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A 3-year intervention with a Mediterranean diet modified the association between the rs9939609 gene variant in FTO and body weight changes
Abstract
Introduction The aim of this study was to analyze the effects of the rs9939609 (T/A) gene variant in fat mass and obesity-associated gene (FTO) on body weight changes after 3 years and its modification by a randomized nutritional intervention with a Mediterranean-style diet in a population of subjects at high cardiovascular risk.Design A substudy of PREDIMED, which is a randomized trial aimed at assessing the effect of the Mediterranean diet (MD) for primary cardiovascular disease prevention. There were three nutritional intervention groups: two of them with a Mediterranean-style diet and the third was a control group advised to follow a conventional low-fat diet.Subjects A total of 776 high cardiovascular risk subjects aged 55-80 years.Measurements Anthropometric measurements were recorded at baseline and at 3 years. The participants were genotyped by RT-PCR, followed by allelic discrimination.Results Homozygous subjects had the highest baseline body weight. The dominant model showed that subjects carrying the A allele had the lowest body weight gain (B=-0.685; P=0.022) after 3 years of nutritional intervention compared with nonmutated subjects (TT genotype) regardless of the nutritional intervention. Moreover, this effect was statistically significant in carriers of the A allele only among those allocated to the MD groups (B=-0.830; P=0.018), but it was not significant among those allocated to the control group (P for interaction=0.649).Conclusion This study confirmed the association between body weight and the FTO rs9939609 polymorphism. Interestingly, our results showed that, although at baseline the A allele was associated with higher body weight, after 3 years of nutritional intervention with a Mediterranean-style-diet, A-allele carriers had lower body weight gain than wild type subjects. No interaction between nutritional intervention and the polymorphism was found.
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“The latter identified 14 dietary components that best characterized the MD and demonstrated that higher MD scores were associated with up to 30% lower incidence of cardiovascular events (15,17).”
From Effect of an Internet-based, personalized nutrition randomized trial on dietary changes associated with the Mediterranean diet: the Food4Me Study (2016) · cites this paper as [15]
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Cohort Profile: Design and methods of the PREDIMED study
Martinez-Gonzalez, M. A., Corella, D., Salas-Salvado, J., Ros, E., Covas, M. I., Fiol, M., Warnberg, J., Aros, F., Ruiz-Gutierrez, V., Lamuela-Raventos, R. M., et al. (2012) · International Journal of Epidemiology · doi:10.1093/ije/dyq250 · Cited by 671
Reduction in saturated fat intake for cardiovascular disease
Hooper, L., Martin, N., Jimoh, F. O., Kirk, C., Foster, E., & Abdelhamid, A. S. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011737.pub3 · Cited by 356
Genetics of Obesity: What have we Learned?
Choquet, H., & Meyre, D. (2011) · Current Genomics · doi:10.2174/138920211795677895 · Cited by 253
Benefits of the Mediterranean diet: Epidemiological and molecular aspects
Serra‐Majem, L., Román‐Viñas, B., Sánchez‐Villegas, A., Guasch‐Ferré, M., Corella, D., & Vecchia, C. L. (2019) · Molecular Aspects of Medicine · doi:10.1016/j.mam.2019.06.001 · Cited by 259
Reduction in saturated fat intake for cardiovascular disease
Hooper, L., Martin, N., Jimoh, O. F., Kirk, C., Foster, E., & Abdelhamid, A. S. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011737.pub2 · Cited by 228
Metadata
- Authors
- Razquin, C., Martinez, J. A., Martinez-Gonzalez, M. A., Bes-Rastrollo, M., Fernández-Crehuet, J., & Marti, A.
- Venue
- International Journal of Obesity
- Published
- 2009-11-17
- Volume
- 34
- Issue
- 2
- Pages
- 266-272
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W2127740924
- Cited by
- 109
- References
- 35
- Citations by year
- 2026: 3 · 2024: 3 · 2023: 5 · 2022: 10 · 2021: 6 · 2020: 7 · 2019: 3 · 2018: 6 · 2017: 8 · 2016: 7 · 2015: 11 · 2014: 5 · 2013: 6 · 2012: 19
- FWCI
- 5.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Nutrition, Genetics, and Disease
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- FTO, rs9939609 polymorphism, Mediterranean diet, weight gain, genetic susceptibility, dietary intervention, cardiovascular risk, PREDIMED trial, gene-diet interaction
- MeSH terms
- Alpha-Ketoglutarate-Dependent Dioxygenase FTO, Aged, Aged, 80 and over, Body Weight, Cardiovascular Diseases, Female, Genotype, Humans, Male, Middle Aged, Obesity, Proteins, Time Factors, Genetic Variation, Weight Gain, Body Mass Index, Treatment Outcome, Diet, Fat-Restricted, Diet, Mediterranean
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