rs117864888 - ETV6
Magnitude 2.2 · 1 study on file
Reported associations
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Phenotypic and Genetic Characterization of Lower LDL Cholesterol and Increased Type 2 Diabetes Risk in the UK Biobank - Unknown journal (n.d.) · Unknown authors · PubMed 32493714
ABSTRACT: Although hyperlipidemia is traditionally considered a risk factor for type 2 diabetes (T2D), evidence has emerged from statin trials and candidate gene investigations suggesting that lower LDL cholesterol (LDL-C) increases T2D risk. We thus sought to more comprehensively examine the phenotypic and genotypic relationships of LDL-C with T2D. Using data from the UK Biobank, we found that levels of circulating LDL-C were negatively associated with T2D prevalence (odds ratio 0.41 [95% CI 0.39, 0.43] per mmol/L unit of LDL-C), despite positive associations of circulating LDL-C with HbA1c and BMI. We then performed the first genome-wide exploration of variants simultaneously associated with lower circulating LDL-C and increased T2D risk, using data on LDL-C from the UK Biobank (n = 431,
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Lifestyle context
Concrete actions anchored to the cited research. We do not prescribe, we describe.
Diet
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High saturated fat foods Moderate
Saturated fat increases LDL cholesterol, particularly concerning given genetic predisposition
Keep saturated fat below 7% of daily calories
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Soluble fiber and plant-based unsaturated fats Moderate
Soluble fiber and unsaturated fats reduce LDL cholesterol, offsetting genetic predisposition
25-30g fiber daily; emphasize nuts, seeds, olive oil, fish
Discuss with your doctor
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Statin therapy if LDL persistently elevated Moderate
If lifestyle changes insufficient, statins can reduce LDL cholesterol and cardiovascular risk
Discuss with physician if LDL remains above 130 mg/dL after 3 months lifestyle changes
Exercise
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Aerobic exercise Moderate
Aerobic exercise reduces LDL cholesterol and improves cardiovascular outcomes
150 minutes per week moderate intensity aerobic activity
Screening
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LDL cholesterol levels Moderate
ETV6 variant associated with elevated LDL cholesterol; monitoring allows timely intervention
Annual lipid panel; more frequent if LDL elevated