PMID- 28960774 OWN - NLM STAT- MEDLINE DCOM- 20181105 LR - 20181105 IS - 2047-6310 (Electronic) IS - 2047-6302 (Linking) VI - 13 IP - 3 DP - 2018 Mar TI - The BDNF Val66Met polymorphism is associated with lower BMI, lower postprandial glucose levels and elevated carbohydrate intake in children and adolescents. PG - 159-167 LID - 10.1111/ijpo.12238 [doi] AB - BACKGROUND: The amino acid-changing exonic variant rs6265 (Val66Met polymorphism) in the brain-derived neurotrophic factor (BDNF) has been linked to obesity in several genotype-phenotype association studies. OBJECTIVE: To identify metabolic factors by which this effect might be conveyed, we aimed to investigate its correlation with (i) obesity, (ii) metabolic parameters, (iii) serum levels of BDNF and (iv) measures of energy intake in children and adolescents. METHODS: We genotyped the variant in 2131 subjects (age 6-18 years) and checked for an association with obesity. Secondly, we correlated the genotype with parameters of glucose and lipid metabolism (fasting/postprandial glucose and insulin levels, HbA1c, homeostasis model assessment, Matsuda, high-density lipoprotein, low-density lipoprotein, total cholesterol and triglycerides) in a smaller subset of 845 subjects. We determined BDNF serum levels in 177 individuals by enzyme-linked immunosorbent assay and assessed the association with genotype and metabolic parameters. Finally, we investigated the association between genotype and macronutrient intake from self-reported food diaries (n = 146). RESULTS: The minor Met allele was associated with lower BMI standard deviation score (p = 0.002). Post-pubertal Met allele carriers showed lower postprandial glucose levels and a lower HbA1c (beta = 0.15, p = 0.046 and beta = 0.27, p = 0.012, respectively). Neither the genotype nor any of the metabolic parameters correlated with BDNF serum levels. We observed an increased total calorie intake (beta = -0.21, p = 0.007) with increased carbohydrate and protein intake (beta = -0.22, p = 0.005 and beta = -0.14, p = 0.028, respectively) in Met allele carriers. CONCLUSIONS: We confirmed the association of the minor Met allele with lower BMI in children and provide new data that it is associated with lower postprandial glucose in post-pubertal subjects. Moreover, Met allele carriers reported to consume more carbohydrates and proteins. CI - (c) 2017 World Obesity Federation. FAU - Kalenda, A AU - Kalenda A AD - Center for Pediatric Research Leipzig (CPL), University Hospital for Children and Adolescents, University Hospital Leipzig, Leipzig, Germany. AD - Integrated Research and Treatment Centre (IFB) AdiposityDiseases, University of Leipzig, Leipzig, Germany. FAU - Landgraf, K AU - Landgraf K AD - Center for Pediatric Research Leipzig (CPL), University Hospital for Children and Adolescents, University Hospital Leipzig, Leipzig, Germany. AD - Integrated Research and Treatment Centre (IFB) AdiposityDiseases, University of Leipzig, Leipzig, Germany. FAU - Loffler, D AU - Loffler D AD - Center for Pediatric Research Leipzig (CPL), University Hospital for Children and Adolescents, University Hospital Leipzig, Leipzig, Germany. AD - Integrated Research and Treatment Centre (IFB) AdiposityDiseases, University of Leipzig, Leipzig, Germany. FAU - Kovacs, P AU - Kovacs P AD - Integrated Research and Treatment Centre (IFB) AdiposityDiseases, University of Leipzig, Leipzig, Germany. FAU - Kiess, W AU - Kiess W AD - Center for Pediatric Research Leipzig (CPL), University Hospital for Children and Adolescents, University Hospital Leipzig, Leipzig, Germany. FAU - Korner, A AU - Korner A AD - Center for Pediatric Research Leipzig (CPL), University Hospital for Children and Adolescents, University Hospital Leipzig, Leipzig, Germany. AD - Integrated Research and Treatment Centre (IFB) AdiposityDiseases, University of Leipzig, Leipzig, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170927 PL - England TA - Pediatr Obes JT - Pediatric obesity JID - 101572033 RN - 0 (Blood Glucose) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Lipids) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Adolescent MH - Alleles MH - Blood Glucose/*genetics MH - Body Mass Index MH - Brain-Derived Neurotrophic Factor/blood/*genetics MH - Carbohydrate Metabolism/genetics MH - Child MH - Energy Intake/*genetics MH - Feeding Behavior MH - Female MH - Genotype MH - Humans MH - Lipid Metabolism/genetics MH - Lipids/blood MH - Male MH - Pediatric Obesity/*genetics MH - Polymorphism, Single Nucleotide MH - Postprandial Period OTO - NOTNLM OT - BDNF OT - Val66Met polymorphism OT - glucose metabolism - children OT - obesity EDAT- 2017/09/30 06:00 MHDA- 2018/11/06 06:00 CRDT- 2017/09/30 06:00 PHST- 2017/04/09 00:00 [received] PHST- 2017/08/05 00:00 [accepted] PHST- 2017/09/30 06:00 [pubmed] PHST- 2018/11/06 06:00 [medline] PHST- 2017/09/30 06:00 [entrez] AID - 10.1111/ijpo.12238 [doi] PST - ppublish SO - Pediatr Obes. 2018 Mar;13(3):159-167. doi: 10.1111/ijpo.12238. Epub 2017 Sep 27.