RT Journal Article SR Electronic T1 Using genetics to disentangle the complex relationship between food choices and health status JF bioRxiv FD Cold Spring Harbor Laboratory SP 829952 DO 10.1101/829952 A1 Nicola Pirastu A1 Ciara McDonnell A1 Eryk J. Grzeszkowiak A1 Ninon Mounier A1 Fumiaki Imamura A1 Felix R. Day A1 Jie Zheng A1 Nele Taba A1 Maria Pina Concas A1 Linda Repetto A1 Katherine A. Kentistou A1 Antonietta Robino A1 Tõnu Esko A1 Peter K. Joshi A1 Krista Fischer A1 Ken K. Ong A1 Tom R. Gaunt A1 Zoltan Kutalik A1 John R. B. Perry A1 James F. Wilson YR 2019 UL http://biorxiv.org/content/early/2019/11/08/829952.abstract AB Despite food choices being one of the most important factors influencing health, efforts to identify individual food groups and dietary patterns that cause disease have been challenging, with traditional nutritional epidemiological approaches plagued by biases and confounding. After identifying 302 (289 novel) individual genetic determinants of dietary intake in 445,779 individuals in the UK Biobank study, we develop a statistical genetics framework that enables us, for the first time, to directly assess the impact of food choices on health outcomes. We show that the biases which affect observational studies extend also to GWAS, genetic correlations and causal inference through genetics, which can be corrected by applying our methods. Finally, by applying Mendelian Randomization approaches to the corrected results we identify some of the first robust causal associations between eating patterns and risks of cancer, heart disease and obesity, distinguishing between the effects of specific foods or dietary patterns.