The T allele of TCF7L2 rs7903146 is associated with decreased glucose tolerance after bed rest in healthy older adults

Abstract Inpatient populations are at increased risk of hyperglycemia due to factors such as medications, physical inactivity and underlying illness, which increases morbidity and mortality. Unfortunately, clinicians have limited tools available to prospectively identify those at greatest risk. We e...

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Main Authors: Jean L. Fry, Brooke D. Munson, Katherine L. Thompson, Christopher S. Fry, Douglas Paddon-Jones, Emily J. Arentson-Lantz
Format: Article
Language:English
Published: Nature Portfolio 2022-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-10683-1
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author Jean L. Fry
Brooke D. Munson
Katherine L. Thompson
Christopher S. Fry
Douglas Paddon-Jones
Emily J. Arentson-Lantz
author_facet Jean L. Fry
Brooke D. Munson
Katherine L. Thompson
Christopher S. Fry
Douglas Paddon-Jones
Emily J. Arentson-Lantz
author_sort Jean L. Fry
collection DOAJ
description Abstract Inpatient populations are at increased risk of hyperglycemia due to factors such as medications, physical inactivity and underlying illness, which increases morbidity and mortality. Unfortunately, clinicians have limited tools available to prospectively identify those at greatest risk. We evaluated the ability of 10 common genetic variants associated with development of type 2 diabetes to predict impaired glucose metabolism. Our research model was a simulated inpatient hospital stay (7 day bed rest protocol, standardized diet, and physical inactivity) in a cohort of healthy older adults (n = 31, 65 ± 8 years) with baseline fasting blood glucose < 100 mg/dL. Participants completed a standard 75 g oral glucose tolerance test (OGTT) at baseline and post-bed rest. Bed rest increased 2-h OGTT blood glucose and insulin independent of genetic variant. In multiple regression modeling, the transcription factor 7-like 2 (TCF7L2) rs7903146 T allele predicted increases in 2-h OGTT blood glucose (p = 0.039). We showed that the TCF7L2 rs7903146 T allele confers risk for loss of glucose tolerance in nondiabetic older adults following 7 days of bed rest.
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spelling doaj.art-8c4c79889e6241089d04dcf6139d80232022-12-22T02:28:05ZengNature PortfolioScientific Reports2045-23222022-04-011211810.1038/s41598-022-10683-1The T allele of TCF7L2 rs7903146 is associated with decreased glucose tolerance after bed rest in healthy older adultsJean L. Fry0Brooke D. Munson1Katherine L. Thompson2Christopher S. Fry3Douglas Paddon-Jones4Emily J. Arentson-Lantz5Department of Athletic Training and Clinical Nutrition, University of KentuckyDepartment of Athletic Training and Clinical Nutrition, University of KentuckyDr. Bing Zhang Department of Statistics, University of KentuckyDepartment of Athletic Training and Clinical Nutrition, University of KentuckyDepartment of Nutrition & Metabolism, Center for Rehabilitation, Physical Activity and Nutrition, University of Texas Medical BranchDepartment of Nutrition & Metabolism, Center for Rehabilitation, Physical Activity and Nutrition, University of Texas Medical BranchAbstract Inpatient populations are at increased risk of hyperglycemia due to factors such as medications, physical inactivity and underlying illness, which increases morbidity and mortality. Unfortunately, clinicians have limited tools available to prospectively identify those at greatest risk. We evaluated the ability of 10 common genetic variants associated with development of type 2 diabetes to predict impaired glucose metabolism. Our research model was a simulated inpatient hospital stay (7 day bed rest protocol, standardized diet, and physical inactivity) in a cohort of healthy older adults (n = 31, 65 ± 8 years) with baseline fasting blood glucose < 100 mg/dL. Participants completed a standard 75 g oral glucose tolerance test (OGTT) at baseline and post-bed rest. Bed rest increased 2-h OGTT blood glucose and insulin independent of genetic variant. In multiple regression modeling, the transcription factor 7-like 2 (TCF7L2) rs7903146 T allele predicted increases in 2-h OGTT blood glucose (p = 0.039). We showed that the TCF7L2 rs7903146 T allele confers risk for loss of glucose tolerance in nondiabetic older adults following 7 days of bed rest.https://doi.org/10.1038/s41598-022-10683-1
spellingShingle Jean L. Fry
Brooke D. Munson
Katherine L. Thompson
Christopher S. Fry
Douglas Paddon-Jones
Emily J. Arentson-Lantz
The T allele of TCF7L2 rs7903146 is associated with decreased glucose tolerance after bed rest in healthy older adults
Scientific Reports
title The T allele of TCF7L2 rs7903146 is associated with decreased glucose tolerance after bed rest in healthy older adults
title_full The T allele of TCF7L2 rs7903146 is associated with decreased glucose tolerance after bed rest in healthy older adults
title_fullStr The T allele of TCF7L2 rs7903146 is associated with decreased glucose tolerance after bed rest in healthy older adults
title_full_unstemmed The T allele of TCF7L2 rs7903146 is associated with decreased glucose tolerance after bed rest in healthy older adults
title_short The T allele of TCF7L2 rs7903146 is associated with decreased glucose tolerance after bed rest in healthy older adults
title_sort t allele of tcf7l2 rs7903146 is associated with decreased glucose tolerance after bed rest in healthy older adults
url https://doi.org/10.1038/s41598-022-10683-1
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