Table 1.
Summary of studies evaluating nutrition-related changes following genetic risk assessment
| Reference | Condition | Study population | Lifestyle behaviours assessed | Assessment time points | Findings |
|---|---|---|---|---|---|
| O’Neill et al.(2) | BC | 115 women with family or personal history of BC receiving BRCA1/2 screening | Diet; Physical activity | Baseline*, 3 months and 6 months | No differences in diet, physical activity in BRCA 1/2+ v. BRCA1/2 – women |
| Quach et al.(3) | BC | 120 Ashkenazi Jewish individuals with family or personal history of BC receiving BRCA1/2 screening | Diet; Physical activity; | Baseline, 6 months | No difference in diet or exercise behaviours |
| Marteau et al.(4) | FH | 341 families with a history of FH randomised to receive risk information for FH with or without genetic assessment | Diet; Physical activity; Medications; Smoking | Baseline, 1 week, 6 months | No difference in diet, physical activity, smoking, or medication use between groups at 6 month follow up |
| Chao et al.(5) | AD | 162 adults with a family history of AD receiving risk assessment for AD (with and without apoE disclosure) | Composite variable that included any change in diet, exercise, vitamins and medications | Baseline, 12 months | Adults who were underwent genotype disclosure and learned they had the high-risk allele were more likely to report AD-related lifestyle behaviour changes than those who were apoEe4 negative |
| Vernarelli et al.(6) | AD | 272 adults with a family history of AD receiving apoE genotype disclosure | Diet; Physical activity Dietary supplement use; Medication use | Baseline, 6 weeks | Adults who learned they had the high-risk allele were more likely to report changes in dietary supplement use than those who were apoEe4 negative |
| Hendershot(7) | Cancer (alcohol-related, e.g. oesophageal) | 200 Asian college students randomised to receive risk information for increased cancer risk with and without genotype disclosure | Alcohol consumption | Baseline, 1 month | Subjects who learned they were at increased genetic risk for alcohol-related cancers reported significant decrease in alcohol consumption from baseline to 1 month |
| Taylor & Wu(8) | Hypertension | 98 African–Amercian women undergoing genetic risk assessment for hypertension | Diet (sodium, potassium intake); Physical activity; BMI | Baseline, 6 months | Women at risk for hypertension reported increased physical activity, though finding was NS. |
FH, familial hypercholesterolemia; AD, Alzheimer’s disease; BC breast cancer.
For each study, ‘baseline’ refers to a time point pre-genotype disclosure.