Polygenic Risk Score to Predict Weight Loss Intervention in Children With Obesity

  • STATUS
    Recruiting
  • End date
    Jul 31, 2025
  • participants needed
    300
  • sponsor
    Far Eastern Memorial Hospital
Updated on 4 October 2022

Summary

Children with obesity are prone to suffering from metabolic diseases, which undoubtedly increases the burden of public health. Since obesity is a multiple gene disease, a comprehensive approach using polygenic risk scores (PRS), rather than individual genetic variant, may be a more appropriate method. The aim of the study was to establish a polygenic risk score model to assess differences to assess differences in weight loss treatment outcomes.

Description

We hypothesize that obesity gene variants can predict the efficacy of weight loss intervention in obese children. The aim of the study was to establish a polygenic risk score model to assess differences to assess differences in weight loss treatment outcomes. We will also analyze whether these gene variants have an effect on obesity comorbidities (hypertension, hyperlipidemia, non-alcoholic fatty liver disease, type 2 diabetes, obstructive sleep apnea, polycystic ovary syndrome, etc.). For patients with non-simple obesity, we will collect their complete family history, and perform whole exome sequencing to identify possible rare disease-causing genes.

The experimental design is as follows:

Obese children and adolescent subjects will undergo a 6-month weight loss intervention program and be followed for 12-18 months. We will analyze obesity and fatty liver-related genes in these adolescents using next-generation gene sequencing and/or gene chips, perform polygenic risk score analysis, and use an additive model to total the number of variant loci, weighted by effect size. Whole exome gene sequencing refers to the human DNA map (hg19), and Sanger sequencing is used to confirm the correctness of the variant site.

Details
Condition Obesity, Children
Clinical Study IdentifierNCT05466097
SponsorFar Eastern Memorial Hospital
Last Modified on4 October 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Age <18 years old
Obesity definition: BMI > 95% according to the age- and gender-specific standard by National Health Institute in Taiwan
Willing to give written informed consent

Exclusion Criteria

Alcohol consumption
Major systemic diseases, including cardiopulmonary disease, renal failure, cancer, and major psychotic disorder
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