Table 2.
Results From Structural Equation Modeling of Relations Between the Fat Mass and Obesity-Associated (FTO) rs9939609 Genotype and Life-Course Data in the Northern Finland Birth Cohort 1966, 1965–1997
| Model | β (×10−3) | Standard Error (×10−3) | Standardized β | P Value | Change, ‰ | 95% CI | Corresponding Change in Mean BMI, g/m2 | 95% CI |
| Maternal BMIa,b | ||||||||
| FTO rs9939609 (additive model) | 6.00 | 2.73 | 0.031 | 0.03 | 6.18 | 0.64, 12.0 | 143 | 14.9, 279 |
| Maternal age, years | 6.53 | 0.39 | 0.325 | <0.001 | 6.75 | 5.94, 7.56 | 157 | 138, 176 |
| Parity | ||||||||
| 0 | Referent | |||||||
| 1–3 | 20.1 | 4.34 | 0.150 | <0.001 | 22.2 | 12.3, 33.1 | 516 | 285, 768 |
| ≥4 | 50.2 | 7.86 | 0.376 | <0.001 | 65.2 | 41.6, 92.7 | 1,512 | 965, 2,150 |
| Family SES at birth | ||||||||
| I + II (professional) | Referent | |||||||
| III (skilled worker) | 4.46 | 4.77 | 0.034 | 0.35 | 4.56 | −4.78, 14.8 | 106 | −111, 344 |
| IV (unskilled worker) | 11.8 | 5.76 | 0.088 | 0.04 | 12.5 | 0.51, 26.0 | 290 | 11.9, 602 |
| V (farmer) | 25.8 | 5.79 | 0.192 | <0.001 | 29.4 | 15.5, 44.9 | 682 | 360, 1,042 |
| BMI at birthb | ||||||||
| FTO rs9939609 (additive model) | 2.56 | 1.91 | 0.018 | 0.18 | 2.60 | −1.18, 6.52 | 35.8 | −16.3, 90.0 |
| Sex (female vs. male) | −6.00 | 2.70 | −0.062 | 0.03 | −5.83 | −10.7, −0.71 | −80.4 | −147, −9.80 |
| Gestational age, weeks | 15.2 | 0.89 | 0.288 | <0.001 | 16.4 | 14.4, 18.5 | 227 | 199, 255 |
| Log maternal BMI | 0.11 | 0.01 | 0.155 | <0.001 | 0.11 | 0.09, 0.14 | 1.60 | 1.20, 1.90 |
| Maternal age, years | −0.51 | 0.31 | −0.035 | 0.09 | −0.51 | −1.10, 0.09 | −7.00 | −15.2, 1.20 |
| Parity | ||||||||
| 0 | Referent | |||||||
| 1–3 | 30.8 | 3.42 | 0.316 | <0.001 | 36.0 | 27.2, 45.4 | 497 | 375, 627 |
| ≥4 | 43.6 | 5.53 | 0.447 | <0.001 | 54.6 | 38.7, 72.3 | 753 | 534, 997 |
| Maternal smoking | ||||||||
| Nonsmoker | Referent | |||||||
| 1–10 cigarettes/day | −11.9 | 4.45 | −0.124 | 0.01 | −11.2 | −18.7, −3.16 | −155 | −257, −43.6 |
| >10 cigarettes/day | −31.0 | 8.99 | −0.317 | 0.001 | −26.6 | −38.5, −12.5 | −367 | −531, −172 |
| Maternal blood pressure | ||||||||
| Normotensive | Referent | |||||||
| Gestational hypertensionc | −18.1 | 4.04 | −0.185 | <0.001 | −16.5 | −22.9, −9.63 | −228 | −316, −133 |
| Elevated systolic blood pressure | 8.11 | 4.98 | 0.083 | 0.10 | 8.44 | −1.64, 19.6 | 117 | −22.7, 270 |
| Elevated diastolic blood pressure | −1.68 | 5.52 | −0.019 | 0.76 | −1.66 | −11.8, 9.57 | −23.0 | −162, 132 |
| Not determined/not known | −3.57 | 4.81 | −0.036 | 0.46 | −3.51 | −12.2, 6.03 | −48.4 | −168, 83.1 |
| Family SES at birth | ||||||||
| I + II (professional) | Referent | |||||||
| III (skilled worker) | −10.3 | 3.65 | −0.106 | 0.01 | −9.82 | −16.1, −3.12 | −136 | −222, −43.1 |
| IV (unskilled worker) | −15.6 | 4.19 | −0.161 | <0.001 | −14.5 | −21.2, −7.13 | −199 | −293, −98.3 |
| V (farmer) | −15.3 | 4.29 | −0.156 | <0.001 | −14.1 | −21.1, −6.61 | −195 | −291, −91.2 |
| BMI at age 14 yearsb | ||||||||
| FTO rs9939609 (additive model) | 4.83 | 2.88 | 0.026 | 0.09 | 4.95 | −0.82, 11.1 | 96.1 | −15.8, 214 |
| Sex (female vs. male) | 8.07 | 4.11 | 0.062 | 0.05 | 8.40 | 0.02, 17.5 | 163 | 0.40, 339 |
| Log birth BMI | 0.11 | 0.02 | 0.080 | <0.001 | 0.11 | 0.06, 0.15 | 2.10 | 1.20, 2.90 |
| Log maternal BMI | 0.17 | 0.02 | 0.175 | <0.001 | 0.17 | 0.14, 0.20 | 3.30 | 2.60, 3.90 |
| Frequency of participation in sports at age 14 years | ||||||||
| Daily | Referent | |||||||
| Every other day | 1.60 | 6.47 | 0.013 | 0.80 | 1.61 | −10.5, 15.4 | 31.3 | −204, 298 |
