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Sum Of Skinfolds

The sum of skinfolds is a widely used anthropometric measure that estimates the amount of subcutaneous fat in the body. It involves measuring the thickness of skinfolds at several standardized anatomical sites using a caliper, with the sum of these measurements providing an overall indicator of body adiposity. This non-invasive method is particularly valuable in assessing body composition across different age groups, including newborns, where it offers insights into early-life fat accretion.

The sum of skinfolds reflects an individual’s total body fat, particularly the subcutaneous adipose tissue. Genetic factors play a significant role in determining adiposity. A genome-wide association study (GWAS) identified a specific locus on chromosome3q25.31, located between the CCNL1 and LEKR1genes, as strongly associated with the sum of skinfolds in newborns.[1]This locus was previously linked to birth weight, but recent research more definitively demonstrates its association with newborn body fat.[1]Several single nucleotide polymorphisms (SNPs) within this region have shown strong associations with the sum of skinfolds. These includers17451107 , rs10049008 , rs1482853 , and rs900400 .[1]Functional genomic datasets indicate that these associated SNPs overlap with regions exhibiting experimental evidence of regulatory function, including open chromatin regions and histone marks indicative of active regulatory elements in various cell types such as liver, skin, lung, skeletal muscle, and the central nervous system.[1] The SNP rs17451107 appears to tag the association with the sum of skinfolds particularly well, consistent with its location in a site of open chromatin and active histones.[1]

Accurately assessing adiposity in newborns, such as through the sum of skinfolds, has important clinical implications. Newborn body fat is a crucial indicator of early-life metabolic health and can influence long-term health outcomes. Studies have shown a strong association between the3q25.31locus and newborn body fat, specifically fat mass, rather than just lean body mass.[1] Understanding the genetic determinants of newborn adiposity can help identify individuals at higher risk for later metabolic conditions and inform early intervention strategies.

The study of the sum of skinfolds and its genetic underpinnings holds significant social importance, particularly in the context of public health. Understanding the factors influencing fat accretion from birth can contribute to a broader comprehension of the origins of obesity and related metabolic disorders, which are global health challenges. Uniquely among primates and most mammals, human newborns typically have 10–15% body fat, compared to 1–4% in other species.[1] This significant accumulation of white adipose tissue is thought to serve as a vital energy source supporting the rapid growth and development of the human brain.[1] Investigating genetic influences on this trait, therefore, sheds light on fundamental aspects of human development and health.

Methodological and Statistical Limitations

Section titled “Methodological and Statistical Limitations”

The study’s power to detect associations was not uniform across all cohorts, as evidenced by the “smaller sample size in the TH cohort” potentially leading to a “slightly reduced significance level” forrs17451107 despite a similar effect size.[1] This suggests that some genetic influences, particularly within less represented populations, might be underpowered and thus not fully captured, leading to an incomplete understanding of the overall genetic landscape. While replication was performed for rs1482853 in an independent Northern European cohort.[1] the research also noted “potentially interesting loci that did not fulfill our criteria for replication”.[1] Furthermore, “some evidence for heterogeneity in the association of each SNP, other than rs17451107 , with the sum of skinfolds” was observed.[1] with the allelic effect in the Afro-Caribbean population being approximately 20% of that seen in other groups.[1] This variability in effect sizes across populations complicates the universal interpretation of findings and suggests that genetic effects may not be uniformly transferable.

Ancestry-Specific Effects and Generalizability

Section titled “Ancestry-Specific Effects and Generalizability”

Although the study utilized a multi-ethnic approach, including Northern European, Mexican American, Afro-Caribbean, and Thai ancestry groups, and employed trans-ethnic meta-analysis.[1] significant differences in association strength were observed. Specifically, the “evidence for association observed in the MA and AC cohorts was less significant than that observed in the European and Thai ancestry cohorts”.[1] even when the effect sizes were comparable.[1]This disparity indicates that despite efforts to account for population structure, residual differences in genetic architecture, such as linkage disequilibrium patterns or allele frequencies, might limit the generalizability of specific findings across all included groups. The noted heterogeneity in allelic effects, particularly the substantially reduced effect in the Afro-Caribbean cohort for some SNPs, underscores the challenges in applying findings universally and highlights the need for further studies with increased power within diverse populations to fully characterize ancestry-specific genetic influences on the sum of skinfolds.

