene expression in human tissues. Effects of obesity, weight loss, and regulation by insulin and glucocorticoids. J. Clin. Invest. 99(10), 2416–2422 (1997)CrossRefPubMedPubMedCentral A.J. Vidal-Puig, R.V. Considine, M. Jimenez-Liñan et al., Peroxisome proliferator-activated receptor gene expression in human tissues. Effects of obesity, weight loss, and regulation by insulin and glucocorticoids. J. Clin. Invest. 99(10), 2416–2422 (1997)CrossRefPubMedPubMedCentral
29.
go back to reference L.J. Tan, H. Zhu, H. He et al., Replication of 6 obesity genes in a meta-analysis of genome-wide association studies from diverse ancestries. PLoS One 9(5), e96149 (2014)CrossRefPubMedPubMedCentral L.J. Tan, H. Zhu, H. He et al., Replication of 6 obesity genes in a meta-analysis of genome-wide association studies from diverse ancestries. PLoS One 9(5), e96149 (2014)CrossRefPubMedPubMedCentral
30.
go back to reference S.M. Almeida, J.M. Furtado, P. Mascarenhas et al., Anthropometric predictors of body fat in a large population of 9-year-old school-aged children. Obes. Sci. Pract. 2(3), 272–281 (2016)CrossRefPubMedPubMedCentral S.M. Almeida, J.M. Furtado, P. Mascarenhas et al., Anthropometric predictors of body fat in a large population of 9-year-old school-aged children. Obes. Sci. Pract. 2(3), 272–281 (2016)CrossRefPubMedPubMedCentral
31.
go back to reference T.J. Cole, T. Lobstein, Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr. Obes. 7(4), 284–294 (2012)CrossRefPubMed T.J. Cole, T. Lobstein, Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr. Obes. 7(4), 284–294 (2012)CrossRefPubMed
32.
go back to reference D.S. Falconer. Introductionto Quantitative Genetics. 4th edn. (Longmans Green, Harlow, Essex, 1981) D.S. Falconer. Introductionto Quantitative Genetics. 4th edn. (Longmans Green, Harlow, Essex, 1981)
33.
go back to reference A.S. Doney, J. Dannfald, C.H. Kimber et al., The FTO Gene Is Associated With an Atherogenic Lipid Profile and Myocardial Infarction in Patients With Type 2 Diabetes A Genetics of Diabetes Audit and Research Study in Tayside Scotland (Go-DARTS) study. Circ. Cardiovasc Genet. 2(3), 255–259 (2009)CrossRefPubMedPubMedCentral A.S. Doney, J. Dannfald, C.H. Kimber et al., The FTO Gene Is Associated With an Atherogenic Lipid Profile and Myocardial Infarction in Patients With Type 2 Diabetes A Genetics of Diabetes Audit and Research Study in Tayside Scotland (Go-DARTS) study. Circ. Cardiovasc Genet. 2(3), 255–259 (2009)CrossRefPubMedPubMedCentral
34.
go back to reference R. Do, S.D. Bailey, K. Desbiens et al., Genetic variants of FTO influence adiposity, insulin sensitivity, leptin levels, and resting metabolic rate in the Quebec family study. Diabetes 57(4), 1147–1150 (2008)CrossRefPubMed R. Do, S.D. Bailey, K. Desbiens et al., Genetic variants of FTO influence adiposity, insulin sensitivity, leptin levels, and resting metabolic rate in the Quebec family study. Diabetes 57(4), 1147–1150 (2008)CrossRefPubMed
35.
go back to reference N. Bender, N. Allemann, D. Marek et al., Association between variants of the leptin receptor gene (LEPR) and overweight: a systematic review and an analysis of the CoLaus study. PLoS One 6(10), e26157 (2011)CrossRefPubMedPubMedCentral N. Bender, N. Allemann, D. Marek et al., Association between variants of the leptin receptor gene (LEPR) and overweight: a systematic review and an analysis of the CoLaus study. PLoS One 6(10), e26157 (2011)CrossRefPubMedPubMedCentral
36.
go back to reference B. Pyrzak, A. Wisniewska, A. Kucharska, M. Wasik, U. Demkow, No association of LEPR Gln223Arg polymorphism with leptin, obesity or metabolic disturbances in children. Eur. J. Med. Res. 14(Suppl 4), 201–204 (2009)CrossRefPubMedPubMedCentral B. Pyrzak, A. Wisniewska, A. Kucharska, M. Wasik, U. Demkow, No association of LEPR Gln223Arg polymorphism with leptin, obesity or metabolic disturbances in children. Eur. J. Med. Res. 14(Suppl 4), 201–204 (2009)CrossRefPubMedPubMedCentral
37.
