THEROSCLEROSIS IS THOUGHTto begin in childhood and to develop silently for decades before clinical events such as myocardial infarction or stroke occur. Autopsy studies in children and adolescents have confirmed the presence of preclinical atherosclerotic lesions and shown their associations with antemortem vascular risk factors. [1][2][3] Studies using ultrasound imaging have demonstrated atherosclerotic wall thickening in the arteries of children with risk factors. [4][5][6] Longitudinal studies have shown that risk factor levels measured in childhood are predictive of risk factor levels in adulthood. [7][8][9] Moreover, levels of serum cholesterol measured in young adult men have been associated with cardiovascular disease in midlife. 10,11 Al-
To increase our understanding of the genetic basis of adiposity and its links to
cardiometabolic disease risk, we conducted a genome-wide association meta-analysis
of body fat percentage (BF%) in up to 100,716 individuals. Twelve loci
reached genome-wide significance (P<5 ×
10−8), of which eight were previously associated with
increased overall adiposity (BMI, BF%) and four (in or near
COBLL1/GRB14, IGF2BP1, PLA2G6, CRTC1) were novel
associations with BF%. Seven loci showed a larger effect on
BF% than on BMI, suggestive of a primary association with adiposity,
while five loci showed larger effects on BMI than on BF%, suggesting
association with both fat and lean mass. In particular, the loci more strongly
associated with BF% showed distinct cross-phenotype association
signatures with a range of cardiometabolic traits revealing new insights in the link
between adiposity and disease risk.
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