OBJECTIVE-The underlying genetic component of obesityrelated traits is not well understood, and there is limited evidence to support genetic association shared across multiple studies, populations, and environmental contexts. The present study investigated the association between candidate variants and obesity-related traits in a sample of 1,886 adult Filipino women from the Cebu Longitudinal Health and Nutrition Survey (CLHNS) cohort. selected and genotyped 19 single nucleotide polymorphisms in 10 genes (ADRB2, ADRB3 , FTO, GNB3, INSIG2, LEPR, PPARG, TNF, UCP2, and UCP3) that had been previously reported to be associated with an obesity-related quantitative trait.
RESEARCH DESIGN AND METHODS-WeRESULTS-We observed evidence for association of the A allele of rs9939609 (FTO intron 1) with increased BMI (P ϭ 0.0072 before multiple test correction), baseline BMI (P ϭ 0.0015), longitudinal BMI based on eight surveys from 1983 to 2005 (P ϭ 0.000029), waist circumference (P ϭ 0.0094), and weight (P ϭ 0.021). The increase in average BMI was ϳ0.4 for each additional A allele. We also observed association of the ADRB3 Trp64Arg variant with BMI, waist circumference, percent body fat, weight, fat mass, arm fat area, and arm muscle area (P Ͻ 0.05), although the direction of effect is inconsistent with the majority of previous reports.CONCLUSIONS-Our study confirms that FTO is a common obesity susceptibility gene in Filipinos, with an effect size similar to that seen in samples of European origin. Diabetes 57: [1987][1988][1989][1990][1991] 2008 O besity is a worldwide epidemic, affecting individuals across all age groups, socioeconomic classes, and ethnicities; numerous association studies have attempted to identify genetic variants that influence susceptibility to obesity (1). As of 2005, 22 candidate genes contained a variant reported to be associated (P Ͻ 0.05) with an obesity-related trait in at least five studies; however, additional reports for these genes have been inconsistent (1).More recently, genome-wide association (GWA) studies have identified variants in additional genes. Single nucleotide polymorphism (SNP) rs7566605, near insulin-induced gene 2 (INSIG2) and found to be associated with BMI (2), has not been consistently replicated (3-7). Several variants in the fat mass-and obesity-associated (FTO) gene identified through two independent GWA studies (8,9) and a third study (10) were associated with BMI and risk of being overweight in children and adults in cohorts of Europeans, European Americans, and Hispanic Americans, but not in African Americans. FTO association was also observed for hip circumference, waist circumference, and subcutaneous fat mass assessed using skinfolds (8,9). Two studies observed FTO association with percentage of fat mass and dual-energy X-ray absorptiometry-derived fat mass in children (8,10). FTO variants have the most consistent replication across multiple populations to date, suggesting that this locus is a likely risk factor for obesity.In the current study, we examined 19 ...