Phenotypic Complexity and Unaccounted Factors

Section titled “Phenotypic Complexity and Unaccounted Factors”

The “sum of skinfolds” serves as an anthropometric measure for subcutaneous adiposity in newborns.[1]However, it represents only one aspect of overall body composition and may not fully reflect other critical measures like visceral fat distribution or total body fat percentage, which could have distinct genetic and environmental underpinnings. The study found “no evidence that biological pathways as such contribute significantly to the sum of skinfolds”.[1]a contrast to findings for birth weight.[1]suggesting a potentially more complex or diffuse genetic architecture for this specific phenotype. Furthermore, the research acknowledges a “greater impact of environmental factors on the sum of skinfolds”.[1]While some key covariates such as maternal glucose, C-peptide levels, field center, and ancestry were adjusted for.[1]the influence of other unmeasured environmental factors or intricate gene-environment interactions remains a significant knowledge gap. The question of whether the observed lack of pathway significance for the sum of skinfolds is attributable to environmental factors or “variation in a more limited number of genetic loci”.[1] indicates that further studies are essential to fully elucidate the complex interplay of genetic and environmental determinants of newborn adiposity.

Genetic variations at the 3q25.31 chromosomal locus, specifically single nucleotide polymorphisms (SNPs)rs1482853 and rs17451107 , are strongly associated with measures of adiposity in newborns, particularly the sum of skinfolds and fat mass. These variants are located in an intergenic region between theCCNL1 and LEKR1 genes, suggesting they may influence the regulation of these or nearby genes.[1]The association of this locus with newborn body fat is highly significant, indicating a genetic predisposition to adiposity that is observable from birth.[1] Among the variants in this region, rs17451107 stands out for its robust association with the sum of skinfolds, a direct measure of newborn body fat. This SNP demonstrated the greatest evidence for association in multiple populations, with a highly significant p-value in meta-analyses.[1] The effect of rs17451107 on the sum of skinfolds was consistent across different ancestry groups, suggesting it effectively tags the underlying genetic effect without significant heterogeneity.[1] Furthermore, functional genomic analyses have shown that rs17451107 is situated within a region characterized by open chromatin and active histone marks, which are indicators of active regulatory elements in the genome.[1] This localization suggests that rs17451107 may influence gene expression or other molecular processes critical for fetal fat accumulation.

The variant rs1482853 also exhibits a strong and consistent association with newborn adiposity. Studies have shown a significant link between rs1482853 and the sum of skinfolds, with its association reaching genome-wide significance in both replication cohorts and meta-analyses.[1] Beyond skinfolds, rs1482853 is also significantly associated with newborn fat mass, further emphasizing its role in early-life fat accretion.[1] The gene CCNL1, which encodes Cyclin L1, is located near these variants. Cyclin L1 is known to be involved in the regulation of mRNA splicing, rather than typical cell cycle control, which might imply a role in post-transcriptional gene regulation affecting metabolic pathways.[1] While both rs1482853 and rs17451107 are also associated with birth weight, their strongest associations are consistently observed with measures of body fat, highlighting their specific impact on fat accretion rather than overall growth.[1]

RS IDGeneRelated Traits
rs1482853
rs17451107
LINC00880sum of skinfolds
fat pad mass
birth weight
body mass index
erythrocyte count

The sum of skinfolds is a direct anthropometric measure representing the total thickness of subcutaneous adipose tissue at specific body sites. This trait serves as a crucial operational definition for assessing body fat, particularly in newborns, where it reflects the extent of fetal fat accretion.[1] It is quantified in millimeters (mm) and is considered a directly measured phenotype that correlates with newborn body fat.[1] Its precision in measurement makes it a valuable metric in studies aiming to understand adiposity and its genetic underpinnings.

