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ORIGINAL RESEARCH COMMUNICATION |
1 From the Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan (W-SY, C-LC, and J-YL); the Departments of Internal Medicine (W-SY, I-LW, J-YL, and T-YT) and Laboratory Medicine (J-YL), National Taiwan University Hospital, Taipei, Taiwan; the Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan (W-SY); and the Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan (Y-CY, F-HL, and C-JC)
Background: Genetic variations of the human adiponectin gene are associated with metabolic phenotypes, including obesity, insulin sensitivity, and diabetes. However, these associations have not been examined in an elderly population.
Objective: The objective of the study was to investigate whether the genetic variants of adiponectin are associated with any metabolic phenotype in the elderly.
Design: In a population-based, case-control genetic association study, a total of 1438 subjects >65 y old were recruited from the community. The phenotypes of the metabolic syndrome (MetS) were measured. Four single-nucleotide polymorphisms (SNP) were genotyped by mass spectrometry.
Results: The G allele of SNP276 in intron 2 was associated with a reduced risk of obesity, MetS, and diabetes mellitus. The GT genotype relative to the GG genotype had an age- and sex-adjusted odds ratio of 1.32 for obesity [body mass index (BMI; in kg/m2) 
25; P = 0.014] and of 1.33 (P = 0.011) and 1.47 (P = 0.001) for MetS according to modified National Cholesterol Education Program and International Diabetes Federation criteria, respectively. The age-, sex-, and BMI-adjusted odds ratio of diabetes mellitus for the GT and TT genotypes relative to the GG genotype were 1.28 (P = 0.042) and 1.72 (P = 0.013), respectively, and there was an obvious dosage effect (P for trend = 0.004). In linear regression after adjustment for age, sex, and BMI, the GT and TT genotypes were associated with fasting plasma glucose concentrations 5.2 and 11.1 mg/dL higher, respectively, than those of the GG genotype.
Conclusions: Genetic variation of the adiponectin gene is associated with obesity, MetS, and diabetes mellitus in the elderly. The genetic effect on diabetes mellitus is partially independent of BMI.
Key Words: Adiponectin • genetics • metabolic syndrome • obesity • diabetes • elderly
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