Relationships between genetic risks for chronic diseases and long-run wellbeing are largely unexplored. We examined the associations between genetic predispositions to several chronic conditions and long-term functional health and socioeconomic status.
We used data on a nationally representative sample of 9317 adults 65 years or older from the 1992-2012 Health and Retirement Survey in the US. Survey data were linked to genetic data on nearly 2 million SNPs. We measured individual-level genetic predispositions for coronary-artery disease, type 2 diabetes, obesity, rheumatoid arthritis, Alzheimer's disease, and major depressive disorder by polygenic risk scores derived from genome-wide association studies. The outcomes were self-rated health, depressive symptoms, cognitive ability, activities of everyday life, educational attainment and wealth. We employed regression analyses for the outcomes including all polygenic scores and adjusting for gender, birth period, and genetic ancestry.
The polygenic scores had important associations with functional health and socioeconomic status. An increase in genetic risk for all conditions except type 2 diabetes was significantly (p<0.01) associated with reduced functional health and socioeconomic outcomes. The magnitudes of functional health declines were meaningful and in many cases equivalent in magnitude to several years of aging. These associations were robust to several sensitivity checks for ancestry and adjustment for parental educational attainment and age at death or last interview if alive.
Stronger genetic predispositions for leading chronic conditions are related to worse long-run health and SES outcomes, likely reflecting the adverse effects of the onset of these conditions on one's wellbeing.