No evidence that genetic tests change people’s behaviour

Genetic tests that provide an estimate of an individual’s risk of developing diseases such as lung cancer and heart disease do not appear to motivate a change in behaviour to reduce the risk, according to a study led by the University of Cambridge and just published in The BMJ.

 

Expectations have been high that giving people information about their genetic risk will empower them to change their behaviour, but we have found no evidence that this is the case.
  -  Theresa Marteau

Researchers at the Behaviour and Health Research Unit analysed a number of studies that looked at whether testing an individual’s DNA for genetic variants that increased their risk of developing so-called ‘common complex diseases’ influenced their health-related behaviour. Complex diseases are those such as heart disease, most cancers and diabetes, where no single gene causes the disease, but rather it is the interaction of dozens – possibly hundreds – of genes together with an individual’s environment and behaviour that leads to the disease.

Genome sequencing – reading an individual’s entire DNA – has opened up the potential to provide individuals with information on whether or not they carry genes known to increase their risk of disease. Such tests are controversial – knowing that an individual carries these variants does not mean that individual will develop the disease; however, proponents argue that if an individual knows that he or she is at a greater risk of a particular disease, they can make an informed decision about whether or not to change their behaviour.


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Image: Alineando secuencias (cropped)
Credit: Shaury Nash


Reproduced courtesy of the University of Cambridge
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