Genetic Epidemiology, Translational Neurogenomics, Psychiatric Genetics and Statistical Genetics Laboratories investigate the pattern of disease in families, particularly identical and non-identical twins, to assess the relative importance of genes and environment in a variety of important health problems.
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PMID
40633822
TITLE
Predicting adolescent disordered eating and behaviours: exploring environmental moderators of polygenic risk.
ABSTRACT
BACKGROUND NlmCategory: BACKGROUND
Both genetic and environmental factors contribute to the risk of developing disordered eating, with twin studies demonstrating environmental factors moderate genetic susceptibility. To date, gene-environment interactions leveraging polygenic risk scores (PRS) have not been studied in disordered eating phenotypes beyond anorexia nervosa (AN). This study investigated if polygenic risk for AN interacts with established environmental eating disorder risk factors (parental expectations, parental criticism, parental conflict, parental care and weight-related peer teasing) to predict overall levels of disordered eating in the general population or specific lifetime disordered eating behaviours (avoidance of eating, objective bulimic episodes, self-induced vomiting and driven exercise).
METHODS NlmCategory: METHODS
Both genetic and environmental factors contribute to the risk of developing disordered eating, with twin studies demonstrating environmental factors moderate genetic susceptibility. To date, gene-environment interactions leveraging polygenic risk scores (PRS) have not been studied in disordered eating phenotypes beyond anorexia nervosa (AN). This study investigated if polygenic risk for AN interacts with established environmental eating disorder risk factors (parental expectations, parental criticism, parental conflict, parental care and weight-related peer teasing) to predict overall levels of disordered eating in the general population or specific lifetime disordered eating behaviours (avoidance of eating, objective bulimic episodes, self-induced vomiting and driven exercise). PRS were calculated using summary statistics from the largest AN genome-wide association study. Environmental factors were assessed via telephone interview using standardized measures. Analyses were performed using genome-wide complex trait analysis to test whether parental expectations, criticism, conflict or care, or weight-related peer teasing interacted with AN PRS to predict disordered eating outcomes in our sample (n = 383).
RESULTS NlmCategory: RESULTS
Both genetic and environmental factors contribute to the risk of developing disordered eating, with twin studies demonstrating environmental factors moderate genetic susceptibility. To date, gene-environment interactions leveraging polygenic risk scores (PRS) have not been studied in disordered eating phenotypes beyond anorexia nervosa (AN). This study investigated if polygenic risk for AN interacts with established environmental eating disorder risk factors (parental expectations, parental criticism, parental conflict, parental care and weight-related peer teasing) to predict overall levels of disordered eating in the general population or specific lifetime disordered eating behaviours (avoidance of eating, objective bulimic episodes, self-induced vomiting and driven exercise). PRS were calculated using summary statistics from the largest AN genome-wide association study. Environmental factors were assessed via telephone interview using standardized measures. Analyses were performed using genome-wide complex trait analysis to test whether parental expectations, criticism, conflict or care, or weight-related peer teasing interacted with AN PRS to predict disordered eating outcomes in our sample (n = 383). The analyses revealed significant main effects of parental expectations, parental criticism, parental care, and weight-related peer teasing on at least one disordered eating outcome. All environmental variables moderated the association between AN PRS and at least one disordered eating outcome by either increasing risk (parental expectations, parental criticism, parental conflict, weight-related peer teasing) or lowering risk (parental care).
