A relationship between Single Nucleotide Polymorphism (SNP) in HSD11β1 and ADIPOQ genes and obesity related features in children and adolescents submitted on physical exercises

Obesity have overloaded the public health system and it is considered a multifactorial trait. This study aimed to verify if Single Nucleotide Polymorphisms (SNP) in ADIPOQ (rs1501299) and HSD11β1 (rs12086634) genes influence the anthropometric and biochemical outcomes (Body Mass Index (BMI), Abdominal Circumference (AC), Low Density Lipoprotein (LDL-C), High Density Lipoprotein (HDL-C), Triglycerides (TG), Total Cholesterol (TC) and Glucose (Glu)) before and after practicing physical exercises training modalities, in a sample of 126 Southern Brazilian children and adolescents. Genotyping were performed by Taqman allelic discrimination. T carriers of rs1501299 had a higher BMI reduction (b*=0.28±0.12; p=1.70.10-2) and TT genotype of rs12086634 influence on AC reduction (b*=-0.33±0.13; p=1.24.10-2), independent of sex, age and modality of physical exercise. Ultimately, we observed an association of SNP of ADIPOQ and HSD11β1 gene with anthropometric variables early in life and the importance of physical exercise on biochemical and obesity related features.La obesidad ha sobrecargado el sistema de salud pública y es una característica multifactorial. Este estudio tuvo como objetivo verificar si los polimorfismos de nucleótido único (SNP) en los genes ADIPOQ (rs1501299) y HSD11β1 (rs12086634) influyen en los resultados antropométricos y bioquímicos (Índice de Masa Corporal (IMC), Circunferencia Abdominal (CA), Lipoproteínas de Baja Densidad (LDL-C), Lipoproteínas de Alta Densidad (HDL-C), Triglicéridos (TG), Colesterol Total (TC) y Glucosa (Glu)) antes y después de practicar diferentes tipos de ejercicios físicos en una muestra de 126 niños y adolescentes brasileños. Los SNPs fueron idenficados mediante discriminación alélica usando sondas Taqman. Los portadores del alelo T del polimofismo rs1501299 del gen ADIPOQ tuvieron una mayor reducción del IMC (b*=0,28±0,12; p=1,70.10-2) y el genotipo TT del polimorfismo rs12086634 del gen HSD11β1 influencia en la reducción de AC (b*=-0,33±0,13; p=1,24.10-2), independiente de sexo, edad y modalidad de ejercicio físico. Por fin, observamos una asociación entre los SNPs de los genes ADIPOQ y HSD11β1 con variables antropométricas en las primeras etapas de la vida, así como la importancia del ejercicio físico sobre características bioquímicas y relacionadas con la obesidad.Obesity have overloaded the public health system and it is considered a multifactorial trait. This study aimed to verify if Single Nucleotide Polymorphisms (SNP) in ADIPOQ (rs1501299) and HSD11β1 (rs12086634) genes influence the anthropometric and biochemical outcomes (Body Mass Index (BMI), Abdominal Circumference (AC), Low Density Lipoprotein (LDL-C), High Density Lipoprotein (HDL-C), Triglycerides (TG), Total Cholesterol (TC) and Glucose (Glu)) before and after practicing physical exercises training modalities, in a sample of 126 Southern Brazilian children and adolescents. Genotyping were performed by Taqman allelic discrimination. T carriers of rs1501299 had a higher BMI reduction (b*=0.28±0.12; p=1.70.10-2) and TT genotype of rs12086634 influence on AC reduction (b*=-0.33±0.13; p=1.24.10-2), independent of sex, age and modality of physical exercise. Ultimately, we observed an association of SNP of ADIPOQ and HSD11β1 gene with anthropometric variables early in life and the importance of physical exercise on biochemical and obesity related features

Tracing the Distribution of European Lactase Persistence Genotypes Along the Americas

In adulthood, the ability to digest lactose, the main sugar present in milk of mammals, is a phenotype (lactase persistence) observed in historically herder populations, mainly Northern Europeans, Eastern Africans, and Middle Eastern nomads. As the –13910∗T allele in the MCM6 gene is the most well-characterized allele responsible for the lactase persistence phenotype, the –13910C > T (rs4988235) polymorphism is commonly evaluated in lactase persistence studies. Lactase non-persistent adults may develop symptoms of lactose intolerance when consuming dairy products. In the Americas, there is no evidence of the consumption of these products until the arrival of Europeans. However, several American countries’ dietary guidelines recommend consuming dairy for adequate human nutrition and health promotion. Considering the extensive use of dairy and the complex ancestry of Pan-American admixed populations, we studied the distribution of –13910C > T lactase persistence genotypes and its flanking haplotypes of European origin in 7,428 individuals from several Pan-American admixed populations. We found that the –13910∗T allele frequency in Pan-American admixed populations is directly correlated with allele frequency of the European sources. Moreover, we did not observe any overrepresentation of European haplotypes in the –13910C > T flanking region, suggesting no selective pressure after admixture in the Americas. Finally, considering the dominant effect of the –13910∗T allele, our results indicate that Pan-American admixed populations are likely to have higher frequency of lactose intolerance, suggesting that general dietary guidelines deserve further evaluation across the continent

A systematic review of randomised controlled trials assessing effectiveness of prosthetic and orthotic interventions.

BACKGROUND: Assistive products are items which allow older people and people with disabilities to be able to live a healthy, productive and dignified life. It has been estimated that approximately 1.5% of the world's population need a prosthesis or orthosis. OBJECTIVE: The objective of this study was to systematically identify and review the evidence from randomized controlled trials assessing effectiveness and cost-effectiveness of prosthetic and orthotic interventions. METHODS: Literature searches, completed in September 2015, were carried out in fourteen databases between years 1995 and 2015. The search results were independently screened by two reviewers. For the purpose of this manuscript, only randomized controlled trials which examined interventions using orthotic or prosthetic devices were selected for data extraction and synthesis. RESULTS: A total of 342 randomised controlled trials were identified (319 English language and 23 non-English language). Only 4 of these randomised controlled trials examined prosthetic interventions and the rest examined orthotic interventions. These orthotic interventions were categorised based on the medical conditions/injuries of the participants. From these studies, this review focused on the medical condition/injuries with the highest number of randomised controlled trials (osteoarthritis, fracture, stroke, carpal tunnel syndrome, plantar fasciitis, anterior cruciate ligament, diabetic foot, rheumatoid and juvenile idiopathic arthritis, ankle sprain, cerebral palsy, lateral epicondylitis and low back pain). The included articles were assessed for risk of bias using the Cochrane Risk of Bias tool. Details of the clinical population examined, the type of orthotic/prosthetic intervention, the comparator/s and the outcome measures were extracted. Effect sizes and odds ratios were calculated for all outcome measures, where possible. CONCLUSIONS: At present, for prosthetic and orthotic interventions, the scientific literature does not provide sufficient high quality research to allow strong conclusions on their effectiveness and cost-effectiveness