Conceptually, the sum of skinfolds acts as a proxy for overall body fat, distinguishing it from measures of lean body mass or total birth weight.[1] In scientific research, particularly genome-wide association studies (GWAS), it is utilized as a quantitative trait to identify genetic loci associated with newborn adiposity.[1] The studies highlight its significance in understanding the unique accumulation of white adipose tissue in human newborns, which is substantially higher compared to most other mammals and primates, serving as an essential energy source for early growth.[1]

The terminology “sum of skinfolds” is consistently used across research to denote this specific adiposity measure, often alongside or in comparison to other traits like “Fat Mass (%)” and “Birthweight (gm)”.[1]In genetic analyses, it functions as a key phenotype for investigating associations with specific genetic variants, such as single nucleotide polymorphisms (SNPs) likers17451107 located in the 3q25.31 region between CCNL1 and LEKR1.[1] This trait has been central to identifying genetic influences on fetal growth and adiposity across diverse ancestry groups, demonstrating its utility in a trans-ethnic research context.[1]

Early Understanding and Significance of Fetal Adiposity

Section titled “Early Understanding and Significance of Fetal Adiposity”

The assessment of subcutaneous fat through skinfold measurements has long been a fundamental method in understanding body composition, serving as a non-invasive proxy for overall adiposity. Historically, the significance of body fat in human newborns has been a subject of interest, particularly given that humans typically exhibit substantially higher body fat percentages at birth, around 10–15%, compared to most other mammalian species, which usually range from 1–4%.[1] This unique accumulation of primarily white adipose tissue in humans is understood to be a crucial energy reserve supporting the rapid growth and development of the brain during infancy.[1] The evolution of scientific understanding has progressed from these early observations to more sophisticated investigations, including large-scale epidemiological studies and genetic analyses. Landmark research, such as the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study, has provided a critical framework by collecting comprehensive newborn measures of fetal growth and metabolic traits across diverse populations.[1] Within this context, recent genome-wide association studies (GWAS) have further advanced understanding by identifying specific genetic loci, like the 3q25.31region, that are significantly associated with the sum of skinfolds, thereby shedding light on the genetic architecture underlying fetal fat accretion.[1]

Global Epidemiological Insights and Ancestry-Specific Patterns

Section titled “Global Epidemiological Insights and Ancestry-Specific Patterns”

Global epidemiological studies of the sum of skinfolds, particularly in newborns, highlight the importance of understanding adiposity across diverse populations. The multi-ethnic nature of recent genome-wide association studies, incorporating cohorts of Northern European, Mexican American, Afro-Caribbean, and Thai ancestries, has been instrumental in mapping the global landscape of genetic influences on newborn adiposity.[1] These investigations facilitate the identification of genetic variants with consistent effects across different geographic and ancestral backgrounds, providing a broader understanding of human variation in fat accretion.[1] While certain genetic associations, such as that of rs17451107 with the sum of skinfolds, demonstrate largely consistent allelic effects across Northern European, Mexican American, and Thai populations, some degree of heterogeneity has been observed.[1] For instance, the effect of specific SNPs in the 3q25locus on the sum of skinfolds was approximately 20% lower in the Afro-Caribbean population compared to Northern European, Mexican American, and Thai populations.[1]Such ancestry-specific nuances in association significance and effect sizes, potentially influenced by factors like sample size or unique genetic backgrounds, underscore the necessity of trans-ethnic meta-analyses to comprehensively characterize the global epidemiology of newborn adiposity.[1]

Section titled “Demographic Influences and Evolving Research Trends”

Demographic factors play a crucial role in the epidemiology of the sum of skinfolds, with research predominantly focusing on newborns to understand the earliest determinants of adiposity. Studies routinely account for demographic characteristics such as gestational age at delivery, offspring sex (e.g., percentage of male offspring), and maternal health indicators including maternal glucose, C-peptide levels, and BMI, which can indirectly reflect broader socioeconomic influences on pregnancy outcomes and fetal growth.[1] These adjustments in analytical models, such as those that account for maternal metabolic factors, are essential for isolating the independent genetic and environmental contributions to newborn adiposity.[1]Epidemiological trends in understanding the sum of skinfolds are increasingly integrating genetic insights to complement traditional anthropometric and environmental analyses. While the researchs primarily focuses on identifying genetic predispositions at birth rather than long-term secular trends in population-level skinfold measurements, the identification of regulatory elements within the3q25genomic region linked to the sum of skinfolds signifies an evolving research direction.[1] This shift towards characterizing the functional genomic impact of associated variants, such as rs13322435 overlapping active regulatory elements in various cell types, represents a key trend in dissecting the complex interplay between genetics and the development of adiposity from early life.[1]

Adipose Tissue Biology and Fetal Development

Section titled “Adipose Tissue Biology and Fetal Development”

The sum of skinfolds is a direct measure reflecting the amount of subcutaneous body fat, primarily composed of white adipose tissue, particularly significant in newborns.[1] This accumulated body fat serves as a crucial energy reserve, essential for supporting the rapid growth and high metabolic demands of the developing brain in early life.[1]Humans are distinctive among primates and most mammals for having a remarkably high percentage of body fat at birth, typically ranging from 10% to 15%, in contrast to the 1% to 4% observed in many other species.[1] This unique physiological characteristic underscores the critical role of fat accretion during human fetal development.

