Obesity

The Use of Body Mass Index Polygenic Risk Score ( BMI ‐ Polygenic Risk Scores (PRS) ) in a Paediatric Population With Obesity

Pediatr ObesPublished Cross-sectional study

Authors' conclusion

In a genetically enriched clinical cohort, polygenic scores lose discriminatory power, delineating their optimal use for population screening rather than intra-clinic risk stratification.

Study context

Population
European adolescents with overweight and obesity (mean ± SD age 13.3 ± 2.2 years; 51% female; BMI 31.6 ± 4.1 kg/m²), tertiary clinic, Salzburg, Austria
Participants
246 vs 2,044
Exposure
Adolescents with overweight/obesity in a tertiary clinic vs population-based adult cohort (BMI-PRS distribution)
  • Adolescentsn = 246
  • Adultn = 2,044reference
Outcome
BMI-PRS (PGS000027) distribution and association with BMI
Methodological detailssingle-centre, tertiary clinic, comparison with population-based adult cohort
  • Single-centre
  • Tertiary clinic
  • Comparison with population-based adult cohort

Main finding

As reported in the abstract

Within the clinic sample, BMI-PRS correlation with BMI (r)

−0.11; 95% CI −0.23 to 0.02

Observational data: associations, not effects.

Further findings

PRS for HOMA-IR and T2D showed similarly null associations

Original publication

The Use of Body Mass Index Polygenic Risk Score ( BMI ‐ PRS ) in a Paediatric Population With Obesity. Pediatr Obes. Published 1 July 2026. doi:10.1111/ijpo.70132

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