go back to reference K. Endo, H. Yanagi, C. Hirano, H. Hamaguchi, S. Tsuchiya, S. Tomura, Association of Trp64Arg polymorphism of the beta3-adrenergic receptor gene and no association of Gln223Arg polymorphism of the leptin receptor gene in Japanese schoolchildren with obesity. Int. J. Obes. 24(4), 443–449 (2000)CrossRef K. Endo, H. Yanagi, C. Hirano, H. Hamaguchi, S. Tsuchiya, S. Tomura, Association of Trp64Arg polymorphism of the beta3-adrenergic receptor gene and no association of Gln223Arg polymorphism of the leptin receptor gene in Japanese schoolchildren with obesity. Int. J. Obes. 24(4), 443–449 (2000)CrossRef
38.
go back to reference V. Paracchini, P. Pedotti, E. Taioli, Genetics of leptin and obesity: a HuGE review. Am. J. Epidemiol. 162(2), 101–114 (2005)CrossRefPubMed V. Paracchini, P. Pedotti, E. Taioli, Genetics of leptin and obesity: a HuGE review. Am. J. Epidemiol. 162(2), 101–114 (2005)CrossRefPubMed
39.
go back to reference N.A. Shabana, S. Hasnain, Association of the leptin receptor Gln223 Arg polymorphism with lipid profile in obese Pakistani subjects. Nutrition 31(9), 1136–1140 (2015)CrossRefPubMed N.A. Shabana, S. Hasnain, Association of the leptin receptor Gln223 Arg polymorphism with lipid profile in obese Pakistani subjects. Nutrition 31(9), 1136–1140 (2015)CrossRefPubMed
40.
go back to reference Q. Wu, R.A. Saunders, M. Szkudlarek-Mikho, L. Serna Ide, K.V. Chin, The obesity-associated Fto gene is a transcriptional coactivator. Biochem. Biophys. Res. Commun. 401(3), 390–395 (2010)CrossRefPubMedPubMedCentral Q. Wu, R.A. Saunders, M. Szkudlarek-Mikho, L. Serna Ide, K.V. Chin, The obesity-associated Fto gene is a transcriptional coactivator. Biochem. Biophys. Res. Commun. 401(3), 390–395 (2010)CrossRefPubMedPubMedCentral
41.
go back to reference J. Ohashi, I. Naka, R. Kimura et al., FTO polymorphisms in oceanic populations. J. Hum. Genet. 52(12), 1031–1035 (2007)CrossRefPubMed J. Ohashi, I. Naka, R. Kimura et al., FTO polymorphisms in oceanic populations. J. Hum. Genet. 52(12), 1031–1035 (2007)CrossRefPubMed
42.
go back to reference S.F. Grant, M. Li, J.P. Bradfield et al., Association analysis of the FTO gene with obesity in children of Caucasian and African ancestry reveals a common tagging SNP. PLoS One 3(3), e1746 (2008)CrossRefPubMedPubMedCentral S.F. Grant, M. Li, J.P. Bradfield et al., Association analysis of the FTO gene with obesity in children of Caucasian and African ancestry reveals a common tagging SNP. PLoS One 3(3), e1746 (2008)CrossRefPubMedPubMedCentral
43.
go back to reference H. Li, Y. Wu, R.J. Loos et al., Variants in the fat mass- and obesity-associated (FTO) gene are not associated with obesity in a Chinese Han population. Diabetes 57(1), 264–268 (2008)CrossRefPubMed H. Li, Y. Wu, R.J. Loos et al., Variants in the fat mass- and obesity-associated (FTO) gene are not associated with obesity in a Chinese Han population. Diabetes 57(1), 264–268 (2008)CrossRefPubMed
44.
go back to reference J. Wu, J. Xu, Z. Zhang et al., Association of FTO polymorphisms with obesity and metabolic parameters in Han Chinese adolescents. PLoS One 9(6), e98984 (2014)CrossRefPubMedPubMedCentral J. Wu, J. Xu, Z. Zhang et al., Association of FTO polymorphisms with obesity and metabolic parameters in Han Chinese adolescents. PLoS One 9(6), e98984 (2014)CrossRefPubMedPubMedCentral
45.