Genetic studies have identified specific genomic regions associated with variations in newborn adiposity, as measured by the sum of skinfolds. A prominent locus is situated on chromosome 3q25.31, located in the intergenic region between theCCNL1 and LEKR1 genes.[1]This region has shown a strong association with the sum of skinfolds and, to a lesser extent, with overall percent fat mass and birth weight.[1]Several single nucleotide polymorphisms (SNPs) within this locus, includingrs17451107 , rs10049008 , rs1482853 , and rs900400 , have been linked to newborn adiposity, with rs17451107 demonstrating the strongest association with the sum of skinfolds.[1]

The genetic variants associated with the sum of skinfolds are not merely markers but often reside in regions with active regulatory functions, influencing gene expression. Functional genomic analyses, such as those from the ENCODE project, reveal that SNPs likers13322435 overlap with open chromatin regions and possess histone marks characteristic of active regulatory elements.[1]These regulatory regions are active in a diverse array of cell types, including those from the liver, skin, lung, skeletal muscle, and the central nervous system, suggesting a broad systemic impact on metabolic and developmental processes.[1] The SNP rs17451107 , identified as a key tag for sum of skinfolds, is also localized in a site of open chromatin and active histones, further emphasizing its potential role in gene regulation.[1]

While genetic associations with the sum of skinfolds are robust, the specific underlying molecular and cellular pathways are still being elucidated. Pathway analysis has indicated a significant association with the PANTHER_BIOLOGICAL_PROCESS Other_nucleoside,_nucleotide_and_nucleic_acid_metabolism pathway for the sum of skinfolds.[1] This suggests that variations in the metabolism of these fundamental biomolecules could play a role in regulating fat accretion. Furthermore, one of the associated SNPs, rs900400 , has been linked to elevated insulin release following a glucose challenge, implying a connection to glucose metabolism and insulin signaling pathways that are critical for energy storage and fat synthesis.[1]However, studies also suggest that the sum of skinfolds may be influenced by a complex interplay of environmental factors and a more limited number of genetic loci, rather than a broad range of biological pathways.[1]

Early Life Adiposity and Metabolic Health Trajectories

Section titled “Early Life Adiposity and Metabolic Health Trajectories”

The sum of skinfolds, serving as a direct measure of newborn body fat, holds significant prognostic value for an individual’s long-term metabolic health. Human newborns possess a uniquely high percentage of body fat (approximately 10-15%) compared to other mammals, primarily consisting of white adipose tissue essential for supporting brain growth.[1]Variations in this early adiposity, particularly those influenced by genetic factors such as the 3q25.31 locus, may predispose individuals to different metabolic trajectories later in life. Research indicates that this genomic region is highly associated with newborn body fat, suggesting that early assessment of the sum of skinfolds could identify individuals at increased risk for developing metabolic conditions, highlighting its role in predicting future health outcomes.[1]

Diagnostic Utility and Risk Stratification

Section titled “Diagnostic Utility and Risk Stratification”

Measurement of the sum of skinfolds in newborns offers a clinically relevant, non-invasive diagnostic utility for assessing adiposity at birth. The strong association between specific genetic variants, such asrs17451107 , rs10049008 , rs1482853 , and rs900400 , within the CCNL1 / LEKR1 intergenic region on chromosome 3q25 and newborn adiposity provides a basis for early risk stratification.[1]Identifying newborns with a genetic predisposition to higher adiposity could enable personalized prevention strategies, including targeted nutritional guidance or early lifestyle interventions. Moreover, the consideration of maternal metabolic factors, such as glucose and C-peptide levels, in models assessing these associations underscores the complex interplay between genetic susceptibility and the intrauterine environment in shaping newborn adiposity and subsequent health risks.[1]

