Obesity

Rare variants in the melanocortin 4 receptor gene (MC4R) are associated with abdominal fat and insulin resistance in youth with obesity

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

Pathogenic variants in MC4R are associated with increased VAT, HFF%, and insulin resistance, independent from the degree of obesity in youth.

Study context

Population
Youth (6–21 years) with overweight/obesity, Yale Pediatric Obesity Clinic, New Haven, CT
Participants
877 participants
Exposure
MC4R Pathogenic Variant vs No Pathogenic Variant
Outcome
Oral glucose tolerance test (OGTT) glucose, insulin, insulin sensitivity; abdominal MRI fat
Methodological detailssingle-centre, genetic screening
  • Single-centre
  • Genetic screening

Main finding

As reported in the abstract

  • Pathogenic Variant vs No Pathogenic Variant: P = 0.001
  • Pathogenic Variant vs No Pathogenic Variant: P = 0.002
  • Pathogenic Variant vs No Pathogenic Variant: P = 0.0008
  • Pathogenic Variant vs No Pathogenic Variant: P = 0.003
  • Pathogenic Variant vs No Pathogenic Variant: P = 0.012

Observational data: associations, not effects.

Further findings

OutcomeP value
BMI z-score, SAT, total body fatPathogenic Variant vs No Pathogenic Variant · similarP = 0.255
BMI z-score, SAT, total body fatPathogenic Variant vs No Pathogenic Variant · similarP = 0.643
BMI z-score, SAT, total body fatPathogenic Variant vs No Pathogenic Variant · similarP = 0.225

Original publication

Rare variants in the melanocortin 4 receptor gene (MC4R) are associated with abdominal fat and insulin resistance in youth with obesity. Int J Obes (Lond). Published 29 December 2024. doi:10.1038/s41366-024-01706-0

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