Obesity

Mediterranean diet and obesity polygenic risk interaction on adiposity in European children: The IDEFICS/I.Family Study

Pediatr ObesPublished Cohort study with cross-sectional and longitudinal analyses

Authors' conclusion

In cross-sectional analysis (baseline and FU2), the MD modulated the association between obesity susceptibility and adiposity indicators in European youth, having an exacerbating effect in children measured during infancy years and an attenuating effect in early adolescent years.

Study context

Population
European children and adolescents aged 2–16 years, IDEFICS/I.Family studies1,254 longitudinal
Exposure
Mediterranean Diet Score × BMI polygenic risk score on adiposity markers
Outcome
BMI and other obesity markers (gene × MD interaction)
Methodological detailsIDEFICS/I.Family, gene × diet interaction, multiple linear regression, Cross-sectional: 1982 at baseline, 1649 at FU1, 1907 at FU2
  • IDEFICS/I.Family
  • Gene × diet interaction
  • Multiple linear regression
  • Cross-sectional: 1982 at baseline, 1649 at FU1, 1907 at FU2

Main finding

As reported in the abstract

BMI per higher MDS in children with high genetic susceptibility (cross-sectional)

Baseline: higher Mediterranean Diet Score (MDS) associated with higher BMI, β

0.12

95% CI 0.01, 0.24

FU2 (6 years later): higher MDS associated with lower BMI, β

−0.19

95% CI −0.38, −0.01

Observational data: associations, not effects.

Further findings

Vegetables and legumes (V&L) and BMI/WC, FU2, regardless of genetic risk

BMI, β
−0.01 (CI −0.02, −0.00)
WC, β
−0.02 (CI −0.03, −0.00)
  • Effect sizes small

Longitudinal analyses

No MDS-obesity associations or gene × diet interaction effects observed

Original publication

Mediterranean diet and obesity polygenic risk interaction on adiposity in European children: The IDEFICS/I.Family Study. Pediatr Obes. Published 19 May 2025. doi:10.1111/ijpo.70023

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