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Sugar-sweetened beverage consumption and genetic predisposition to obesity in 2 Swedish cohorts.

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Peer-reviewed

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Article

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Authors

Brunkwall, Louise 
Chen, Yan 
Hindy, George 
Rukh, Gull 
Ericson, Ulrika 

Abstract

BACKGROUND: The consumption of sugar-sweetened beverages (SSBs), which has increased substantially during the last decades, has been associated with obesity and weight gain. OBJECTIVE: Common genetic susceptibility to obesity has been shown to modify the association between SSB intake and obesity risk in 3 prospective cohorts from the United States. We aimed to replicate these findings in 2 large Swedish cohorts. DESIGN: Data were available for 21,824 healthy participants from the Malmö Diet and Cancer study and 4902 healthy participants from the Gene-Lifestyle Interactions and Complex Traits Involved in Elevated Disease Risk Study. Self-reported SSB intake was categorized into 4 levels (seldom, low, medium, and high). Unweighted and weighted genetic risk scores (GRSs) were constructed based on 30 body mass index [(BMI) in kg/m(2)]-associated loci, and effect modification was assessed in linear regression equations by modeling the product and marginal effects of the GRS and SSB intake adjusted for age-, sex-, and cohort-specific covariates, with BMI as the outcome. In a secondary analysis, models were additionally adjusted for putative confounders (total energy intake, alcohol consumption, smoking status, and physical activity). RESULTS: In an inverse variance-weighted fixed-effects meta-analysis, each SSB intake category increment was associated with a 0.18 higher BMI (SE = 0.02; P = 1.7 × 10(-20); n = 26,726). In the fully adjusted model, a nominal significant interaction between SSB intake category and the unweighted GRS was observed (P-interaction = 0.03). Comparing the participants within the top and bottom quartiles of the GRS to each increment in SSB intake was associated with 0.24 (SE = 0.04; P = 2.9 × 10(-8); n = 6766) and 0.15 (SE = 0.04; P = 1.3 × 10(-4); n = 6835) higher BMIs, respectively. CONCLUSIONS: The interaction observed in the Swedish cohorts is similar in magnitude to the previous analysis in US cohorts and indicates that the relation of SSB intake and BMI is stronger in people genetically predisposed to obesity.

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Keywords

BMI, Sweden, gene-lifestyle interaction, genetic risk score, sugar-sweetened beverage, Beverages, Body Mass Index, Carbonated Beverages, Cohort Studies, Confounding Factors, Epidemiologic, Cross-Sectional Studies, Diet Records, Dietary Carbohydrates, Female, Fruit and Vegetable Juices, Genetic Association Studies, Genetic Loci, Genetic Predisposition to Disease, Humans, Male, Middle Aged, Nutrigenomics, Nutrition Surveys, Obesity, Overweight, Polymorphism, Single Nucleotide, Prospective Studies, Self Report, Sweden

Journal Title

Am J Clin Nutr

Conference Name

Journal ISSN

0002-9165
1938-3207

Volume Title

104

Publisher

Elsevier BV