Department of Endocrinology, Children's Hospital, Zhejiang University School of Medicine, 3333, Binsheng Road, Hangzhou, 310052, China.
World J Pediatr. 2019 Aug;15(4):382-389. doi: 10.1007/s12519-019-00254-2. Epub 2019 May 23.
There is tremendous increase in obesity worldwide. Many factors including diet, life style, genetic, and epigenetic changes contribute to obesity. The fat mass and obesity-associated (FTO) gene polymorphisms are strongly associated with obesity. It has been reported that FTO single-nucleotide polymorphisms (SNPs) are associated with obesity in European populations; however, it was controversial in Chinese population. The present meta-analysis study was designed to investigate the association between FTO polymorphisms and obesity risk in Chinese population.
The investigators searched studies using the following databases: PubMed, web of science, and Cochrane Central Register of Controlled Trials. A random-effects model was used to calculate the pooled odds ratios (ORs). The heterogeneity among the studies was measured by I value. Subgroup analysis was used to find out the potential factors influencing the heterogeneity.
A total of 18 articles including 26 studies were included in the present meta-analysis. Overall, the FTO SNPs were significantly associated with obesity in Chinese population (OR 1.30; 95% CI 1.19-1.42; P < 0.001) under per-allele comparison. The subgroup analysis also showed strong association between four FTO SNPs (rs9939609, rs6499640, rs8050136, and rs1558902) and obesity risk. Furthermore, subgroup analysis stratified by children/adolescent and adult groups showed same trend.
The present meta-analysis indicated that FTO SNPs are associated with obesity risk in both children/adolescents and adults in Chinese population.
全球肥胖症患者数量显著增加。多种因素,包括饮食、生活方式、遗传和表观遗传变化,都与肥胖有关。脂肪量和肥胖相关(FTO)基因多态性与肥胖密切相关。有报道称,FTO 单核苷酸多态性(SNP)与欧洲人群的肥胖有关;然而,在中国人群中存在争议。本荟萃分析旨在研究 FTO 多态性与中国人群肥胖风险之间的关系。
研究人员使用以下数据库搜索研究:PubMed、Web of Science 和 Cochrane 对照试验中心注册库。使用随机效应模型计算汇总优势比(OR)。通过 I 值衡量研究之间的异质性。亚组分析用于找出潜在的影响异质性的因素。
本荟萃分析共纳入 18 篇文章,共 26 项研究。总体而言,FTO SNP 在中国人群中与肥胖显著相关(OR 1.30;95%CI 1.19-1.42;P<0.001),在等位基因比较中。亚组分析还显示,FTO 四个 SNP(rs9939609、rs6499640、rs8050136 和 rs1558902)与肥胖风险之间存在强烈关联。此外,按儿童/青少年和成人组分层的亚组分析显示出相同的趋势。
本荟萃分析表明,FTO SNP 与中国人群中儿童/青少年和成人的肥胖风险相关。