Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Androgen receptor gene repeats and indices of obesity in older adults

Abstract

OBJECTIVE: To examine the relationship between GGN and CAG trinucleotide repeat polymorphisms in the androgen receptor (AR) gene and indices of obesity in older Caucasian adults.

DESIGN: A cross-sectional study.

SUBJECTS: Ninety-nine healthy men (age 51–93 y) and 113 healthy postmenopausal women (age 51–92 y).

MEASUREMENTS: Genotyping the GGN and CAG repeats of the AR gene, and measuring body weight, height and waist and hip circumferences. Waist was measured at the umbilicus (wstumb), iliac crest (wstili), and mid-way between the iliac crest and lowest rib (wstwst). Waist-to-hip ratios (WHRUMB, WHRILI and WHRWST) and body mass index (BMI) were calculated.

RESULTS: Women who were homozygous for a common GGN (17 or 18) and short CAG (≤25) had higher waist and hip circumferences and higher WHRUMB and WHRWST, compared with women without this allele combination. The odds ratios (OR) for the upper 25th percentile of obesity measures were 3.6–5.6-fold higher for wstumb, wstwst, WHRUMB and WHRWST among women with this allele combination. Men who had both a rare GGN (not 17) and short CAG (≤23) had a higher WHRUMB and WHRILI compared with men without this allele combination. The OR related to the upper 10th percentile of obesity measures among men who had this allele combination was 4.7-fold higher for WHRILI.

CONCLUSION: AR GGN and CAG allele combinations are strongly associated with central obesity indices in older adults, particularly in women.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Visscher TS, Seidell JC, Menotti A, Blackburn H, Nissinen A, Feskens EM & Kromhout D . Underweight and overweight in relation to mortality among men aged 40–59 and 50–69 years. The Seven Countries Study. Am J Epidemiol 2000; 151: 660–666.

    Article  CAS  Google Scholar 

  2. Flegal KM, Carroll MD, Kuczmarski RJ & Johnson CL . Overweight and obesity in the United States: prevalence and trends, 1960–1994. Int J Obes Relat Metab Disord 1998; 22: 39–47.

    Article  CAS  Google Scholar 

  3. National Heart, Lung and Blood Institute . Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults, Report no. 98–4083. National Institutes of Health: Bethesda, MD; 1998.

  4. VanItallie TB . Waist circumference: a useful index in clinical care and health promotion. Nutr Rev 1998; 56: 300–302.

    Article  Google Scholar 

  5. Rimm EB, Stampfer MJ, Giovannuci E, Ascherio A, Spiegelman D, Colditz GA & Willett W . Body size and fat distributions as predicators of coronary heart disease among middle aged and older US men. Am J Epidemiol 1995; 141: 1117–1127.

    Article  CAS  Google Scholar 

  6. Sellers TA, Kushi LH, Potter JD, Kaye SA, Nelson CL, McGovern PG & Folsom AR . Effect of family history, body-fat distribution, and reproductive factors on the risk of postmenopausal breast cancer. New Engl J Med 1992; 326: 1323–1329.

    Article  CAS  Google Scholar 

  7. Sellers TA, Gapstur SM, Potter JD, Kushi LH, Bostick RM & Folsom AR . Association of body fat distribution and family histories of breast and ovarian cancer with risk of postmenopausal breast cancer. Am J Epidemiol 1993; 138: 799–803.

    Article  CAS  Google Scholar 

  8. Khaw KT & Connor EB . Lower endogenous androgens predict central adiposity in men. Ann Epidemiol 1992; 2: 675–682.

    Article  CAS  Google Scholar 

  9. Garaulet M, Perez-Llamas F, Fuente T, Zamora S & Tebar FJ . Anthropometric, computed tomography and fat cell data in an obese population: relationship with insulin, leptin, tumor necrosis factor-alpha, sex hormone-binding globulin, and sex hormones. Eur J Endocrinol 2000; 143: 657–666.

    Article  CAS  Google Scholar 

  10. Derman RJ . Effects of sex steroids on women's health: implications for practitioners. Am J Med 1995; 98: 137S–143S.

    Article  CAS  Google Scholar 

  11. Hauner H, Bognar E & Blum A . Body fat distribution and its association with metabolic and hormonal risk factors in women with angiographically assessed coronary artery disease. Evidence for the presence of a metabolic syndrome. Atherosclerosis 1994; 105: 209–216.

    Article  CAS  Google Scholar 

  12. Wild RA . Obesity, lipids, cardiovascular risk, and androgen excess. Am J Med 1995; 98: 27S–32S.

    Article  CAS  Google Scholar 

  13. Westberg L, Baghaei F, Rosmond R, Hellstrand M, Landen M, Jansson M, Holm G, Bjorntorp P & Eriksson E . Polymorphisms of the androgen receptor gene and the estrogen receptor beta gene are associated with androgen levels in women. J Clin Endocrinol Metab 2001; 86: 2562–2568.

