PMID- 31544728 OWN - NLM STAT- MEDLINE DCOM- 20200605 LR - 20221207 IS - 1475-2662 (Electronic) IS - 0007-1145 (Linking) VI - 122 IP - 8 DP - 2019 Oct 28 TI - Carbohydrate and sodium intake and physical activity interact with genetic risk scores of four genetic variants mainly related to lipid metabolism to modulate metabolic syndrome risk in Korean middle-aged adults. PG - 919-927 LID - 10.1017/S0007114519001752 [doi] AB - Metabolic syndrome (MetS) risk is influenced by genetic and environmental factors. The present study explored genetic risk scores (GRS) of genetic variants that influence the MetS and the effect of interactions between GRS and nutrient intake on MetS risk. The genetic variants that influence MetS risk were selected by genome-wide association study after adjusting for age, sex, area of residence and BMI in 8840 middle-aged adults. GRS were calculated by summing the risk alleles of the selected SNP and divided into low (0-1), medium (2-3) and high (4-7) risk groups, and the relationships between the MetS and GRS were determined by logistic regression after adjusting covariates involved in MetS risk. We also analysed the interaction between GRS and lifestyles. Four genetic variants (APOA5_rs651821, EFCAB4B_rs4766165, ZNF259_rs2160669 and APOBEC1_rs10845640) were selected because they increased MetS risk after adjusting for covariates. Individuals with medium-GRS and high-GRS alleles had a higher MetS risk by 1.48- and 2.23-fold, respectively, compared with those with low-GRS after adjusting for covariates. The increase in MetS risk was mainly related to serum TAG and HDL-cholesterol concentrations. The GRS had an interaction with carbohydrate (CHO) and Na intakes and daily physical activities for MetS risk. In conclusion, Asian middle-aged adults with high-GRS alleles were at increased MetS risk mainly due to dyslipidaemia. High daily physical activity (>/=1 h moderate activity per d) reduced the MetS risk but a low-CHO diet (<65 % of total energy intake) increased the risk in carriers with high-GRS alleles. Low Na intake (<1.6 g Na intake/4 MJ) did not decrease its risk. FAU - Zhou, Jun-Yu AU - Zhou JY AD - Department of Food and Nutrition, College of Life and Health Sciences, Hoseo University, Asan, Chungnam 31499, Republic of Korea. FAU - Song, Mi Young AU - Song MY AD - Department of Culinary Nutrition & Food Science, Woo Song University, Daejeon 34606, Republic of Korea. FAU - Park, Sunmin AU - Park S AD - Department of Food and Nutrition, College of Life and Health Sciences, Hoseo University, Asan, Chungnam 31499, Republic of Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190923 PL - England TA - Br J Nutr JT - The British journal of nutrition JID - 0372547 RN - 0 (Dietary Carbohydrates) RN - 0 (Sodium, Dietary) SB - IM MH - Adult MH - Aged MH - Alleles MH - Asian People/genetics MH - Diet/adverse effects MH - Dietary Carbohydrates/*adverse effects MH - Energy Intake/*genetics MH - *Exercise MH - Female MH - Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - Humans MH - Life Style MH - Lipid Metabolism/genetics MH - Logistic Models MH - Male MH - Metabolic Syndrome/*genetics MH - Middle Aged MH - Polymorphism, Single Nucleotide MH - Republic of Korea MH - Risk Factors MH - Sodium, Dietary/*adverse effects OTO - NOTNLM OT - Dyslipidaemia OT - Genetic risk score OT - Lifestyles OT - Metabolic syndrome OT - Nutrients OT - SNP EDAT- 2019/09/24 06:00 MHDA- 2020/06/06 06:00 CRDT- 2019/09/24 06:00 PHST- 2019/09/24 06:00 [pubmed] PHST- 2020/06/06 06:00 [medline] PHST- 2019/09/24 06:00 [entrez] AID - S0007114519001752 [pii] AID - 10.1017/S0007114519001752 [doi] PST - ppublish SO - Br J Nutr. 2019 Oct 28;122(8):919-927. doi: 10.1017/S0007114519001752. Epub 2019 Sep 23.