Molecular epidemiology of the MTHFR C677T polymorphism and its association with type 2 diabetes mellitus at the University of Gondar Comprehensive Specialized Hospital.
Kassahun Berie G, Dagnaw M, et al. • Annals of human biology • 2026
The MTHFR C677T polymorphism was associated with T2DM susceptibility, with CT and TT genotypes increasing risk compared to CC, alongside other risk factors including age, hypertension, family history, alcohol use, and smoking.
Key Findings
Results
The MTHFR C677T polymorphism was significantly associated with T2DM, with CT and TT genotypes increasing susceptibility compared to the CC genotype.
PCR-RFLP was used to detect the MTHFR C677T polymorphism in 140 T2DM patients and 140 controls
Both heterozygous CT and homozygous TT genotypes were associated with increased T2DM risk versus the wild-type CC genotype
Results were reported as odds ratios with 95% confidence intervals; p < 0.05 was the significance threshold
Analysis was conducted using chi-square tests and logistic regression
Results
Age was significantly associated with T2DM risk, with individuals aged 30–44 and 45–59 having higher odds of T2DM than those aged 18–29.
The study used a comparative cross-sectional design with 140 T2DM patients and 140 controls
Age groups 30–44 and 45–59 showed elevated T2DM odds compared to the reference group of 18–29 years
Logistic regression was used to assess the independent association of age with T2DM
Results were reported as odds ratios with 95% confidence intervals
Results
High blood pressure, family history of diabetes, alcohol use, and smoking were identified as significant risk factors for T2DM.
These factors were identified via logistic regression analysis among 140 T2DM patients and 140 controls
Non-random purposive sampling was used to recruit participants at the University of Gondar Comprehensive Specialized Hospital
Data included sociodemographic and lifestyle factors as well as clinical examinations
p < 0.05 was considered statistically significant
Results
Underweight status showed higher but non-significant odds of T2DM compared to normal weight.
Body weight category was assessed as part of clinical examination data collected for all 280 participants
The association between underweight and T2DM did not reach statistical significance (p ≥ 0.05)
Logistic regression was used to evaluate the association
Results were expressed as odds ratios with 95% confidence intervals
Results
Vegetable intake and physical activity were not significantly associated with T2DM risk in this study population.
Both vegetable intake and physical activity were assessed as part of lifestyle factor data collection
The study included 140 T2DM patients and 140 healthy controls
These findings were noted despite general evidence supporting protective roles of diet and exercise in T2DM
Methods
The study was conducted as a comparative cross-sectional study using non-random purposive sampling at the University of Gondar Comprehensive Specialized Hospital in Ethiopia.
A total of 280 participants were enrolled: 140 T2DM patients and 140 controls
Non-random purposive sampling was used for participant selection
Data collection included sociodemographic factors, lifestyle factors, clinical examinations, and PCR-RFLP genotyping
Statistical analysis included chi-square tests and logistic regression, with results reported as OR with 95% CI
Kassahun Berie G, Dagnaw M, Indracanti M, Dejen M, Berhane N. (2026). Molecular epidemiology of the MTHFR C677T polymorphism and its association with type 2 diabetes mellitus at the University of Gondar Comprehensive Specialized Hospital.. Annals of human biology. https://doi.org/10.1080/03014460.2026.2632816