Obesity Clinical Trial
To conduct a genetic epidemiologic study of the coronary heart disease (CHD) risk factors of blood lipids and obesity in Black and white girls who participated in the NHLBI-supported National Growth and Health Study (NGHS). The study was ancillary to NGHS.
BACKGROUND:
The National Growth and Health Study, NGHS, was an epidemiologic study of 2,379 black and
white girls, ages 9-10 years at entry, who were followed annually. The ancillary study had
the potential for identifying those genes involved in determining Black/white differences in
lipid metabolism and obesity. This was an exciting area in which there was virtually no
available information. Finally, the study permitted an examination of the effects of gene
variation on changes in quantitative levels of blood lipids as well as in body fat during
different stages of pubescence since the NGHS protocol included annual anthropometric and
maturation assessments and biannual blood lipid determinations along with extensive
environmental measures which included dietary, household, and psychosocial information. The
study was unique because of the rare opportunity to do genetic analyses in a large cohort of
two ethnic groups of children on whom a very rich data base was available.
DESIGN NARRATIVE:
The study was an independent research project ancillary to the NGHS and utilized the
extensive biological and environmental information available from the NGHS core data base.
Blood samples were obtained from 1,133 girls seen at their followup examinations in Year 7
in order to determine genotypes at those loci known to be implicated in lipid metabolism and
obesity. Both protein [apolipoproteins C-II, D, and E and LP(a)] and DNA [apolipoprotein B,
lipoprotein lipase (LPL), and LDL receptor] were analyzed. The distribution of genetic
variation within each ethnic group was determined. At each candidate gene locus, the
genotype effects were estimated on quantitative level of apolipoproteins and lipoproteins,
and also on the degree and distribution of body fat after adjusting for concomitant
variables (such as age, biologic maturation stage adiposity) within each ethnic group. By
comparing the frequencies of genotypes at candidate loci, their allelic effects were
assessed as well as their impact on blood lipids and obesity development in Black and white
females.
The study completion date listed in this record was obtained from the "End Date" entered in
the Protocol Registration and Results System (PRS) record.
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