Nature or nurture: genetic and environmental predictors of adiposity gain in adults

Background: Previous prediction models for adiposity gain have not yet achieved sufficient predictive ability for clinical relevance. We investigated whether traditional and genetic factors accurately predict adiposity gain. Methods: A 5-year gain of ≥5% in body mass index (BMI) and waist-to-hip rat...

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Autores: Agudo Trigueros, Antonio, Peruchet Noray, Laia, Dimou, Niki, Cordova, Reynalda, Fontvieille, Emma, Jansana, Anna, Gan, Quan, Breeur, Marie, Baurecht, Hansjörg, Bohmann, Patricia, Konzok, Julian, Stein, Michael J., Dahm, Christina C., Zilhão, Nuno R., Mellemkjær, Lene, Tjønneland, Anne, Kaaks, Rudolf, Katzke, Verena, Inan-Eroglu, Elif, Schulze, Matthias B., Masala, Giovanna, Sieri, Sabina, Simeon, Vittorio, Matullo, Giuseppe, Molina Montes, Esther, Amiano, Pilar, Chirlaque, María Dolores, Gasque, Alba, Atkins, Joshua, Smith-Byrne, Karl, Ferrari, Pietro, Viallon, Vivian, Gunter, Marc J., Bonet Bonet, Catalina, Freisling, Heinz, Carreras Torres, Robert
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/219458
Acceso en línea:https://hdl.handle.net/2445/219458
Access Level:acceso abierto
Palabra clave:Pes corporal
Obesitat
Epidemiologia
Adults
Body weight
Obesity
Epidemiology
Adulthood
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spelling Nature or nurture: genetic and environmental predictors of adiposity gain in adultsAgudo Trigueros, AntonioPeruchet Noray, LaiaDimou, NikiCordova, ReynaldaFontvieille, EmmaJansana, AnnaGan, QuanBreeur, MarieBaurecht, HansjörgBohmann, PatriciaKonzok, JulianStein, Michael J.Dahm, Christina C.Zilhão, Nuno R.Mellemkjær, LeneTjønneland, AnneKaaks, RudolfKatzke, VerenaInan-Eroglu, ElifSchulze, Matthias B.Masala, GiovannaSieri, SabinaSimeon, VittorioMatullo, GiuseppeMolina Montes, EstherAmiano, PilarChirlaque, María DoloresGasque, AlbaAtkins, JoshuaSmith-Byrne, KarlFerrari, PietroViallon, VivianGunter, Marc J.Bonet Bonet, CatalinaFreisling, HeinzCarreras Torres, RobertPes corporalObesitatEpidemiologiaAdultsBody weightObesityEpidemiologyAdulthoodBackground: Previous prediction models for adiposity gain have not yet achieved sufficient predictive ability for clinical relevance. We investigated whether traditional and genetic factors accurately predict adiposity gain. Methods: A 5-year gain of ≥5% in body mass index (BMI) and waist-to-hip ratio (WHR) from baseline were predicted in mid-late adulthood individuals (median of 55 years old at baseline). Proportional hazards models were fitted in 245,699 participants from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort to identify robust environmental predictors. Polygenic risk scores (PRS) of 5 proxies of adiposity [BMI, WHR, and three body shape phenotypes (PCs)] were computed using genetic weights from an independent cohort (UK Biobank). Environmental and genetic models were validated in 29,953 EPIC participants. Findings: Environmental models presented a remarkable predictive ability (AUCBMI: 0.69, 95% CI: 0.68-0.70; AUCWHR: 0.75, 95% CI: 0.74-0.77). The genetic geographic distribution for WHR and PC1 (overall adiposity) showed higher predisposition in North than South Europe. Predictive ability of PRSs was null (AUC: ∼0.52) and did not improve when combined with environmental models. However, PRSs of BMI and PC1 showed some prediction ability for BMI gain from self-reported BMI at 20 years old to baseline observation (early adulthood) (AUC: 0.60-0.62). Interpretation: Our study indicates that environmental models to discriminate European individuals at higher risk of adiposity gain can be integrated in standard prevention protocols. PRSs may play a robust role in predicting adiposity gain at early rather than mid-late adulthood suggesting a more important role of genetic factors in this life period.Elsevier2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/219458Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1016/j.ebiom.2024.105510EBioMedicine, 2025, vol. 111https://doi.org/10.1016/j.ebiom.2024.105510cc-by (c) Peruchet-Noray, L. et al., 2025http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2194582026-05-27T06:46:51Z
dc.title.none.fl_str_mv Nature or nurture: genetic and environmental predictors of adiposity gain in adults
title Nature or nurture: genetic and environmental predictors of adiposity gain in adults
spellingShingle Nature or nurture: genetic and environmental predictors of adiposity gain in adults
Agudo Trigueros, Antonio
Pes corporal
Obesitat
Epidemiologia
Adults
Body weight
Obesity
Epidemiology
Adulthood
title_short Nature or nurture: genetic and environmental predictors of adiposity gain in adults
title_full Nature or nurture: genetic and environmental predictors of adiposity gain in adults
title_fullStr Nature or nurture: genetic and environmental predictors of adiposity gain in adults
title_full_unstemmed Nature or nurture: genetic and environmental predictors of adiposity gain in adults
title_sort Nature or nurture: genetic and environmental predictors of adiposity gain in adults
dc.creator.none.fl_str_mv Agudo Trigueros, Antonio
Peruchet Noray, Laia
Dimou, Niki
Cordova, Reynalda
Fontvieille, Emma
Jansana, Anna
Gan, Quan
Breeur, Marie
Baurecht, Hansjörg
Bohmann, Patricia
Konzok, Julian
Stein, Michael J.
