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A Pilot Study Assessing the Possible Combined Effect of Physical Activity and PNPLA3 rs738409 Polymorphism on the Risk for Non-Alcoholic Fatty Liver Disease in the Japanese Elderly General Population

Authors Muto N, Oniki K, Kudo M, Obata Y, Sakamoto Y, Tokumaru N, Izuka T, Watanabe T, Otake K, Ogata Y, Saruwatari J

Received 29 May 2019

Accepted for publication 16 January 2020

Published 12 February 2020 Volume 2020:13 Pages 333—341

DOI https://doi.org/10.2147/DMSO.S217597

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Ming-Hui Zou


Narumi Muto, 1,* Kentaro Oniki, 1,* Miku Kudo, 1 Yui Obata, 1 Yuki Sakamoto, 1 Naoto Tokumaru, 1 Tomoko Izuka, 1 Takehisa Watanabe, 2 Koji Otake, 3 Yasuhiro Ogata, 3 Junji Saruwatari 1

1Division of Pharmacology and Therapeutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan; 2Departments of Gastroenterology and Hepatology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan; 3Japanese Red Cross Kumamoto Health Care Center, Kumamoto, Japan

*These authors contributed equally to this work

Correspondence: Junji Saruwatari
Division of Pharmacology and Therapeutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, 5-1 Oe-honmachi, Chuo-ku, Kumamoto 862-0973, Japan
Tel/Fax +81 96-371-4512
Email junsaru@gpo.kumamoto-u.ac.jp

Purpose: The patatin-like phospholipase domain containing protein 3 (PNPLA3) rs738409 polymorphism (c.444C>G) is the most well-known genetic risk factor for non-alcoholic fatty liver disease (NAFLD), but whether or not physical activity influences the association between the PNPLA3 genotype and risk of NAFLD is unclear.
Patients and Methods: A retrospective longitudinal analysis was conducted among 352 Japanese subjects. Each type of physical activity was assigned a metabolic equivalent (MET), and the subjects were classified into sedentary, low or high groups using the “METS*T” (METs × hours per week) value of 5 or 21 as a threshold.
Results: Among the PNPLA3 G/G genotype carriers, the high and low METS*T groups had a lower risk of NAFLD than the sedentary METS*T group (odds ratio [95% confidence interval]: 0.14 [0.02– 0.99] and 0.16 [0.03– 1.04], respectively). Furthermore, the PNPLA3 C/C or C/G genotype carriers showed no significant difference in the risk of NAFLD among the three METS*T groups.
Conclusion: The PNPLA3 rs738409 genotype may be associated with the beneficial effects of physical activity on the risk of NAFLD among elderly Japanese individuals. Further comprehensive investigations are therefore needed to verify the preliminary results.

Keywords: weight status, liver steatosis, patatin-like phospholipase domain containing protein 3, genetic polymorphism


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