@article{01KZ639WZG701A753W82V8VSWR,
  abstract     = {{IntroductionFrom genome wide association study (GWAS) a large number of single nucleotide polymorphisms (SNPs) have previously been associated with blood pressure (BP) levels. A combination of SNPs, forming a genetic risk score (GRS) could be considered as a useful genetic tool to identify individuals at risk of developing hypertension from early stages in life. Therefore, the aim of our study was to build a GRS being able to predict the genetic predisposition to hypertension (HTN) in European adolescents. MethodsData were extracted from the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) cross-sectional study. A total of 869 adolescents (53% female), aged 12.5-17.5, with complete genetic and BP information were included. The sample was divided into altered (>= 130 mmHg for systolic and/or >= 80 mmHg for diastolic) or normal BP. Based on the literature, a total of 1.534 SNPs from 57 candidate genes related with BP were selected from the HELENA GWAS database. ResultsFrom 1,534 SNPs available, An initial screening of SNPs univariately associated with HTN (p < 0.10) was established, to finally obtain a number of 16 SNPs significantly associated with HTN (p < 0.05) in the multivariate model. The unweighted GRS (uGRS) and weighted GRS (wGRS) were estimated. To validate the GRSs, the area under the curve (AUC) was explored using ten-fold internal cross-validation for uGRS (0.802) and wGRS (0.777). Further covariates of interest were added to the analyses, obtaining a higher predictive ability (AUC values of uGRS: 0.879; wGRS: 0.881 for BMI z-score). Furthermore, the differences between AUCs obtained with and without the addition of covariates were statistically significant (p < 0.05). ConclusionsBoth GRSs, the uGRS and wGRS, could be useful to evaluate the predisposition to hypertension in European adolescents.}},
  articleno    = {{1118919}},
  author       = {{Perez-Gimeno, Gloria and Seral-Cortes, Miguel and Sabroso-Lasa, Sergio and Esteban, Luis Mariano and Lurbe, Empar and Beghin, Laurent and Gottrand, Frederic and Meirhaeghe, Aline and Muntaner, Manon and Kafatos, Anthony and Molnar, Denes and Leclercq, Catherine and Widhalm, Kurt and Kersting, Mathilde and Nova, Esther and Salazar-Tortosa, Diego F. and Gonzalez-Gross, Marcela and Breidenassel, Christina and Sinningen, Kathrin and De Ruyter, Thaïs and Labayen, Idoia and Ruperez, Azahara I. and Bueno-Lozano, Gloria and Moreno, Luis A. and HELENA Study Grp, [missing]}},
  issn         = {{2297-055X}},
  journal      = {{FRONTIERS IN CARDIOVASCULAR MEDICINE}},
  keywords     = {{blood pressure,genetic risk score,adolescents,Europe,prevention,hypertension,GENOME-WIDE ASSOCIATION,BLOOD-PRESSURE,CARDIOVASCULAR RISK,PHYSICAL-ACTIVITY,LIPID-LEVELS,CHILDREN,CHILDHOOD,VARIANTS,QUESTIONNAIRE,TRAJECTORIES}},
  language     = {{eng}},
  pages        = {{11}},
  title        = {{Development of a genetic risk score to predict the risk of hypertension in European adolescents from the HELENA study}},
  url          = {{http://doi.org/10.3389/fcvm.2023.1118919}},
  volume       = {{10}},
  year         = {{2023}},
}

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