CONCLUSIONS NlmCategory: CONCLUSIONS
Both genetic and environmental factors contribute to the risk of developing disordered eating, with twin studies demonstrating environmental factors moderate genetic susceptibility. To date, gene-environment interactions leveraging polygenic risk scores (PRS) have not been studied in disordered eating phenotypes beyond anorexia nervosa (AN). This study investigated if polygenic risk for AN interacts with established environmental eating disorder risk factors (parental expectations, parental criticism, parental conflict, parental care and weight-related peer teasing) to predict overall levels of disordered eating in the general population or specific lifetime disordered eating behaviours (avoidance of eating, objective bulimic episodes, self-induced vomiting and driven exercise). PRS were calculated using summary statistics from the largest AN genome-wide association study. Environmental factors were assessed via telephone interview using standardized measures. Analyses were performed using genome-wide complex trait analysis to test whether parental expectations, criticism, conflict or care, or weight-related peer teasing interacted with AN PRS to predict disordered eating outcomes in our sample (n = 383). The analyses revealed significant main effects of parental expectations, parental criticism, parental care, and weight-related peer teasing on at least one disordered eating outcome. All environmental variables moderated the association between AN PRS and at least one disordered eating outcome by either increasing risk (parental expectations, parental criticism, parental conflict, weight-related peer teasing) or lowering risk (parental care). Findings highlight the complex interplay between genetic and environmental factors in disordered eating development and emphasize the importance of personalized interventions that consider both genetic predisposition and environmental influences.
© 2025 The Author(s). Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.
DATE PUBLISHED
2025 Dec
HISTORY
PUBSTATUS PUBSTATUSDATE
accepted 2025/05/08
medline 2025/11/18 18:30
pubmed 2025/07/10 00:36
entrez 2025/07/09 19:35
pmc-release 2025/11/18
AUTHORS
NAME COLLECTIVENAME LASTNAME FORENAME INITIALS AFFILIATION AFFILIATIONINFO
Curtis M Curtis Madeleine M Blackbird Initiative, Flinders Institute for Mental Health and Wellbeing, Flinders University, Adelaide, SA, Australia.
Colodro-Conde L Colodro-Conde Lucia L School of Psychology, The University of Queensland, Brisbane, Qld, Australia.
Medland SE Medland Sarah E SE School of Psychology, The University of Queensland, Brisbane, Qld, Australia.
Gordon S Gordon Scott S QIMR Berghofer Medical Research Institute, Brisbane, Qld, Australia.
Martin NG Martin Nicholas G NG QIMR Berghofer Medical Research Institute, Brisbane, Qld, Australia.
Wade TD Wade Tracey D TD Blackbird Initiative, Flinders Institute for Mental Health and Wellbeing, Flinders University, Adelaide, SA, Australia.
Cohen-Woods S Cohen-Woods Sarah S Flinders Centre for Innovation in Cancer, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
INVESTIGATORS
JOURNAL
VOLUME: 66
ISSUE: 12
TITLE: Journal of child psychology and psychiatry, and allied disciplines
ISOABBREVIATION: J Child Psychol Psychiatry
YEAR: 2025
MONTH: Dec
DAY:
MEDLINEDATE:
SEASON:
CITEDMEDIUM: Internet
ISSN: 1469-7610
ISSNTYPE: Electronic
MEDLINE JOURNAL
MEDLINETA: J Child Psychol Psychiatry
COUNTRY: England
ISSNLINKING: 0021-9630
NLMUNIQUEID: 0375361
PUBLICATION TYPE
PUBLICATIONTYPE TEXT
Journal Article
COMMENTS AND CORRECTIONS
GRANTS
GRANTID AGENCY COUNTRY
2030216 National Health and Medical Research Council
310667 National Health and Medical Research Council
324715 National Health and Medical Research Council
480420 National Health and Medical Research Council
GENERAL NOTE
KEYWORDS
KEYWORD
Eating disorder
anorexia nervosa
behavioural genetics
gene-environment interaction (GxE)
MESH HEADINGS
DESCRIPTORNAME QUALIFIERNAME
Humans
Adolescent
Female
Feeding and Eating Disorders etiology
Multifactorial Inheritance genetics
Gene-Environment Interaction genetics
Male genetics
Genome-Wide Association Study genetics
Genetic Predisposition to Disease genetics
Parent-Child Relations genetics
Adolescent Behavior physiology
SUPPLEMENTARY MESH
GENE SYMBOLS
CHEMICALS
OTHER ID's