Evidence map›Paper›PMID 22109280›Full record

SynthesisDiabetologia2012

Association of genetic variation in FTO with risk of obesity and type 2 diabetes with data from 96,551 East and South Asians.

H Li, T O Kilpeläinen, C Liu, J Zhu, Y Liu, C Hu, Z Yang, W Zhang, W Bao, S Cha and 55 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Diabetologia, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 13 pooled it
14.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 13 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. Pooled it
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  3. Is the adiposity-associated FTO gene variant related to all-cause mortality independent of adiposity? Meta-analysis of data from 169,551 Caucasian adults.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2015
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  14. Trial
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  16. Article
  17. The CommonNutrients · 2026
    Article
  18. Article
  19. Review
  20. Comprehensive SNP-based evaluation of fat mass and obesity-associated geneJournal of diabetes and metabolic disorders · 2025
    Article

51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

65 authors at 20 institutions in 10 countries.

H LiShanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai, People's Republic of China.
T O Kilpeläinen
C Liu
J Zhu
Y Liu
C Hu
Z Yang
W Zhang
W Bao
S Cha
Y Wu
T Yang
A Sekine
B Y Choi
C S Yajnik
D Zhou
F Takeuchi
K Yamamoto
J C Chan
K R Mani
L F Been
M Imamura
E Nakashima
N Lee
T Fujisawa
S Karasawa
W Wen
C V Joglekar
W Lu
Y Chang
Y Xiang
Y Gao
S Liu
Y Song
S H Kwak
H D Shin
K S Park
C H D Fall
J Y Kim
P C Sham
K S L Lam
W Zheng
X Shu
H Deng
H Ikegami
G V Krishnaveni
D K Sanghera
L Chuang
L Liu
R Hu
Y Kim
M Daimon
K Hotta
W Jia
J S Kooner
J C Chambers
G R Chandak
R C Ma
S Maeda
R Dorajoo
M Yokota
R Takayanagi
N Kato
X Lin
R J F Loos
Shanghai Institutes for Biological Sciences · CNVanderbilt University · USCentre for Cellular and Molecular Biology · INHuashan Hospital · CNHuazhong University of Science and Technology · CNImperial College London · GBKorea Institute of Oriental Medicine · KRKyoto University · JPKyushu University · JPNational Center for Global Health and Medicine · JPNational Taiwan University Hospital · TWPrince of Wales Hospital · CNRIKEN Center for Integrative Medical Sciences · JPSeoul National University · KRShanghai Cancer Institute · CNUniversity of Hong Kong · HKUniversity of Oklahoma Health Sciences Center · USYamagata University · JPAddenbrooke's Hospital · GBAichi Gakuin University · JP

