Difficulty in losing weight by behavioral intervention for women with Trp64Arg polymorphism of the β3-adrenergic receptor gene

• Published in: International Journal of Obesity 2003-09, Vol.27 (9), p.1028-1036
• Main Authors: Shiwaku, K, Nogi, A, Anuurad, E, Kitajima, K, Enkhmaa, B, Shimono, K, Yamane, Y
• Format: Article
• Language: English
• Subjects: Beta adrenoceptors; Biological and medical sciences; blood pressure; blood serum; body fat; body mass index; Control; diet; digestion; Epidemiology; exercise; free fatty acids; genes; Genetic aspects; Genetic polymorphisms; genotype; glucose; Health aspects; Health Promotion and Disease Prevention; high density lipoprotein cholesterol; insulin; Internal Medicine; Japanese people; leptin; low density lipoprotein; Medical sciences; Medicine; Medicine & Public Health; Metabolic Diseases; mutation; Obesity; phenotype; phospholipids; polymerase chain reaction; Public Health; resting energy expenditure; triacylglycerols; waist; waist circumference; weight loss; women
• ISSN: 0307-0565; 1476-5497
• DOI: 10.1038/sj.ijo.0802375

OBJECTIVE: Trp64Arg mutation in the β3-adrenergic receptor (β3AR) gene is relatively common in Japanese people. However, it has not been clear whether persons with Trp64Arg mutation in the β3AR gene tend to have obesity and difficulty in losing weight even with a restricted diet and exercise. We investigated the response of body weight and metabolic factors to behavioral intervention in Japanese women with Trp64Arg mutation in the β3AR gene. DESIGN: A 3-month behavioral intervention study using a combination of diet and exercise programs. SUBJECTS: A total of 76 perimenopausal women with no clinical symptoms (age: 54.77.7 y, body mass index (BMI): 21.0-33.0 kg/m2). MEASUREMENTS: Anthropometric measurements (weight, height, body fat, waist circumference, hip circumference, skin fold, resting energy expenditure and blood pressure) and metabolic measurements (serum levels of cholesterol, triglyceride, phospholipid, nonesterified fatty acid, glucose, insulin and leptin) and determination of the β3AR genotype by polymerase chain reaction followed by BstNI digestion. RESULTS: At the baseline of BMI, body weight, body fat, waist circumference, hip circumference, the arm skin fold, resting energy expenditure, or blood lipid and glucose profiles, there was no significant difference in participants with/without mutation of the β3AR gene. The intervention yielded a body weight reduction in 69 and 48%, and induced a significant difference in weight loss (-0.74 and -0.01 kg) for women with wild-type and Trp64Arg mutation, respectively. Significant differences of anthropometric parameters were found in body weight, BMI, waist and hip circumferences and blood pressure of wild type by the intervention. However, women with Trp64Arg mutation did not show significant changes in these anthropometric parameters, except for hip circumference. A significant difference was found in high-density lipoprotein cholesterol (HDL-C) and in the low-density lipoprotein cholesterol/HDL-C ratio in both genotypes. CONCLUSION: The results of the present study suggest that the Trp64Arg mutation of the β3AR gene is associated with difficulty in losing weight through behavioral intervention, although it is not related to obesity-related phenotypes and resting energy expenditure before the intervention.