Abstract
BackgroundThe salivary α-amylase locus (AMY1) is located in a highly polymorphic multi allelic copy number variable chromosomal region. A recent report identified an association between AMY1 copy numbers and BMI in common obesity. The present study investigated the relationship between AMY1 copy number, BMI and serum amylase in childhood-onset obesity.PatientsSixty-one subjects with a history of childhood-onset obesity (mean age 19.1 years, 54% males) and 71 matched controls (19.8 yrs, 45% males) were included. All anthropometric measures were greater in the obese; their mean BMI was 40 kg/m2 (range 25-62 kg/m2) compared with 23 kg/m2 in the controls (15-32 kg/m2).ResultsMean AMY1 copy numbers did not differ between the obese and control subjects, but gender differences were observed; obese men showed the highest and obese women the lowest number of AMY1 copies (p=0.045). Further, only in affected females, AMY1 copy number correlated significantly with whole body fat percent (r=-0.512, p=0.013) and BMI (r=-0.416, p=0.025). Finally, a clear linear association between AMY1 copy number and serum salivary amylase was observed in all subgroups but again differences existed between obese males and females.ConclusionsIn conclusion, our findings suggest that AMY1 copy number differences play a role in childhood-onset obesity but the effect differs between males and females. Further studies in larger cohorts are needed to confirm these observations.
Highlights
Human obesity is a complex disorder affected by many interacting genetic and non-genetic factors
A clear linear association between AMY1 copy number and serum salivary amylase was observed in all subgroups but again differences existed between obese males and females
Our findings suggest that AMY1 copy number differences play a role in childhood-onset obesity but the effect differs between males and females
Summary
Human obesity is a complex disorder affected by many interacting genetic and non-genetic factors. A recent report identified an association between AMY1 copy numbers and BMI in common obesity. The present study investigated the relationship between AMY1 copy number, BMI and serum amylase in childhood-onset obesity. Sixty-one subjects with a history of childhood-onset obesity (mean age 19.1 years, 54% males) and 71 matched controls (19.8 yrs, 45% males) were included. All anthropometric measures were greater in the obese; their mean BMI was 40 kg/m2 (range 25-62 kg/m2) compared with 23 kg/m2 in the controls (15-32 kg/m2). The obese and controls were initially age- and sex-matched but due to exclusion of subjects with incomplete data from the present study minor differences between the groups arose (Table 1). 54% were males while the corresponding number in the control group was 45%. In females the corresponding numbers in obese subjects and controls were 52% and 32% and 117 cm and 71 cm, respectively
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