Role of the variant in adiponectin gene rs266729 on weight loss and cardiovascular risk factors after a hypocaloric diet with the Mediterranean pattern

Nutrition. 2019 Apr:60:1-5. doi: 10.1016/j.nut.2018.08.018. Epub 2018 Aug 23.

Abstract

Objectives: The role of ADIPOQ gene variants on weight loss after a dietary intervention remain unclear. The aim of this study was to analyze the effects of rs266729 of the ADIPOQ gene on cardiovascular risk factors and adiposity parameters after adherence to a Mediterranean-type hypocaloric diet.

Method: Eighty-three obese patients were studied before and after 12 wk on a Mediterranean-type hypocaloric diet. Anthropometric parameters and biochemical profiles were measured. The variant of ADIPOQ gene rs266729 was assessed at basal time by polymerase chain reaction at real time.

Results: Two genotype groups were realized (CC versus CG + GG). The final genotype distribution was 48 patients CC (57.8%), 30 patients CG (36.2%) and 5 patients GG (6%). After dietary intervention with a moderate calorie restriction and in both genotypes, body mass index (BMI), weight, fat mass, systolic blood pressure, and waist circumference decreased. After dietary intervention and in non-G allele carriers (CC versus CG+ GG), glucose (δ: -6.2 ± 1.1 versus -2.9 ± 1.2 mg/dL; P = 0.02), total cholesterol (δ:-15.2 ± 3.1 versus -3.4 ± 2 mg/dL; P = 0.02), low-density lipoprotein cholesterol (δ, -14.9 ± 3.1 versus -4.9 ± 1.2 mg/dL; P = 0.01), insulin levels (δ, -4± 0.6 versus 0.7 ± 0.3 UI/L;P = 0.01), homeostasis model assessment for insulin resistance (δ, -1.6 ± 0.4 versus -0.2 ± 0.4 units; P = 0.01), and adiponectin (δ, -10.4 ± 3.1 versus -1.3 ± 1.0 ng/dL; P = 0.01) improved.

Conclusion: After weight loss, the CC genotype of ADIPOQ gene variant (rs266729) is associated with increases in adiponectin levels and decreases of low-density lipoprotein cholesterol, insulin and homeostasis model assessment for insulin resistance after weight loss.

Keywords: Adipokines; Adiponectin gene; Cardiovascular risk factors; Hypocaloric diet; rs266729.

Publication types

  • Clinical Trial

MeSH terms

  • Adiponectin
  • Adult
  • Aged
  • Anthropometry
  • Blood Glucose / genetics
  • Body Mass Index
  • Body Weight
  • Caloric Restriction / methods*
  • Cardiovascular Diseases / genetics*
  • Cholesterol, LDL / blood
  • Diet, Mediterranean*
  • Diet, Reducing / methods*
  • Female
  • Genotype
  • Humans
  • Insulin / blood
  • Insulin Resistance / genetics
  • Male
  • Middle Aged
  • Obesity / blood
  • Obesity / diet therapy
  • Obesity / genetics*
  • Risk Factors
  • Treatment Outcome
  • Waist Circumference / genetics
  • Weight Loss / genetics*

Substances

  • ADIPOQ protein, human
  • Adiponectin
  • Blood Glucose
  • Cholesterol, LDL
  • Insulin