Background Variation in the fat mass and obesity–associated(FTO) gene has provided the most robust associations with commonobesity to date. However, the role of FTO variants in modulatingspecific components of energy balance is unknown.
Methods We studied 2726 Scottish children, 4 to 10 years ofage, who underwent genotyping for FTO variant rs9939609 andwere measured for height and weight. A subsample of 97 childrenwas examined for possible association of the FTO variant withadiposity, energy expenditure, and food intake.
Results In the total study group and the subsample, the A alleleof rs9939609 was associated with increased weight (P=0.003 andP=0.049, respectively) and body-mass index (P=0.003 and P=0.03,respectively). In the intensively phenotyped subsample, theA allele was also associated with increased fat mass (P=0.01)but not with lean mass. Although total and resting energy expenditureswere increased in children with the A allele (P=0.009 and P=0.03,respectively), resting energy expenditure was identical to thatpredicted for the age and weight of the child, indicating thatthere is no defect in metabolic adaptation to obesity in personsbearing the risk-associated allele. The A allele was associatedwith increased energy intake (P=0.006) independently of bodyweight. In contrast, the weight of food ingested by childrenwho had the allele was similar to that in children who did nothave the allele (P=0.82).
Conclusions The FTO variant that confers a predisposition toobesity does not appear to be involved in the regulation ofenergy expenditure but may have a role in the control of foodintake and food choice, suggesting a link to a hyperphagic phenotypeor a preference for energy-dense foods.
Source Information
From the Bute Medical School, University of St Andrews, St Andrews (J.E.C.); the Biomedical Research Institute, Ninewells Hospital and Medical School, University of Dundee, Dundee (R.T., C.N.A.P.); Chelsea School, University of Brighton, Brighton (P.W.); and the Department of Psychology, Glasgow Caledonian University, Glasgow (M.M.H.) — all in the United Kingdom.
Address reprint requests to Dr. Palmer at the Biomedical Research Institute, Ninewells Hospital and Medical School, University of Dundee, Scotland DD1 9SY, United Kingdom, or at nuclear-receptor{at}dundee.ac.uk.
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