    CAS  PubMed  Google Scholar 

  14. Hsing AW, Gao YT, Wu G, Wang X, Deng J, Chen YL, Sesterhenn IA, Mostofi FK, Benichou J & Chang C . Polymorphic CAG and GGN repeat lengths in the androgen receptor gene and prostate cancer risk: a population-based case–control study in China. Cancer Res 2000; 60: 5111–5116.

    CAS  PubMed  Google Scholar 

  15. Giovanucci E, Stampfer MJ, Krivithas K, Brown M & Dahl D . The CAG repeat within the androgen receptor gene and its relationship to prostate cancer. Proc Natl Acad Sci 1997; 94: 3320–3323.

    Article  Google Scholar 

  16. Yu H, Bharaj B, Vassilikos EJK, Giai M & Diamandis EP . Shorter CAG repeat length in the androgen receptor gene is associated with more aggressive forms of breast cancer. Breast Cancer Res Treat 2000; 59: 153–161.

    Article  CAS  Google Scholar 

  17. Gibson RS . Principles of nutrition assessment, Oxford University Press: New York; 1990.

    Google Scholar 

  18. Folsom AR, Burke GL, Byers CL, Hutchinson RG, Heiss G, Flack JM, Jacobs DR & Caan B . Implications of obesity for cardiovascular disease in blacks: the CARDIA and ARIC studies. Am J Clin Nutr 1991; 53: 1604s–1611s.

    Article  CAS  Google Scholar 

  19. Chumlea WC, Baumgartner RN, Garry PJ, Rhyne RL, Nicholson C & Wayne S . Fat distribution and blood lipids in a sample of healthy elderly people. Int J Obes 1992; 16: 125–133.

    CAS  Google Scholar 

  20. Nutrition Unit, WHO Regional Office for Europe . Measuring obesity—classification and description of anthropometric data, Report no. EUR/ICP/NUT 125. World Health Organization: Copenhagen; 1989.

  21. Keenan NL, Strogatz DS, James SA, Ammerman AS & Rice BL . Distribution and correlates of waist-to-hip ratio in black adults: the Pitt County Study. Am J Epidemiol 1992; 135: 678–684.

    Article  CAS  Google Scholar 

  22. Oetting WS, Handoko HY, Mentink MM, Paller AS, White JG & King RA . Molecular analysis of an extended family with type IA (tyrosinase-negative) oculocutaneous albinism. J Invest Dermatol 1991; 97: 15–19.

    Article  CAS  Google Scholar 

  23. Carson CA, Meilahn EN & Caggiula AW . Comparison of waist measurements: a methodologic issue in longitudinal studies. J Am Diet Assoc 1994; 94: 771–772.

    Article  CAS  Google Scholar 

  24. Ivandic A, Prpic-Krizevac I, Sucic M & Juric M . Hyperinsulinemia and sex hormones in healthy premenopausal women: relative contribution of obesity, obesity type, and duration of obesity. Metabolism 1998; 47: 13–19.

    Article  CAS  Google Scholar 

  25. Beilin J, Ball EM, Favaloro JM & Zajac JD . Effect of the androgen receptor CAG repeat polymorphism on transcriptional activity: specificity in prostate and non-prostate cell lines. J Mol Endocrinol 2000; 25: 85–96.

    Article  CAS  Google Scholar 

  26. Krithivas K, Yurgalevitch SM, Mohr BA, Wilcox CJ, Batter SJ, Brown M, Longcope C, McKinlay JB & Kantoff PW . Evidence that the CAG repeat in the androgen receptor gene is associated with the age-related decline in serum androgen levels in men. J Endocrinol 1999; 162: 137–142.

    Article  CAS  Google Scholar 

  27. Simon D, Charles M, Nahoul K, Orssaud G, Kremski J, Hully V, Joubert E, Papoz L & Eschwege E . Assocation between plasma total testosterone and cardiovascular risk factors in healthy adult men: the Telecom Study. J Clin Endocrinol Metab 1997; 82: 682–685.

    CAS  PubMed  Google Scholar 

  28. Friedenreich CM . Review of anthropometric factors and breast cancer risk. Eur J Cancer Prev 2001; 10: 15–32.

    Article  CAS  Google Scholar 

  29. Sauter ET, Tichansky DS, Chervoneva I & Diamandis EP . Circulating testosterone and prostate-specific antigen in nipple aspirate fluid and tissue are associated with breast cancer. Environ Health Perspect 2002; 110: 241–246.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was sponsored by NRICGP/USDA award no. 97-35-207-4619 and the Utah Agricultural Experiment Station, Utah State University, Logan, Utah, approved as journal paper no. 7478.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D R Gustafson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gustafson, D., Wen, M. & Koppanati, B. Androgen receptor gene repeats and indices of obesity in older adults. Int J Obes 27, 75–81 (2003). https://doi.org/10.1038/sj.ijo.0802191

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0802191

Keywords

This article is cited by

Search

Quick links