Dahm, Christina C.
Zilhão, Nuno R.
Mellemkjær, Lene
Tjønneland, Anne
Kaaks, Rudolf
Katzke, Verena
Inan-Eroglu, Elif
Schulze, Matthias B.
Masala, Giovanna
Sieri, Sabina
Simeon, Vittorio
Matullo, Giuseppe
Molina Montes, Esther
Amiano, Pilar
Chirlaque, María Dolores
Gasque, Alba
Atkins, Joshua
Smith-Byrne, Karl
Ferrari, Pietro
Viallon, Vivian
Gunter, Marc J.
Bonet Bonet, Catalina
Freisling, Heinz
Carreras Torres, Robert
author Agudo Trigueros, Antonio
author_facet Agudo Trigueros, Antonio
Peruchet Noray, Laia
Dimou, Niki
Cordova, Reynalda
Fontvieille, Emma
Jansana, Anna
Gan, Quan
Breeur, Marie
Baurecht, Hansjörg
Bohmann, Patricia
Konzok, Julian
Stein, Michael J.
Dahm, Christina C.
Zilhão, Nuno R.
Mellemkjær, Lene
Tjønneland, Anne
Kaaks, Rudolf
Katzke, Verena
Inan-Eroglu, Elif
Schulze, Matthias B.
Masala, Giovanna
Sieri, Sabina
Simeon, Vittorio
Matullo, Giuseppe
Molina Montes, Esther
Amiano, Pilar
Chirlaque, María Dolores
Gasque, Alba
Atkins, Joshua
Smith-Byrne, Karl
Ferrari, Pietro
Viallon, Vivian
Gunter, Marc J.
Bonet Bonet, Catalina
Freisling, Heinz
Carreras Torres, Robert
author_role author
author2 Peruchet Noray, Laia
Dimou, Niki
Cordova, Reynalda
Fontvieille, Emma
Jansana, Anna
Gan, Quan
Breeur, Marie
Baurecht, Hansjörg
Bohmann, Patricia
Konzok, Julian
Stein, Michael J.
Dahm, Christina C.
Zilhão, Nuno R.
Mellemkjær, Lene
Tjønneland, Anne
Kaaks, Rudolf
Katzke, Verena
Inan-Eroglu, Elif
Schulze, Matthias B.
Masala, Giovanna
Sieri, Sabina
Simeon, Vittorio
Matullo, Giuseppe
Molina Montes, Esther
Amiano, Pilar
Chirlaque, María Dolores
Gasque, Alba
Atkins, Joshua
Smith-Byrne, Karl
Ferrari, Pietro
Viallon, Vivian
Gunter, Marc J.
Bonet Bonet, Catalina
Freisling, Heinz
Carreras Torres, Robert
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Pes corporal
Obesitat
Epidemiologia
Adults
Body weight
Obesity
Epidemiology
Adulthood
topic Pes corporal
Obesitat
Epidemiologia
Adults
Body weight
Obesity
Epidemiology
Adulthood
description Background: Previous prediction models for adiposity gain have not yet achieved sufficient predictive ability for clinical relevance. We investigated whether traditional and genetic factors accurately predict adiposity gain. Methods: A 5-year gain of ≥5% in body mass index (BMI) and waist-to-hip ratio (WHR) from baseline were predicted in mid-late adulthood individuals (median of 55 years old at baseline). Proportional hazards models were fitted in 245,699 participants from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort to identify robust environmental predictors. Polygenic risk scores (PRS) of 5 proxies of adiposity [BMI, WHR, and three body shape phenotypes (PCs)] were computed using genetic weights from an independent cohort (UK Biobank). Environmental and genetic models were validated in 29,953 EPIC participants. Findings: Environmental models presented a remarkable predictive ability (AUCBMI: 0.69, 95% CI: 0.68-0.70; AUCWHR: 0.75, 95% CI: 0.74-0.77). The genetic geographic distribution for WHR and PC1 (overall adiposity) showed higher predisposition in North than South Europe. Predictive ability of PRSs was null (AUC: ∼0.52) and did not improve when combined with environmental models. However, PRSs of BMI and PC1 showed some prediction ability for BMI gain from self-reported BMI at 20 years old to baseline observation (early adulthood) (AUC: 0.60-0.62). Interpretation: Our study indicates that environmental models to discriminate European individuals at higher risk of adiposity gain can be integrated in standard prevention protocols. PRSs may play a robust role in predicting adiposity gain at early rather than mid-late adulthood suggesting a more important role of genetic factors in this life period.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/219458
url https://hdl.handle.net/2445/219458
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.ebiom.2024.105510
EBioMedicine, 2025, vol. 111
https://doi.org/10.1016/j.ebiom.2024.105510
dc.rights.none.fl_str_mv cc-by (c) Peruchet-Noray, L. et al., 2025
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Peruchet-Noray, L. et al., 2025
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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