Genetic Insights for Personalized Interventions

Section titled “Genetic Insights for Personalized Interventions”

The identification of genetic markers linked to the sum of skinfolds opens avenues for personalized medicine approaches in early life. The associated single nucleotide polymorphisms (SNPs) on chromosome 3q25.31 are located in regions with experimental evidence of regulatory function across various cell types, including liver, skin, lung, skeletal muscle, and the central nervous system.[1] This suggests a mechanistic role for these variants in fat accretion and metabolism. Leveraging these genetic insights could lead to the development of tailored monitoring strategies and interventions for individuals identified with a higher genetic susceptibility to increased adiposity, potentially mitigating the long-term implications of early life fat mass on health. Such an approach could inform clinical decisions, guiding treatment selection and preventive measures based on an individual’s unique genetic profile.

Epidemiological Patterns of Newborn Adiposity

Section titled “Epidemiological Patterns of Newborn Adiposity”

Large-scale epidemiological investigations, such as the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study, have been instrumental in defining the prevalence and demographic factors associated with newborn adiposity, specifically measured by the sum of skinfolds. This observational study examined associations between maternal glucose intolerance during pregnancy and risks of adverse neonatal outcomes, including measures of fetal growth.[1] Researchers conducted a genome-wide association study (GWAS) within the HAPO cohorts, analyzing data from 4281 newborns across diverse ancestry groups to identify common genetic variants linked to anthropometric traits.[1]This comprehensive approach allowed for the exploration of genetic architectures underlying newborn size at birth, revealing that a specific locus on chromosome 3q25.31 is significantly associated with the sum of skinfolds, indicating its role in fetal fat accretion.[1]The findings suggest that while biological pathways contribute to birth weight, their direct contribution to the sum of skinfolds is less clear, potentially pointing to a greater influence of environmental factors or a more limited set of genetic loci on this phenotype.[1]

Genetic Associations Across Diverse Ancestries

Section titled “Genetic Associations Across Diverse Ancestries”

Cross-population comparisons are crucial for understanding the generalizability and population-specific effects of genetic associations with traits like the sum of skinfolds. The study analyzed newborns from four distinct ancestry groups: Northern European (NE), Mexican American (MA), Afro-Caribbean (AC), and Thai (TH).[1] A meta-analysis of these cohorts identified a strong association between rs17451107 and the sum of skinfolds, with this SNP demonstrating the greatest evidence for association in NE newborns.[1] While associations were also observed in the TH, MA, and AC cohorts, the significance levels varied, partly attributed to smaller sample sizes in some groups.[1] Importantly, a trans-ethnic meta-analysis, designed to account for the multi-ethnic nature of the cohort, largely mirrored the results of the standard meta-analysis, confirming the robustness of the identified genetic locus.[1] Although allelic effects for rs17451107 were generally consistent across populations, some heterogeneity was noted for other associated SNPs, with the posterior mean allelic effect in the AC population being approximately 20% of that seen in NE, MA, and TH populations for these heterogeneous variants.[1]

Methodological Rigor in Adiposity Research

Section titled “Methodological Rigor in Adiposity Research”

The methodological design of the GWAS employed robust strategies to ensure the reliability and generalizability of its findings regarding the sum of skinfolds. Researchers performed cohort-specific analyses using linear regression models that adjusted for various covariates, including field center, ancestry via principal component analysis, gestational age at delivery, maternal smoking, offspring sex, and primiparous births.[1]Further adjustments for maternal glucose and C-peptide levels were made in more restrictive models to refine the genetic associations.[1]A fixed-effects meta-analysis, weighted by sample size, combined results across the four ancestry cohorts, and a trans-ethnic meta-analysis using MANTRA provided an alternative approach to account for population diversity.[1] The study meticulously addressed potential limitations through rigorous quality control, including the removal of population outliers, individuals with chromosomal anomalies, and mixed samples, as well as evaluating relatedness among participants.[1] Genotype imputation was carried out separately for mothers and offspring in each cohort using a HapMap 3 reference panel and a conservative allelic r2 threshold to ensure data quality.[1]

Frequently Asked Questions About Sum Of Skinfolds

Section titled “Frequently Asked Questions About Sum Of Skinfolds”

These questions address the most important and specific aspects of sum of skinfolds based on current genetic research.


