Background/Objectives: We aimed to predict the incidence of obesity in a Korean population using a genetic risk score (GRS) constructed with obesity-related single nucleotide polymorphisms (SNPs) along with an oxidative stress score (OSS).

Subjects/Methods: A total of 9,460 Korean subjects and 356,974 SNPs were included. The GRS was constructed using three significant obesity-related SNP loci, and the OSS was calculated with three reliable oxidative stress biomarkers.

Results: In an association study, the top three SNPs, rs2846412, rs58424360, and rs591120, showed profound associations with obesity in a Korean population (all FDR < 0.1). The GRS showed a more significant association with increased obesity (OR = 2.879, 95% CI = 2.283-3.630) than individual SNPs did after adjusting for age and sex. Three oxidative stress biomarkers, including malondialdehyde (MDA), oxidized low-density lipoprotein (ox-LDL), and 8-epi-prostaglandin F (8-epi-PGF), showed significantly high levels in the obese group. Moreover, the OSS, which was the sum of each oxidative stress biomarker score, showed a markedly high association with the incidence of obesity, with an OR of 3.213 (p = 3.57E-18). Based on the results from the regression tests and a receiver-operating characteristic (ROC) curve analysis, we found that HOMA-IR, hs-CRP, the GRS, and the OSS were the most relevant factors for the incremental risk of obesity and were significantly associated with the incidence of obesity. The area under the ROC curve (AUROC) was improved when the GRS was added to the model with the OSS and two obesity-related parameters (from 74.2% to 75.1%).

Conclusions: We first identified that subjects with an obesity GRS and a high OSS may have a higher risk of obesity. Our findings and weighting approaches were effective in predicting the incidence of obesity; furthermore, the GRS is a relevant factor that significantly predicts the risk of obesity.


M. Kim: None. H. Yoo: None. Y. Han: None. J. Lee: None.


Korean Ministry of Health and Welfare (HI13C0715); Korean National Research Foundation (NRF-2017R1C1B2007195, NRF-2012M3A9C4048762)

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