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  • Original Article
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Integrative Biology

FTO association and interaction with time spent sitting

Abstract

Background/Objectives:

Multiple studies have revealed an interaction between a variant in the FTO gene and self-reported physical activity on body mass index (BMI). Physical inactivity, such as time spent sitting (TSS) has recently gained attention as an important risk factor for obesity and related diseases. It is possible that FTO interacts with TSS to affect BMI, and/or that FTO’s putative effect on BMI is mediated through TSS.

Subjects/Methods:

We tested these hypotheses in two cohorts of the Framingham Heart Study (FHS) (Offspring: n=3430 and Third Generation: n=3888), and attempted to replicate our results in the Women’s Health Initiative (WHI; n=4756). Specifically, we examined whether an association exists between FTO and self-reported TSS, and whether an interaction exists between FTO and TSS on BMI, while adjusting for several important covariates such as physical activity.

Results:

In FHS, we find a significant positive association between the BMI-increasing FTO allele and TSS. We find a similar trend in WHI. Mediation analyses suggest that the effect of FTO on BMI is mediated through TSS. In FHS, we find a significant interaction of FTO and TSS on BMI, whereby the association of TSS with BMI is greatest among those with more FTO risk alleles. In WHI, we also find a significant interaction, although the direction is opposite to that in FHS. In a meta-analysis of the two data sets, there is no net interaction of FTO with TSS on BMI.

Conclusions:

Our study suggests that FTO exerts its effect on BMI, at least partly, through energy expenditure mechanisms such as TSS. Further research into the intersection of genetics, sedentary behavior and obesity-related outcomes is warranted.

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Acknowledgements

The authors would like to thank the participants and organizers of the FHS, and WHI studies. Data from these studies was obtained from database of Genotypes and Phenotypes through accession numbers: phs000007.v23.p8 and phs000200.v9.p3.c1. YCK was supported by NIH Grant K01DK095032. FHS: The FHS is conducted and supported by the National Heart, Lung and Blood Institute (NHLBI) in collaboration with Boston University (Contract No. N01-HC-25195). This manuscript was not prepared in collaboration with investigators of the FHS and does not necessarily reflect the opinions or views of the FHS, Boston University or NHLBI. Funding for SHARe Affymetrix genotyping was provided by NHLBI Contract N02-HL-64278. SHARe Illumina genotyping was provided under an agreement between Illumina and Boston University. WHI: The WHI program is funded by the National Heart, Lung and Blood Institute, National Institutes of Health, U.S. Department of Health and Human Services through Contracts N01WH22110, 24152, 32100-2, 32105-6, 32108-9, 32111-13, 32115, 32118-32119, 32122, 42107-26, 42129-32 and 44221. This manuscript was not prepared in collaboration with investigators of the WHI, has not been reviewed and/or approved by the WHI, and does not necessarily reflect the opinions of the WHI investigators or the NHLBI. SHARe: Funding for WHI SHARe genotyping was provided by NHLBI Contract N02-HL-64278.

Author contributions

YCK designed the study and wrote the manuscript. AA, AC and YCK performed data management and analysis. YCK, AA, AC, JZ and DR contributed to discussion, helped write the manuscript and reviewed/edited the manuscript.

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Correspondence to Y C Klimentidis.

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Klimentidis, Y., Arora, A., Chougule, A. et al. FTO association and interaction with time spent sitting. Int J Obes 40, 411–416 (2016). https://doi.org/10.1038/ijo.2015.190

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