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脑源性神经营养因子基因多态性与体重指数的关联:一项系统评价与荟萃分析。

Association of Brain-derived neurotrophic factor gene polymorphisms with body mass index: A systematic review and meta-analysis.

作者信息

Akbarian Shahab-Aldin, Salehi-Abargouei Amin, Pourmasoumi Makan, Kelishadi Roya, Nikpour Parvaneh, Heidari-Beni Motahar

机构信息

Food Security Research Center, Department of Community nutrition, School of Nutrition & Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of nutrition, faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Adv Med Sci. 2018 Mar;63(1):43-56. doi: 10.1016/j.advms.2017.07.002. Epub 2017 Dec 1.

Abstract

BACKGROUND

Many studies with inconsistent results have assessed the association of Brain-derived neurotrophic factor (BDNF) gene polymorphisms with prevalence of obesity and overweight. This review aims to provide a summary of the literature evaluating the relation between BDNF genotype and body mass index (BMI).

METHODS

A systematic search through PubMed, Scopus, Science direct, Ovid and Cochrane was performed. We included observational studies with cross-sectional and case-control design, which investigated relationship between all kinds of BDNF polymorphisms with BMI, as a representative index of obesity and overweight. Newcastle-Ottawa Scale was used to assess the quality of included articles.

RESULTS

Thirty five studies were included in quantitative synthesis. Analyses were performed separately using OR, β coefficient and mean. Significant association were documented between rs925946 and BMI (OR=1.12, 95% CI=1.08-1.17, P heterogeneity=0.317), rs10501087 and BMI (OR=1.14, 95% CI=1.04-1.24, P heterogeneity=0.861), rs6265 and BMI (OR=1.13, 95% CI=1.07-1.19, P heterogeneity=0.406), rs988712 and BMI (OR=1.29, 95% CI=1.18-1.40, P heterogeneity=0.602). According to pooled β coefficient analysis, significant result was only observed in the rs925946 polymorphism subgroup. Pooled mean analysis showed that overall effects for the association between BDNF polymorphisms and BMI were not statistically significant.

CONCLUSION

This meta-analysis suggests that some polymorphisms in BDNF gene including rs925946, rs10501087, rs6265 and rs988712 can be considered as genetic determinants of obesity.

摘要

背景

许多研究结果不一致,评估了脑源性神经营养因子(BDNF)基因多态性与肥胖和超重患病率之间的关联。本综述旨在总结评估BDNF基因与体重指数(BMI)之间关系的文献。

方法

通过PubMed、Scopus、Science direct、Ovid和Cochrane进行系统检索。我们纳入了采用横断面和病例对照设计的观察性研究,这些研究调查了各种BDNF多态性与BMI之间的关系,BMI作为肥胖和超重的代表性指标。采用纽卡斯尔-渥太华量表评估纳入文章的质量。

结果

定量综合分析纳入了35项研究。分别使用比值比(OR)、β系数和均值进行分析。记录到rs925946与BMI之间存在显著关联(OR=1.12,95%可信区间[CI]=1.08-1.17,异质性P值=0.317),rs10501087与BMI之间存在显著关联(OR=1.14,95%CI=1.04-1.24,异质性P值=0.861),rs6265与BMI之间存在显著关联(OR=1.13,95%CI=1.07-1.19,异质性P值=0.406),rs988712与BMI之间存在显著关联(OR=1.29,95%CI=1.18-1.40,异质性P值=0.602)。根据合并β系数分析,仅在rs925946多态性子组中观察到显著结果。合并均值分析表明,BDNF多态性与BMI之间关联的总体效应无统计学意义。

结论

这项荟萃分析表明,BDNF基因中的一些多态性,包括rs925946、rs10501087、rs6265和rs988712,可被视为肥胖的遗传决定因素。

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