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Original Studies |
Genotypes with Body Mass Index in Normal Healthy Postmenopausal Caucasian Women1
Osteoporosis Research Center and Department of Biomedical Sciences, Creighton University (H.-W.D., J.L., R.D., K.M.D., M.J., G.G., H.D., R.R.R.), Omaha, Nebraska 68131; and Laboratory of Molecular and Statistical Genetics, HuNan Normal University College of Life Sciences (H.-W.D.), ChangSha 41800, Peoples Republic of China
Address all correspondence and requests for reprints to: Hong-Wen Deng, Ph.D., Osteoporosis Research Center, Creighton University, 601 North 30th Street, Omaha, Nebraska 68131. E-mail: deng{at}creighton.edu
Several lines of evidence suggest the importance of the estrogen
receptor (ER) in determining body mass index (BMI). Our purpose was to
investigate whether genetic polymorphisms at the restriction enzyme
PvuII site of the ER-
gene locus are associated with
BMI variation. Data on BMI, age, and ER-
genotypes were obtained
from 108 healthy midwestern U.S. postmenopausal Caucasian women. The
study subjects were unrelated and aged 65 yr and over (mean age ±
SD, 73.4 ± 5.1 yr), with an average BMI of 25.25
(SD, 4.04). The ER-
genotypes were obtained by PCR
followed by restriction enzyme PvuII digestion. We found
that in our study subjects the ER-
genotypes are significantly
associated with BMI (by ANOVA, P = 0.04),
explaining about 6.2% of the BMI variation in our study sample. The
allelic effects of this locus on BMI are approximately additive. In our
sample, individuals of the PP and Pp genotypes have, respectively,
11.4% and 4.8% higher BMI than individuals of the pp genotype. There
is a significant ER-
genotype by age interaction, so that in our
sample PP individuals tend to gain weight with age, whereas Pp and pp
individuals tend to lose weight with age. Therefore, the ER-
polymorphisms are associated with BMI variation in healthy
postmenopausal Caucasian women aged 65 yr and over. Our result is
consistent with some recent findings suggesting the potential effects
of the ER on BMI. The importance of the ER-
genotypes in other
populations and other age groups needs to be demonstrated. Although the
results of the ER-
genotype by age interaction are obtained here
from cross-sectional data, direct confirmation may come from
longitudinal studies in which individuals are measured multiple times
over several years. The importance of the ER-
genotypes on BMI
should be confirmed by further studies using methods robust to the
potential problem of population substructuring that may confound the
conclusions of population association studies.
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