Cohen-Cline, Hannah; Lau, Richard; Moudon, Anne V.; Turkheimer, Eric; Duncan, Glen E. (2015). Associations between Fast-Food Consumption and Body Mass Index: A Cross-sectional Study in Adult Twins. Twin Research & Human Genetics, 18(4), 375 – 382.
Abstract
Obesity is a substantial health problem in the United States, and is associated with many chronic diseases. Previous studies have linked poor dietary habits to obesity. This cross-sectional study aimed to identify the association between body mass index (BMI) and fast-food consumption among 669 same-sex adult twin pairs residing in the Puget Sound region around Seattle, Washington. We calculated twin-pair correlations for BMI and fast-food consumption. We next regressed BMI on fast-food consumption using generalized estimating equations (GEE), and finally estimated the within-pair difference in BMI associated with a difference in fast-food consumption, which controls for all potential genetic and environment characteristics shared between twins within a pair. Twin-pair correlations for fast-food consumption were similar for identical (monozygotic; MZ) and fraternal (dizygotic; DZ) twins, but were substantially higher in MZ than DZ twins for BMI. In the unadjusted GEE model, greater fast-food consumption was associated with larger BMI. For twin pairs overall, and for MZ twins, there was no association between within-pair differences in fast-food consumption and BMI in any model. In contrast, there was a significant association between within-pair differences in fast-food consumption and BMI among DZ twins, suggesting that genetic factors play a role in the observed association. Thus, although variance in fast-food consumption itself is largely driven by environmental factors, the overall association between this specific eating behavior and BMI is largely due to genetic factors.
Keywords
Diseases In Twins; Obesity; Adults; Diseases; Food Habits; Food Consumption; Body Mass Index; Cross-sectional Method; United States; Fast-food Consumption; Generalized Estimating Equations; Twin Studies; Fto Gene Variants; Physical-activity; Dietary-intake; Weight Status; Environment Interaction; Human Obesity; Young-adults; Zygosity; Patterns; Exercise