go back to reference H. Mangge, W. Renner, G. Almer, D. Weghuber, R. Möller, R. Horejsi: Rs9939609 variant of the fat mass and obesity-associated gene and trunk obesity in adolescents. J. Obes. 186368 (2011) H. Mangge, W. Renner, G. Almer, D. Weghuber, R. Möller, R. Horejsi: Rs9939609 variant of the fat mass and obesity-associated gene and trunk obesity in adolescents. J. Obes. 186368 (2011)
46.
go back to reference T. Gotoda, J. Scott, T. Aitman, Molecular screening of the human melanocortin-4 receptor gene: identification of a missense variant showing no association with obesity, plasma glucose, or insulin. Diabetologia 40(8), 976–979 (1997)CrossRefPubMed T. Gotoda, J. Scott, T. Aitman, Molecular screening of the human melanocortin-4 receptor gene: identification of a missense variant showing no association with obesity, plasma glucose, or insulin. Diabetologia 40(8), 976–979 (1997)CrossRefPubMed
47.
go back to reference F. Geller, K. Reichwald, A. Dempfle et al., Melanocortin-4 receptor gene variant I103 is negatively associated with obesity. Am. J. Hum. Genet. 74(3), 572–581 (2004)CrossRefPubMedPubMedCentral F. Geller, K. Reichwald, A. Dempfle et al., Melanocortin-4 receptor gene variant I103 is negatively associated with obesity. Am. J. Hum. Genet. 74(3), 572–581 (2004)CrossRefPubMedPubMedCentral
48.
go back to reference Z. Yilmaz, C. Davis, N.J. Loxton et al., Association between MC4R rs17782313 Polymorphism and Overeating Behaviours. Int. J. Obes. 39(1), 114–120 (2015)CrossRef Z. Yilmaz, C. Davis, N.J. Loxton et al., Association between MC4R rs17782313 Polymorphism and Overeating Behaviours. Int. J. Obes. 39(1), 114–120 (2015)CrossRef
49.
go back to reference S.F.A. Grant, J.P. Bradfield, H. Zhang et al., Investigation of the locus near MC4R with childhood obesity in Americans of European and African ancestry. Obesity 17(7), 1461–1465 (2009)PubMedPubMedCentral S.F.A. Grant, J.P. Bradfield, H. Zhang et al., Investigation of the locus near MC4R with childhood obesity in Americans of European and African ancestry. Obesity 17(7), 1461–1465 (2009)PubMedPubMedCentral
50.
go back to reference E.P.M. Mato, P.E. Pokam-Fosso, B. Atogho-Tiedeu et al., The Pro12Ala polymorphism in the PPAR-γ2 gene is not associated to obesity and type 2 diabetes mellitus in a Cameroonian population. BMC Obes. 3(1), 26 (2016)CrossRefPubMedPubMedCentral E.P.M. Mato, P.E. Pokam-Fosso, B. Atogho-Tiedeu et al., The Pro12Ala polymorphism in the PPAR-γ2 gene is not associated to obesity and type 2 diabetes mellitus in a Cameroonian population. BMC Obes. 3(1), 26 (2016)CrossRefPubMedPubMedCentral
51.
go back to reference F.F. Carlos, J. Silva-Nunes, O. Flores, Association of FTO and PPARG polymorphisms with obesity in Portuguese women. Diabetes Metab. Syndr. Obes. 6, 241–245 (2013)PubMedPubMedCentral F.F. Carlos, J. Silva-Nunes, O. Flores, Association of FTO and PPARG polymorphisms with obesity in Portuguese women. Diabetes Metab. Syndr. Obes. 6, 241–245 (2013)PubMedPubMedCentral
52.
go back to reference M.F. Rolland-Cachera, M. Deheeger, M. Maillot, F. Bellisle, Early adiposity rebound: causes and consequences for obesity in children and adults. Int. J. Obes. 30, S11–S17 (2006)CrossRef M.F. Rolland-Cachera, M. Deheeger, M. Maillot, F. Bellisle, Early adiposity rebound: causes and consequences for obesity in children and adults. Int. J. Obes. 30, S11–S17 (2006)CrossRef
Metadata
Title
Association between LEPR, FTO, MC4R, and PPARG-2 polymorphisms with obesity traits and metabolic phenotypes in school-aged children
Authors
Sílvia M. Almeida
José M. Furtado
Paulo Mascarenhas
Maria E. Ferraz
José C. Ferreira
Mariana P. Monteiro
Manuel Vilanova
Fernando P. Ferraz
Publication date
01-06-2018
Publisher
Springer US
Published in
Endocrine / Issue 3/2018
Print ISSN: 1355-008X
Electronic ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-018-1587-3

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