Expressive

rs11606709 - ZNF408 - F2

Magnitude 2.2 · 1 study on file

Reported associations

  • Life-Course Genome-wide Association Study Meta-analysis of Total Body BMD and Assessment of Age-Specific Effects. - American journal of human genetics (2018) · Medina-Gomez C, Kemp JP, Trajanoska K, Luan J, Chesi A, Ahluwalia TS, Mook-Kanamori DO, Ham A, Hartwig FP, Evans DS, Joro R, Nedeljkovic I, Zheng HF, Zhu K, Atalay M, Liu CT, Nethander M, Broer L, Porleifsson G, Mullin BH, Handelman SK, Nalls MA, Jessen LE, Heppe DHM, Richards JB, Wang C, Chawes B, Schraut KE, Amin N, Wareham N, Karasik D, Van der Velde N, Ikram MA, Zemel BS, Zhou Y, Carlsson CJ, Liu Y, McGuigan FE, Boer CG, Bønnelykke K, Ralston SH, Robbins JA, Walsh JP, Zillikens MC, Langenberg C, Li-Gao R, Williams FMK, Harris TB, Akesson K, Jackson RD, Sigurdsson G, den Heijer M, van der Eerden BCJ, van de Peppel J, Spector TD, Pennell C, Horta BL, Felix JF, Zhao JH, Wilson SG, de Mutsert R, Bisgaard H, Styrkársdóttir U, Jaddoe VW, Orwoll E, Lakka TA, Scott R, Grant SFA, Lorentzon M, van Duijn CM, Wilson JF, Stefansson K, Psaty BM, Kiel DP, Ohlsson C, Ntzani E, van Wijnen AJ, Forgetta V, Ghanbari M, Logan JG, Williams GR, Bassett JHD, Croucher PI, Evangelou E, Uitterlinden AG, Ackert-Bicknell CL, Tobias JH, Evans DM, Rivadeneira F · PubMed 29304378

    Bone mineral density (BMD) assessed by DXA is used to evaluate bone health. In children, total body (TB) measurements are commonly used; in older individuals, BMD at the lumbar spine (LS) and femoral neck (FN) is used to diagnose osteoporosis. To date, genetic variants in more than 60 loci have been identified as associated with BMD. To investigate the genetic determinants of TB-BMD variation along the life course and test for age-specific effects, we performed a meta-analysis of 30 genome-wide association studies (GWASs) of TB-BMD including 66,628 individuals overall and divided across five age strata, each spanning 15 years. We identified variants associated with TB-BMD at 80 loci, of which 36 have not been previously identified; overall, they explain approximately 10% of the TB-BMD vari

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Lifestyle context

Concrete actions anchored to the cited research. We do not prescribe, we describe.

Diet

  • calcium intake Moderate

    Calcium is essential for bone formation and mineralization, particularly important for individuals with genetic predisposition to lower bone mineral density.

    1000-1200 mg elemental calcium daily from dietary sources

Exercise

  • weight-bearing exercise Moderate

    Weight-bearing exercise strengthens bone and improves mineral density, particularly important for those with genetic predisposition to lower bone mineral density.

    150 minutes per week of weight-bearing or strength-training activities

Screening

  • bone mineral density screening Moderate

    Genetic association with reduced bone mineral density increases fracture risk, making periodic assessment appropriate for early detection.

    DEXA scan at age 50 or earlier if additional osteoporosis risk factors present

Supplements

  • vitamin D supplementation Moderate

    Vitamin D is required for calcium absorption and bone mineralization, critical for those with genetic reduced bone mineral density.

    1000-2000 IU daily or maintain serum 25-OH-vitamin D above 30 ng/mL