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ian Michael Carroll · 1999 to 2026
$31.6M
Cohort Study of Cancer inhibitory Factors in MenR01CA082729 · NCI · VANDERBILT UNIVERSITY · PI SHU, XIAO-OU · 2001 to 2011
$6.3M
Proteome-wide Expression Study of Osteogenic CellsP50AR055081 · NIAMS · UNIVERSITY OF MISSOURI KANSAS CITY · PI DENG, HONG-WEN · 2007 to 2012
$5.0M
Shanghai Breast Cancer StudyR01CA064277 · NCI · VANDERBILT UNIVERSITY · PI SHU, XIAO-OU · 1996 to 2012
$4.8M
Cancer Risk Reduction and Diet: A Cohort Study of WomenR37CA070867 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ZHENG, WEI · 2009 to 2013
$4.7M
ROBUST AND POWERFUL TEST OF CANDIDATE GENES TO BONE MASSR01AR050496 · NIAMS · UNIVERSITY OF MISSOURI KANSAS CITY · PI DENG, HONG-WEN · 2004 to 2013
$3.8M
Women's Health Initiative Memory Study (WHIMS)N01WH44221 · WH · WAKE FOREST UNIVERSITY HEALTH SCIENCES · 2009 to 2010
$3.1M
Genetic and Biochemical Predictors of Type 2 DM in WomenR01DK062290 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LIU, SIMIN · 2002 to 2006
$2.6M
Identification of Proteins Important for Male OsteoporosisR01AR057049 · NIAMS · UNIVERSITY OF MISSOURI KANSAS CITY · PI DENG, HONG-WEN · 2009 to 2013
$2.4M
Genetic Epidemiology of Body Mass Index, Adiposity and Weight GainR01DK078150 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MOHLKE, KAREN L. · 2007 to 2010
$2.3M
Genome-wide Association Scan to Identify Risk Genes for Type 2 Diabetes in AsianR01DK082766 · NIDDK · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI SANGHERA, DHARAMBIR K. · 2009 to 2011
$2.3M
British Heart Foundation SP/04/002FIC NIH HHS K01 TW006087FIC NIH HHS KO1 TW006087FIC NIH HHS R01 TW005596FIC NIH HHS R01 TW008288FIC NIH HHS TW008288FIC NIH HHS TW05596Medical Research Council G0400519Medical Research Council G0601966Medical Research Council G0700931Medical Research Council MC_U106188470Medical Research Council MC_U147574246Medical Research Council MC_UP_A620_1016Medical Research Council MR/J000094/1NCI NIH HHS R01 CA064277NCI NIH HHS R01 CA082729NCI NIH HHS R37 CA070867NCRR NIH HHS P20 RR020649NCRR NIH HHS RR20649NHLBI NIH HHS HL085144NHLBI NIH HHS R01 HL085144NIAAA NIH HHS R21 AA015973NIAMS NIH HHS P50 AR055081NIAMS NIH HHS R01 AR050496NIAMS NIH HHS R01 AR057049NIAMS NIH HHS R01 AR057049-01A1NIA NIH HHS R01 AG026564NIA NIH HHS R21 AG027110NIDDK NIH HHS DK078150NIDDK NIH HHS DK56350NIDDK NIH HHS P30 DK056350NIDDK NIH HHS R01 DK062290NIDDK NIH HHS R01 DK078150NIDDK NIH HHS R01 DK082766NIDDK NIH HHS R56 DK062290NIEHS NIH HHS ES10126NIEHS NIH HHS P30 ES010126Wellcome Trust 059609Wellcome Trust 079877Wellcome Trust 083460Wellcome Trust (084723/Z/08/ZWHI NIH HHS N01 WH022110WHI NIH HHS N01WH24152WHI NIH HHS N01WH32100-2WHI NIH HHS N01WH32105-6WHI NIH HHS N01WH32108-9WHI NIH HHS N01WH32111-13WHI NIH HHS N01WH32115WHI NIH HHS N01WH32118-9WHI NIH HHS N01WH32122WHI NIH HHS N01WH42107-26WHI NIH HHS N01WH42129-32WHI NIH HHS N01WH44221
6 · The paper itself

Abstract

aims/hypothesisFTO harbours the strongest known obesity-susceptibility locus in Europeans. While there is growing evidence for a role for FTO in obesity risk in Asians, its association with type 2 diabetes, independently of BMI, remains inconsistent. To test whether there is an association of the FTO locus with obesity and type 2 diabetes, we conducted a meta-analysis of 32 populations including 96,551 East and South Asians.

methodsAll studies published on the association between FTO-rs9939609 (or proxy [r (2) > 0.98]) and BMI, obesity or type 2 diabetes in East or South Asians were invited. Each study group analysed their data according to a standardised analysis plan. Association with type 2 diabetes was also adjusted for BMI. Random-effects meta-analyses were performed to pool all effect sizes.

resultsThe FTO-rs9939609 minor allele increased risk of obesity by 1.25-fold/allele (p = 9.0 × 10(-19)), overweight by 1.13-fold/allele (p = 1.0 × 10(-11)) and type 2 diabetes by 1.15-fold/allele (p = 5.5 × 10(-8)). The association with type 2 diabetes was attenuated after adjustment for BMI (OR 1.10-fold/allele, p = 6.6 × 10(-5)). The FTO-rs9939609 minor allele increased BMI by 0.26 kg/m(2) per allele (p = 2.8 × 10(-17)), WHR by 0.003/allele (p = 1.2 × 10(-6)), and body fat percentage by 0.31%/allele (p = 0.0005). Associations were similar using dominant models. While the minor allele is less common in East Asians (12-20%) than South Asians (30-33%), the effect of FTO variation on obesity-related traits and type 2 diabetes was similar in the two populations. CONCLUSIONS/

interpretationFTO is associated with increased risk of obesity and type 2 diabetes, with effect sizes similar in East and South Asians and similar to those observed in Europeans. Furthermore, FTO is also associated with type 2 diabetes independently of BMI.

Indexed as

AdultAlpha-Ketoglutarate-Dependent Dioxygenase FTOAsian PeopleDiabetes Mellitus, Type 2FemaleGenetic Association StudiesGenetic Predisposition to DiseaseGenotypeHumansMaleObesityPolymorphism, Single NucleotideProteinsAlpha-Ketoglutarate-Dependent Dioxygenase FTOFTO protein, humanProteins

Identifiers

PMID22109280
PMCPMC3296006
OpenAlexW2121819193

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.