Effect of polygenic risk score in the sustainability of childhood obesity intervention
Objective To explore the relationship between polygenic risk score(PRS)and the sustainability of childhood obesity intervention,in order to provide scientific basis for future sustainable and personalized childhood obesity intervention based on genetic background.Methods A total of 148 children with overweight/obesity at baseline were selected as study subjects from a cluster randomized controlled trial(September 2018 to April 2021)regarding the effect of a childhood obesity intervention in Beijing,China.Saliva was collected to detect the whole genome sequencing.Four PRSs were built:weighted and unweighted PRS69,weighted and unweighted PRS67.The interactions between PRS and study arms on the sustainability of intervention effect(the changes in obesity-related indicators between the end of the intervention and the last follow-up)were analyzed.Results There were interactions between PRS and study arms on the rebound degree of waist circumference adjusted for body mass index(BMI),waist-to-hip ratio adjusted for BMI,and systolic blood pressure after the intervention.Compared with the control group,children in the intervention group carried each additional unit(standard deviation)of weighted PRS69,the waist circumference adjusted for BMI rebounded more by 0.34(95％CI:0.05-0.63,P=0.020),and waist-to-hip ratio adjusted for BMI rebounded more by 0.29(95％CI:0.03-0.56,P=0.031)at the last follow-up survey.When children in the intervention group carried each additional unit(standard deviation)of weighted PRS67 and unweighted PRS67,systolic blood pressure at the last follow-up survey rebounded more by 3.58(95％CI:0.50-6.66,P=0.023)and 3.75(95％CI:0.78-6.71,P=0.014),respectively.Conclusions The higher PRS(the more risk alleles)children with overweight/obesity carried,their waist circumference,waist-to-hip ratio and systolic blood pressure are more likely to rebound after the intervention.Findings from this study suggest that future studies should focus more on these high-risk children after the intervention to prevent and control obesity rebound.
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