Genetic epidemiology of cardiometabolic risk factors and their clustering patterns in Mexican American children and adolescents

The SAFARI Study

Sharon P. Fowler, Sobha Puppala, Rector Arya, Geetha Chittoor, Vidya S. Farook, Jennifer Schneider, Roy G. Resendez, Ram Prasad Upadhayay, Jane Vandeberg, Kelly J. Hunt, Benjamin Bradshaw, Eugenio Cersosimo, John L. Vandeberg, Laura Almasy, Joanne E. Curran, Anthony G. Comuzzie, Donna M Lehman, Christopher P. Jenkinson, Jane L Lynch, Ralph A Defronzo & 3 others John Blangero, Daniel E. Hale, Ravindranath Duggirala

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Pediatric metabolic syndrome (MS) and its cardiometabolic components (MSCs) have become increasingly prevalent, yet little is known about the genetics underlying MS risk in children. We examined the prevalence and genetics of MS-related traits among 670 non-diabetic Mexican American (MA) children and adolescents, aged 6-17 years (49 % female), who were participants in the San Antonio Family Assessment of Metabolic Risk Indicators in Youth study. These children are offspring or biological relatives of adult participants from three well-established Mexican American family studies in San Antonio, TX, at increased risk of type 2 diabetes. MS was defined as ≥3 abnormalities among 6 MSC measures: waist circumference, systolic and/or diastolic blood pressure, fasting insulin, triglycerides, HDL-cholesterol, and fasting and/or 2-h OGTT glucose. Genetic analyses of MS, number of MSCs (MSC-N), MS factors, and bivariate MS traits were performed. Overweight/obesity (53 %), pre-diabetes (13 %), acanthosis nigricans (33 %), and MS (19 %) were strikingly prevalent, as were MS components, including abdominal adiposity (32 %) and low HDL-cholesterol (32 %). Factor analysis of MS traits yielded three constructs: adipo-insulin-lipid, blood pressure, and glucose factors, and their factor scores were highly heritable. MS itself exhibited 68 % heritability. MSC-N showed strong positive genetic correlations with obesity, insulin resistance, inflammation, and acanthosis nigricans, and negative genetic correlation with physical fitness. MS trait pairs exhibited strong genetic and/or environmental correlations. These findings highlight the complex genetic architecture of MS/MSCs in MA children, and underscore the need for early screening and intervention to prevent chronic sequelae in this vulnerable pediatric population.

Original languageEnglish (US)
Pages (from-to)1059-1071
Number of pages13
JournalHuman Genetics
Volume132
Issue number9
DOIs
StatePublished - Sep 2013

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Molecular Epidemiology
Cluster Analysis
Acanthosis Nigricans
Blood Pressure
HDL Cholesterol
Fasting
Obesity
HDL2 Lipoprotein
Insulin
Pediatrics
Physical Fitness
Adiposity
Waist Circumference
Vulnerable Populations
Glucose Tolerance Test
Type 2 Diabetes Mellitus
Statistical Factor Analysis
Insulin Resistance
Blood Glucose
Triglycerides

ASJC Scopus subject areas

  • Genetics(clinical)
  • Genetics

Cite this

Genetic epidemiology of cardiometabolic risk factors and their clustering patterns in Mexican American children and adolescents : The SAFARI Study. / Fowler, Sharon P.; Puppala, Sobha; Arya, Rector; Chittoor, Geetha; Farook, Vidya S.; Schneider, Jennifer; Resendez, Roy G.; Upadhayay, Ram Prasad; Vandeberg, Jane; Hunt, Kelly J.; Bradshaw, Benjamin; Cersosimo, Eugenio; Vandeberg, John L.; Almasy, Laura; Curran, Joanne E.; Comuzzie, Anthony G.; Lehman, Donna M; Jenkinson, Christopher P.; Lynch, Jane L; Defronzo, Ralph A; Blangero, John; Hale, Daniel E.; Duggirala, Ravindranath.

In: Human Genetics, Vol. 132, No. 9, 09.2013, p. 1059-1071.

Research output: Contribution to journalArticle

Fowler, SP, Puppala, S, Arya, R, Chittoor, G, Farook, VS, Schneider, J, Resendez, RG, Upadhayay, RP, Vandeberg, J, Hunt, KJ, Bradshaw, B, Cersosimo, E, Vandeberg, JL, Almasy, L, Curran, JE, Comuzzie, AG, Lehman, DM, Jenkinson, CP, Lynch, JL, Defronzo, RA, Blangero, J, Hale, DE & Duggirala, R 2013, 'Genetic epidemiology of cardiometabolic risk factors and their clustering patterns in Mexican American children and adolescents: The SAFARI Study', Human Genetics, vol. 132, no. 9, pp. 1059-1071. https://doi.org/10.1007/s00439-013-1315-2
Fowler, Sharon P. ; Puppala, Sobha ; Arya, Rector ; Chittoor, Geetha ; Farook, Vidya S. ; Schneider, Jennifer ; Resendez, Roy G. ; Upadhayay, Ram Prasad ; Vandeberg, Jane ; Hunt, Kelly J. ; Bradshaw, Benjamin ; Cersosimo, Eugenio ; Vandeberg, John L. ; Almasy, Laura ; Curran, Joanne E. ; Comuzzie, Anthony G. ; Lehman, Donna M ; Jenkinson, Christopher P. ; Lynch, Jane L ; Defronzo, Ralph A ; Blangero, John ; Hale, Daniel E. ; Duggirala, Ravindranath. / Genetic epidemiology of cardiometabolic risk factors and their clustering patterns in Mexican American children and adolescents : The SAFARI Study. In: Human Genetics. 2013 ; Vol. 132, No. 9. pp. 1059-1071.
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AU - Farook, Vidya S.

AU - Schneider, Jennifer

AU - Resendez, Roy G.

AU - Upadhayay, Ram Prasad

AU - Vandeberg, Jane

AU - Hunt, Kelly J.

AU - Bradshaw, Benjamin

AU - Cersosimo, Eugenio

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AU - Jenkinson, Christopher P.

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