Health Behavior Clinical Trial
Official title:
The Association Between TCF7L2 rs7903146, Diet and Type 2 Diabetes Mellitus Risk
This study investigates the association of genetic effects of rs7903146 and dietary intake on type 2 Diabetes Mellitus (T2DM) risk in a healthy population. T2DM risk was assessed through glycated haemoglobin (HbA1c) concentration in 73 subjects. Dietary intake was assessed using a validated food frequency questionnaire (FFQ).
Type 2 diabetes mellitus (T2DM) is a global epidemic linked to 1.6 million deaths in 2016.
Diet, lifestyle and environment contribute significantly to T2DM-risk. Genome-wide
association studies identify the transcription factor 7-like 2 (TCF7L2) rs7903146 (C/T) gene
as one of the most important associated with T2DM-risk. The T-allele is associated with a
two-fold increase in relative risk of T2DM across different populations. However, most
studies associating genetic effects of dietary intake on rs7903146 and T2DM-risk utilised
volatile instantaneous measures of glucose(5) and focussed on individual macronutrients.
Understanding the association of rs7903146 and overall macronutrient intake using a stable
blood homeostasis marker may provide a fuller insight into T2DM-risk.
The study included data for all variables (participant characteristics: sex (female/male),
age (years), height (cm), weight (kg), body mass index (BMI) (kg/m2), body fat percentage
(%), fat mass (kg), lean mass (kg), waist/hip (ratio), dietary intake, HbA1c (mmol/mol and %)
and physical activity (hours/week). All data was collected at St Mary's University between
April to July 2019. Participants was genotyped and allocated into two groups: major allele
(C) homozygote versus minor allele (T) homozygote plus heterozygote. T2DM-risk was assessed
through their value of HbA1c and participants were classified as follows: normal
(<42mmol/mol/ <6.0%), pre-diabetic (42 to 47 mmol/mol/ 6.0% to 6.4%), diabetes (48mmol/mol
/6.5% or over).
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