| Twice a week | 0.99 | 6.21 | 0.007 | 0.87 | 1.00 | −10.6, 14.1 | 19.3 | −205, 273 |
| Once a week | 5.55 | 7.14 | 0.043 | 0.44 | 5.71 | −8.11, 21.6 | 111 | −157, 419 |
| Less than once a week | −1.61 | 6.75 | −0.012 | 0.81 | −1.60 | −13.8, 12.3 | −31.0 | −267, 239 |
| Alcohol consumption at age 14 years | ||||||||
| Nonregular intake | Referent | |||||||
| Regular intake | 31.6 | 12.6 | 0.248 | 0.01 | 37.2 | 7.18, 75.6 | 721 | 139, 1,467 |
| Smoking at age 14 years | ||||||||
| Nonsmoker | Referent | |||||||
| Occasional smoker | 18.0 | 6.27 | 0.138 | 0.004 | 19.7 | 5.86, 35.4 | 382 | 114, 686 |
| Regular smoker | 7.38 | 9.06 | 0.058 | 0.42 | 7.66 | −9.85, 28.6 | 149 | −191, 554 |
| Family SES at age 14 years | ||||||||
| I + II (professional) | Referent | |||||||
| III (skilled worker) | 2.08 | 4.86 | 0.017 | 0.67 | 2.10 | −7.18, 12.3 | 40.8 | −139, 239 |
| IV (unskilled worker) | −5.21 | 5.86 | −0.041 | 0.37 | −5.07 | −15.4, 6.49 | −98.4 | −298, 126 |
| V (farmer) | −1.76 | 6.13 | −0.014 | 0.77 | −1.75 | −12.9, 10.8 | −33.9 | −250, 210 |
| BMI at age 31 yearsb | ||||||||
| FTO rs9939609 (additive model) | 9.22 | 2.88 | 0.040 | 0.001 | 9.66 | 3.63, 16.0 | 239 | 89.6, 396 |
| Sex (female vs. male) | −44.8 | 4.77 | −0.278 | <0.001 | −36.1 | −41.8, −29.8 | −891 | −1,032, −737 |
| Log maternal BMI | 0.11 | 0.02 | 0.095 | <0.001 | 0.11 | 0.08, 0.15 | 2.80 | 2.00, 3.60 |
| Log BMI at age 14 years | 0.66 | 0.03 | 0.529 | <0.001 | 0.66 | 0.60, 0.72 | 16.4 | 14.9, 17.9 |
| Quartile of physical activity, MET-hours per week | ||||||||
| 0–3.7 | 26.5 | 6.83 | 0.165 | 0.001 | 30.4 | 14.0, 49.0 | 750 | 347, 1,211 |
| 3.8–10.8 | 15.1 | 5.98 | 0.093 | 0.01 | 16.3 | 3.41, 30.7 | 402 | 84.1, 759 |
| 10.9–20.5 | 2.39 | 5.59 | 0.015 | 0.67 | 2.42 | −8.21, 14.3 | 59.8 | −203, 353 |
| ≥20.6 | Referent | |||||||
| Tertile of alcohol consumption, g/day | ||||||||
| Abstainer | Referent | |||||||
| 0.1–2.5 | −3.70 | 8.39 | −0.022 | 0.66 | −3.63 | −18.2, 13.6 | −89.7 | −451, 336 |
| 2.6–8.7 | −7.56 | 8.16 | −0.048 | 0.35 | −7.29 | −21.0, 8.80 | −180 | −519, 217 |
| ≥8.8 | 8.93 | 8.43 | 0.054 | 0.29 | 9.34 | −7.32, 29.0 | 231 | −181, 716 |
| Smoking at age 31 years | ||||||||
| Nonsmoker | Referent | |||||||
| 1–10 cigarettes/day | 3.86 | 5.53 | 0.024 | 0.49 | 3.93 | −6.74, 15.8 | 97.1 | −167, 391 |
| >10 cigarettes/day | −9.52 | 5.94 | −0.059 | 0.11 | −9.08 | −19.1, 2.14 | −224 | −471, 52.8 |
| Unhealthy diet scored | 4.65 | 2.01 | 0.033 | 0.02 | 4.76 | 0.70, 8.97 | 118 | 17.3, 222 |
| SES at age 31 years | ||||||||
| I + II (professional) | Referent | |||||||
| III (skilled worker) | 15.4 | 5.67 | 0.094 | 0.01 | 16.6 | 4.34, 30.3 | 410 | 107, 749 |
| IV (unskilled worker) | 11.1 | 5.21 | 0.069 | 0.04 | 11.8 | 0.90, 23.8 | 290 | 22.3, 587 |
| V (farmer) | 18.7 | 11.3 | 0.118 | 0.10 | 20.5 | −3.48, 50.5 | 507 | −86.0, 1,248 |
| VI (other) | 19.8 | 6.88 | 0.124 | 0.004 | 21.9 | 6.52, 39.5 | 541 | 161, 976 |
Abbreviations: BMI, body mass index; CI, confidence interval; FTO, fat mass and obesity-associated; MET, metabolic equivalent; SES, socioeconomic status.
Weight (kg)/height (m)2.
The outcome variables maternal BMI and BMI at birth, age 14 years, and age 31 years were natural logarithm-transformed.
Includes gestational hypertension, chronic hypertension, preeclampsia, and superimposed preeclampsia.
An unhealthy diet was defined as daily or almost daily consumption of sausage and less frequent (twice a week or less often) consumption of rye bread or crisp bread, fresh vegetables and salads, and berries or fruit. One point was given for each of these counts, and scores could range from 0 to 5.