[Interaction of APOC3 polymorphism and dietary fats on the risk of metabolic syndrome]

ABSTRACT

The aim of this study was to evaluate the interaction between dietary fatty acids and the genetic variant of APOC3 rs5128 3238C>G in relation to metabolic syndrome [MetS] components in adults. In this matched nested case-control study, 755 MetS subjects and 755 controls were selected from among participants of the Tehran Lipid and Glucose Study. Dietary intake was determined using a valid and reliable food frequency questionnaire. APOC3 was genotyped by the conventional polymerase chain reaction and restriction fragment length polymorphism. Mean ages of men and women were not different in cases and controls. The frequency of C allele was 81%, which did not differ in cases and controls or in men and women. Compared to CC genotype, low HDL-C risk was increased in women with the CG+GG genotypes and with cholesterol intakes >/=208 mg/day [OR 1.93]. In men with the CG+GG genotypes and saturated fatty acid [SFA] intakes >/=9.8% of energy, OR of high diastolic blood pressure [BP] was 2.15[1-1.46], compared to individuals with SFA intake <9.8% of energy and CC genotype. Compared to the CC genotype, the risk of high diastolic BP was higher in men carrying the G allele and consuming mono-unsaturated fatty acid [MUFA] intakes >/=9.4% of energy. Results demonstrate a nutri-genetic interaction between rs5128 and fat intakes in relation to components of MetS; individuals with G allele carriers and higher intakes of cholesterol, MUFA or SFA had higher risk of low HDL-C and hypertension than the CC genotype