Literature DB >> 28381478

Can genetic-based advice help you lose weight? Findings from the Food4Me European randomized controlled trial.

Carlos Celis-Morales1,2, Cyril Fm Marsaux3, Katherine M Livingstone1, Santiago Navas-Carretero4, Rodrigo San-Cristobal4, Rosalind Fallaize5, Anna L Macready5, Clare O'Donovan6, Clara Woolhead6, Hannah Forster6, Silvia Kolossa7, Hannelore Daniel7, George Moschonis8, Christina Mavrogianni8, Yannis Manios8, Agnieszka Surwillo9, Iwona Traczyk9, Christian A Drevon10, Keith Grimaldi11, Jildau Bouwman12, Mike J Gibney6, Marianne C Walsh6, Eileen R Gibney6, Lorraine Brennan6, Julie A Lovegrove5, J Alfredo Martinez4, Wim Hm Saris3, John C Mathers13.   

Abstract

Background: There has been limited evidence about whether genotype-tailored advice provides extra benefits in reducing obesity-related traits compared with the benefits of conventional one-size-fits-all advice.Objective: We determined whether the disclosure of information on fat-mass and obesity-associated (FTO) genotype risk had a greater effect on a reduction of obesity-related traits in risk carriers than in nonrisk carriers across different levels of personalized nutrition.Design: A total of 683 participants (women: 51%; age range: 18-73 y) from the Food4Me randomized controlled trial were included in this analysis. Participants were randomly assigned to 4 intervention arms as follows: level 0, control group; level 1, dietary group; level 2, phenotype group; and level 3, genetic group. FTO (single nucleotide polymorphism rs9939609) was genotyped at baseline in all participants, but only subjects who were randomly assigned to level 3 were informed about their genotypes. Level 3 participants were stratified into risk carriers (AA/AT) and nonrisk carriers (TT) of the FTO gene for analyses. Height, weight, and waist circumference (WC) were self-measured and reported at baseline and months 3 and 6.
Results: Changes in adiposity markers were greater in participants who were informed that they carried the FTO risk allele (level 3 AT/AA carriers) than in the nonpersonalized group (level 0) but not in the other personalized groups (level 1 and 2). Mean reductions in weight and WC at month 6 were greater for FTO risk carriers than for noncarriers in the level 3 group [-2.28 kg (95% CI: -3.06, -1.48 kg) compared with -1.99 kg (-2.19, -0.19 kg), respectively (P = 0.037); and -4.34 cm (-5.63, -3.08 cm) compared with -1.99 cm (-4.04, -0.05 cm), respectively, (P = 0.048)].Conclusions: There are greater body weight and WC reductions in risk carriers than in nonrisk carriers of the FTO gene. This trial was registered at clinicaltrials.gov as NCT01530139.
© 2017 American Society for Nutrition.

Entities:  

Keywords:  FTO; genotype; personalized nutrition; randomized controlled trial; weight

Mesh:

Substances:

Year:  2017        PMID: 28381478     DOI: 10.3945/ajcn.116.145680

Source DB:  PubMed          Journal:  Am J Clin Nutr        ISSN: 0002-9165            Impact factor:   7.045


  18 in total

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