1. Will my baby inherit a tendency for extra fat?

Section titled “1. Will my baby inherit a tendency for extra fat?”

Yes, genetic factors play a significant role in determining a newborn’s fat levels. Research shows specific genetic regions, like one on chromosome 3q25.31, are strongly associated with how much subcutaneous fat a baby has at birth. So, a predisposition for higher fat can indeed be passed down.

2. Does my family’s background affect my baby’s fat levels?

Section titled “2. Does my family’s background affect my baby’s fat levels?”

Yes, your ancestry can influence how strongly certain genetic factors affect your baby’s fat. While studies are often multi-ethnic, the effect of specific genetic markers, like certain SNPs (e.g., rs17451107 ) in the 3q25.31 region, can vary significantly across different populations. This means that genetic risks might manifest differently depending on your ethnic background, requiring further research in diverse groups.

Absolutely. Your newborn’s body fat, as estimated by measures like the sum of skinfolds, is a crucial indicator of early-life metabolic health. Understanding these early fat levels and their genetic determinants, such as the 3q25.31 locus, can help identify babies at higher risk for later metabolic conditions and inform early intervention strategies.

While genetics provide a blueprint, environmental factors have a significant impact on your baby’s fat accumulation, even prenatally. Things like maternal glucose and C-peptide levels during pregnancy are known to influence newborn adiposity. So, while you can’t change your baby’s genes, your lifestyle choices can certainly play a role in how those genes express themselves.

5. Why are human babies born so much chubbier?

Section titled “5. Why are human babies born so much chubbier?”

Human newborns are unique among primates and most mammals for typically having 10–15% body fat, compared to 1–4% in other species. This significant accumulation of white adipose tissue is thought to be a vital energy source. It’s crucial for supporting the rapid growth and development of the human brain, highlighting a fundamental aspect of human evolution and development.

6. Can we predict my baby’s future weight risks?

Section titled “6. Can we predict my baby’s future weight risks?”

While we can’t give a definitive prediction, understanding your baby’s genetic makeup can provide insights into their potential risk. Identifying specific genetic markers, such as SNPs like rs17451107 within the 3q25.31 locus, can indicate a predisposition for higher newborn body fat, which is linked to long-term metabolic health. This knowledge can help guide early monitoring and preventative strategies.

7. Why are my babies born with different amounts of fat?

Section titled “7. Why are my babies born with different amounts of fat?”

Even siblings can have variations in their genetic predispositions and environmental exposures. While a specific genetic locus on chromosome 3q25.31 is strongly associated with newborn fat, the interplay of multiple genetic variants and unique environmental factors during each pregnancy can lead to differences in adiposity between your children.

8. Is my baby’s visible fat the only fat that counts?

Section titled “8. Is my baby’s visible fat the only fat that counts?”

The sum of skinfolds primarily measures subcutaneous fat, which is the fat just under the skin. While important, it’s only one aspect of overall body composition. Other types of fat, like visceral fat (around organs), also play a critical role in metabolic health and can have distinct genetic and environmental influences. So, visible fat isn’t the whole picture.

9. Do genetic fat risks apply the same to all people?

Section titled “9. Do genetic fat risks apply the same to all people?”

Not necessarily. While some genetic associations are broad, studies show that the strength of genetic effects can vary across different ancestry groups. For instance, the impact of certain SNPs linked to newborn fat might be less significant in some populations compared to others, even with similar effect sizes. This highlights the importance of diverse research to understand population-specific genetic influences.

10. Is there a simple genetic reason my baby is chubbier?

Section titled “10. Is there a simple genetic reason my baby is chubbier?”

It’s more complex than a single “simple” reason. While specific genetic variations, like certain SNPs within the 3q25.31 region, are strongly linked to newborn fat, overall adiposity is influenced by many genes and environmental factors. Research suggests that for newborn fat, environmental factors might even have a greater impact than a limited number of genetic loci, making it a complex interplay.


This FAQ was automatically generated based on current genetic research and may be updated as new information becomes available.

Disclaimer: This information is for educational purposes only and should not be used as a substitute for professional medical advice. Always consult with a healthcare provider for personalized medical guidance.

[1] Urbanek M et al. “The chromosome 3q25 genomic region is associated with measures of adiposity in newborns in a multi-ethnic genome-wide association study.” Hum Mol Genet, 2013.