Association and Interaction Effect between VEGF Receptor-2 (VEGFR-2) Gene Polymorphisms and Dietary Pattern on Blood Lipids in Malaysian Adults

Background: Vascular endothelial growth factor receptor-2 (VEGFR-2) and diet are related to blood lipid health. Gene-diet interaction studies can identify the risks. The objectives are to determine associations, and interaction effects between VEGFR-2 gene polymorphisms (rs1870377 and rs2071559) and dietary patterns on blood lipids in multi-ethnic Malaysian adults. Methods: Dietary intakes of 509 (153 Malay, 179 Chinese, and 177 Indian) Malaysians were obtained from food frequency questionnaire for the construction of dietary patterns using factor analysis. Anthropometric measurements: body mass index and blood pressure; and biomarkers: glycated hemoglobin, total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and total cholesterol/HDL-C ratio were determined. Genotyping of rs1870377 and rs2071559 was performed by real-time PCR using Taqman probes. Results: Two major dietary patterns were extracted from all subjects: "Vegetables, fruits, and soy diet" (VFSD), and ‘Rice, egg, and fish diet' (REFD). There were significant genetic associations for rs2071559 with TG (p=0.048) in Malays, and in Chinese for rs1870377 with TC (p=0.001) and LDL-C (p=0.007), and rs2071559 on LDL-C (p=0.048). The interaction effects of VEGFR-2 gene polymorphisms and dietary patterns were significant in Malays between rs2071559 and REFD on TG (p=0.005); and in Chinese between VFSD and rs1870377 on LDL-C (p=0.028) after adjusting for potential confounders. There were no significant genetic or dietary associations on blood lipids in Indians (p>0.05). Conclusion: The significant associations and gene-diet interaction effects between VEGFR-2 gene polymorphisms and dietary patterns on blood lipids may pose hyperlipidemia and hypercholesterolemia risks in Malay and Chinese Malaysians

A Research Protocol of Hands-On Healthy Meal Preparation Intervention (Kidchen Study) to Improve Children’s Nutritional Outcomes

The objective of this paper is to describe the protocol of a 12-week hands-on healthy meal preparation intervention among children, up to a 3-month follow-up. The aim of KidChen Study (kids in kitchen) is to improve children’s nutritional outcomes. In this randomized-controlled trial, simple random sampling will be used to select schools in Kuala Lumpur, Malaysia. Subsequently, the selected schools (n=2) will be assigned randomly to either the intervention or control group. The current study will include healthy Malaysian children aged 10–11 years old with no serious disease or food allergy. The intervention is based on Social Cognitive Theory that addresses personal and environmental factors for changing children’s behaviour. Children from the intervention group will receive a 60-minute home food environment module with their parents consisting of nutrition talk, healthy food tasting, parent-child quiz; and five 60 minute interactive hands-on healthy meal preparation modules focusing on core food groups coupled withstorytelling sessions to incorporate nutrition education. Outcome measures are children’s psychosocial factors towards healthy meal preparation (knowledge, attitude, practice, self-efficacy), dietary behaviour, food consumption pattern, home food availability and anthropometric measures (BMI-for-age z-score, body fat percentage, waist circumference). Repeated measures ANOVA will be used to evaluate the intervention outcomes. KidChen Study is an experiential learning approach to instil a positive attitude towards nutrition and empower children with nutrition skills. We anticipate that the intervention will advocate healthy eating behaviour among children, impacting their nutritional outcomes over time

Association and Interaction Effect of AGTR1 and AGTR2 Gene Polymorphisms with Dietary Pattern on Metabolic Risk Factors of Cardiovascular Disease in Malaysian Adults

Gene-diet interaction using a multifactorial approach is preferred to study the multiple risk factors of cardiovascular disease (CVD). This study examined the association and gene-diet interaction effects of the angiotensin II type 1 receptor (AGTR1) gene (rs5186), and type 2 receptor (AGTR2) gene (rs1403543) polymorphisms on metabolic risk factors of CVD in Malaysian adults. CVD parameters (BMI, blood pressure, glycated hemoglobin, total cholesterol (TC), triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol (HDL-C), and TC/HDL-C ratio), and constructed dietary patterns “vegetables, fruits, and soy diet” (VFSD), and “rice, egg, and fish diet” (REFD) were obtained from previous studies. Genotyping analysis was performed by real-time PCR using Taqman probes. The subjects were 507 adults (151 Malays; 179 Chinese; and 177 Indians). Significant genetic associations were obtained on blood lipids for rs5186 in Malays and Chinese, and rs1403543 in Chinese females. The significant gene-diet interaction effects after adjusting for potential confounders were: rs5186 × VFSD on blood pressure in Malays (p = 0.016), and in Chinese on blood lipids for rs5186 × REFD (p = 0.009–0.023), and rs1403543 × VFSD in female subjects (p = 0.001–0.011). Malays and Chinese showed higher risk for blood pressure and/or lipids involving rs5186 and rs1403543 SNPs together with gene-diet interactions, but not Indians