Obesity

DNA Methylation at ABCG1 and Long-term Changes in Adiposity and Fat Distribution in Response to Dietary Interventions: The POUNDS Lost Trial

Diabetes CarePublished Secondary analysis of the POUNDS Lost randomised trial

Authors' conclusion

Baseline DNA methylation at ABCG1 interacted with dietary protein intake on long-term decreases in adiposity and body fat distribution. Participants with lower methylation at ABCG1 benefitted more in long-term reductions in body weight, waist circumference, and body fat distribution when consuming an average-protein diet.

Study context

Population
Overweight/obese participants from the POUNDS Lost trial; blood regional DNA methylation at ABCG1 profiled at baseline by methylC-capture sequencing543 followed at 2 years
Participants
673 participants
Comparison
Interaction of baseline ABCG1 DNA methylation with average-protein (15%) vs high-protein (25%) diet
Primary endpoint
Changes in adiposity (body weight, waist circumference) and CT-measured body fat distribution
Follow-up
6 months and 2 years

Primary result

As reported in the abstract

  • Average-protein diet: lower baseline ABCG1 methylation associated with greater reductions in body weight and waist circumference
  • High-protein diet: opposite associations
  • Average-protein (15%) vs High-protein (25%): interaction P < 0.05 for all

Further findings

OutcomeP value
CT-measured body fat distribution (VAT, SAT, deep SAT, total adipose tissue) · 6 months and 2 yearsDiet × ABCG1 methylation interactioninteraction P < 0.05 for all

CT-measured body fat distribution (VAT, SAT, deep SAT, total adipose tissue) · 6 months and 2 years

Similar interaction patterns as for body weight and waist circumference

Original publication

DNA Methylation at ABCG1 and Long-term Changes in Adiposity and Fat Distribution in Response to Dietary Interventions: The POUNDS Lost Trial. Diabetes Care. Published 28 September 2023. doi:10.2337/dc23-0748

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