Obesity

Obesity risk in young adults from the Jerusalem Perinatal Study (JPS): the contribution of polygenic risk and early life exposure

Int J Obes (Lond)Published Prospective birth cohort study

Main finding · Obesity (BMI ≥ 30) predictionResult — go to the resultNRI 0.147 95% CI 0.068–0.225

Authors' conclusion

Inclusion of early life exposures, such as mppBMI and maternal smoking, to a model based on PRS improves obesity risk prediction in an Israeli population-sample.

Study context

Population
Jerusalem Perinatal Study offspring with data at birth and BMI and waist circumference (WC) measured at age 32
Exposure
Polygenic risk score (PRS) model vs PRS plus early socio-demographic and perinatal exposures
Outcome
Prediction of obesity (BMI ≥ 30): AUC, NRI and integrated discrimination improvement (IDI)
Follow-up
Age 32
Methodological detailsstepwise linear and logistic models, polygenic risk score
  • Stepwise linear and logistic models
  • Polygenic risk score

Main finding

Obesity (BMI ≥ 30) prediction

Net reclassification improvement (NRI)

0.147

95% CI 0.068–0.225

By group

PRS model

0.69

PRS + early life exposures

0.73

As reported in the abstract

Observational data: associations, not effects.

Further findings

Association of PRS (per 1 SD) with BMI and WC · age 32

BMI, β per SD PRS
1.40
WC, β per SD PRS
2.45
Attenuation of associations after adding early life exposures
13.7-14.2%

Association of higher maternal pre-pregnancy BMI (mppBMI) with offspring BMI and WC · age 32

Offspring BMI, β
0.39
Offspring WC, β
0.79
P
P < 0.001

Original publication

Obesity risk in young adults from the Jerusalem Perinatal Study (JPS): the contribution of polygenic risk and early life exposure. Int J Obes (Lond). Published 12 March 2024. doi:10.1038/s41366-024-01505-7

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