This study aims to investigate genetic causes of early childhood obesity. The investigators will enroll children and adults with severe early onset obesity (BMI \> 99th percentile) diagnosed prior to 6 years of age. The investigators will ask questions about the health and eating behavior of the participants, and perform a brief physical examination. The investigators will collect saliva or blood to perform genetic testing from the participants and invite family members to enroll in the study.
This is a clinical and genomic study designed to investigate monogenic causes of severe early childhood obesity. Participants with severe early onset obesity will be identified by screening of the clinical database or referred for the study. These subjects will be invited to participate in the study. After obtaining informed consent, the investigators will obtain history on the proband and the family, and perform a brief examination in addition to collecting genetic material. Targeted sequencing of genes associated with monogenic and syndromic forms of obesity will be performed using next-generation sequencing. In selected individuals with favorable family history, exome or whole genome sequencing will be performed. Functional analysis of newly identified variants will be performed where possible.
Study Type
OBSERVATIONAL
Enrollment
500
Boston Children's Hospital
Boston, Massachusetts, United States
ACTIVE_NOT_RECRUITINGColumbia University Medical Center
New York, New York, United States
RECRUITINGIdentification of known or novel genetic variants in genes that underlie obesity.
Identification of known or novel genetic variants in genes that underlie obesity.
Time frame: 1.5-2 years
Prevalence of melanocortin receptor 4 mutations.
We will test the hypothesis that 1-3% of early onset obesity could be explained by carriage of mutation of monogenic obesity such as melanocortin receptor 4 in a mixed pediatric population.
Time frame: 2 years
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