Obesity

Genetic and environmental influences on educational disparities in adult weight change: an individual-based pooled analysis of 11 twin cohorts

Int J Obes (Lond)Published Individual-based pooled analysis of twin cohorts

Authors' conclusion

Individuals with higher EA tend to have lower baseline BMI and slower BMI increases across adulthood. These associations are primarily genetically mediated.

Study context

Population
Twins aged 31–99 years (49% women) across 11 cohorts with educational attainment (EA) and repeated body mass index (BMI) measures
Participants
59,490 twins11 cohorts
Comparison
Men vs Women
Outcome
Associations between EA and BMI trajectory components (baseline BMI and BMI change per decade)
Methodological details11 cohorts, linear mixed-effects models, structural equation modelling
  • 11 cohorts
  • Linear mixed-effects models
  • Structural equation modelling

Pooled result

As reported in the abstract

Association of EA with baseline BMI and BMI change
GroupValueβ baseline BMIβ BMI change
Menmean 1.31 kg/m² per decade−0.07 (95% CI −0.08 to −0.06)−0.01 (95% CI −0.02 to −0.001)
Womenmean 1.32 kg/m² per decade−0.14 kg/m² (95% CI −0.15 to −0.12)−0.02 kg/m²/decade (95% CI −0.03 to −0.01)

Value

Menmean 1.31 kg/m² per decade
Womenmean 1.32 kg/m² per decade

β baseline BMI

Men−0.07 (95% CI −0.08 to −0.06)
Women−0.14 kg/m² (95% CI −0.15 to −0.12)

β BMI change

Men−0.01 (95% CI −0.02 to −0.001)
Women−0.02 kg/m²/decade (95% CI −0.03 to −0.01)

Further pooled results

OutcomeMenWomen
Genetic and environmental correlations of EA with baseline BMI
rA−0.10−0.17
rE— not stated in the abstract−0.07
Genetic correlations of EA with BMI change
rA−0.04−0.06

— not stated in the abstract

Original publication

Genetic and environmental influences on educational disparities in adult weight change: an individual-based pooled analysis of 11 twin cohorts. Int J Obes (Lond). Published 12 June 2026. doi:10.1038/s41366-026-02116-0

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