The spread of obesity in a large social network over 32 years

The New England Journal of Medicine
Nicholas A Christakis, James H Fowler

Abstract

The prevalence of obesity has increased substantially over the past 30 years. We performed a quantitative analysis of the nature and extent of the person-to-person spread of obesity as a possible factor contributing to the obesity epidemic. We evaluated a densely interconnected social network of 12,067 people assessed repeatedly from 1971 to 2003 as part of the Framingham Heart Study. The body-mass index was available for all subjects. We used longitudinal statistical models to examine whether weight gain in one person was associated with weight gain in his or her friends, siblings, spouse, and neighbors. Discernible clusters of obese persons (body-mass index [the weight in kilograms divided by the square of the height in meters], > or =30) were present in the network at all time points, and the clusters extended to three degrees of separation. These clusters did not appear to be solely attributable to the selective formation of social ties among obese persons. A person's chances of becoming obese increased by 57% (95% confidence interval [CI], 6 to 123) if he or she had a friend who became obese in a given interval. Among pairs of adult siblings, if one sibling became obese, the chance that the other would become obese increas...Continue Reading

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Jan 13, 2015·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Hiroshi MurayamaShoji Shinkai
Feb 28, 2016·Social Science & Medicine·Eve Caroli, Lexane Weber-Baghdiguian
Jan 1, 2008·AJS; American Journal of Sociology·Jeremy Freese
Oct 18, 2011·AJS; American Journal of Sociology·Benjamin Cornwell, Edward O Laumann
Jan 1, 2008·AJS; American Journal of Sociology·Bernice A PescosolidoVictor Hesselbrock
Jan 19, 2016·Nature Reviews. Endocrinology·Michelle T Long, Caroline S Fox
Dec 2, 2010·The American Journal of the Medical Sciences·Andrew R Zinn
Sep 20, 2016·Current Epidemiology Reports·David S FinkMagdalena Cerdá
Feb 5, 2016·Survey of Ophthalmology·Antony ClarkJames B Semmens
May 23, 2014·Obstetrics and Gynecology Clinics of North America·Sharon Phelan
Jul 28, 2013·Journal of the Academy of Nutrition and Dietetics·Sarah A NelsonSharon M Nickols-Richardson
Feb 18, 2015·Eating Behaviors·William G JohnsonMirihae Kim
Apr 11, 2013·Journal of the American Pharmacists Association : JAPhA·Wesley NufferKaty Trinkley
Sep 7, 2014·Journal of Healthcare Engineering·Mahboobeh Ghesmaty SangachinLora A Cavuoto
Jun 20, 2012·Statistics in Medicine·Nicholas A Christakis, James H Fowler
Oct 2, 2012·Statistics in Medicine·A James O'Malley
Dec 31, 2014·Proceedings of the National Academy of Sciences of the United States of America·J Niels RosenquistNicholas A Christakis
Jan 24, 2016·Journal of Behavioral Medicine·Eleni KarfopoulouMary Yannakoulia
Jan 26, 2016·Journal of the American Medical Directors Association·Nienke NakkenDaisy J A Janssen
Jan 24, 2013·Statistics in Medicine·Tyler J VanderWeele
Jun 15, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Rilene A Chew NgColette L Auerswald
Mar 27, 2013·American Journal of Preventive Medicine·Ann L Albright, Edward W Gregg
Mar 19, 2013·Journal of the Academy of Nutrition and Dietetics·Becky Marquez, Rena R Wing
Feb 27, 2013·Advances in Chronic Kidney Disease·Vytas P Karalius, David A Shoham
Dec 4, 2012·Medicina clínica·José Luis Puerta
Jan 9, 2013·Explore : the Journal of Science and Healing·Larry Dossey
Jan 19, 2016·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Shakira F SugliaBruce G Link
Oct 16, 2015·Obesity·Holly ShakyaJames H Fowler
Nov 28, 2012·Journal of Health Economics·Marcel Bilger, Vincenzo Carrieri
Oct 17, 2012·Research in Social & Administrative Pharmacy : RSAP·Andrea L KjosJon C Schommer
Apr 23, 2014·American Journal of Community Psychology·Jennifer Watling Neal, Brian D Christens
Nov 19, 2011·American Journal of Community Psychology·Brian D Christens
Jul 4, 2012·Social Science & Medicine·Solveig A CunninghamK M Venkat Narayan
May 1, 2016·Annals of Epidemiology·Arash NazeriMahtab Noorifard
Jul 6, 2012·Social Science & Medicine·John A SchneiderGanesh Oruganti
Apr 21, 2012·American Journal of Preventive Medicine·Stephen A Matthews
Jul 5, 2011·Explore : the Journal of Science and Healing·Robert S Bobrow
Jul 25, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Kayo Fujimoto, Thomas W Valente
Mar 20, 2012·Economics and Human Biology·Tor IversenHaakon E Meyer
Mar 1, 2012·Social Science & Medicine·Kate W StrullyNicholas A Christakis
Jun 6, 2012·Eating Behaviors·William G JohnsonAndrea T Pusser
Jan 4, 2012·Nutrition, Metabolism, and Cardiovascular Diseases : NMCD·N BinkinA Lamberti
Jan 10, 2016·International Journal of Public Health·Hazel SquiresMichael P Kelly
Nov 22, 2011·The Psychiatric Clinics of North America·Nia S MitchellJames O Hill
Nov 18, 2011·Cognitive Psychology·Charles KempJoshua B Tenenbaum
Nov 8, 2011·The Surgical Clinics of North America·Rachel L McKenney, Daniel K Short
Oct 4, 2011·Mayo Clinic Proceedings·Thomas E Kottke
May 3, 2014·Obesity·Eric Robinson, Paul Christiansen
Oct 11, 2011·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·H LefèvreM-R Moro
Nov 29, 2011·Journal of Health Economics·Davide Dragone, Luca Savorelli
Oct 27, 2011·Journal of the American Dietetic Association·Raffaella RossiniGiulio Marchesini
Nov 8, 2011·Economics and Human Biology·Mir M AliJohn A Rizzo
Sep 13, 2011·Social Science & Medicine·Patricia A Thomas
Aug 23, 2011·Pediatric Clinics of North America·Ann E Maloney
Sep 20, 2011·Social Science & Medicine·Debra UmbersonCorinne Reczek
Jul 29, 2011·Academic Pediatrics·Marlon P Mundt
Aug 2, 2011·Social Science & Medicine·K de la HayeCarlene Wilson
Sep 24, 2011·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·K de la HayeCarlene Wilson
Jun 28, 2011·Journal of Nutrition Education and Behavior·Jennifer GregsonHeather Kohler Flynn
Dec 20, 2013·American Journal of Community Psychology·Kassandra A AliaTeri Browne
Jul 12, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Gus J Slotman
Apr 20, 2011·Clinical Psychology Review·Eva AlisicRolf J Kleber
Mar 15, 2011·Appetite·Eric RobinsonSuzanne Higgs
Feb 24, 2015·The European Journal of General Practice·Liliana LaranjoArmando B Sá
Feb 22, 2011·American Journal of Preventive Medicine·Yong YangDaniel G Brown
Jan 11, 2011·Economics and Human Biology·Olga YakushevaMarianne Weiss
Dec 31, 2010·Archivos de bronconeumología·Patricia SobradilloAlvar Agustí
Oct 18, 2016·Knowledge and Information Systems·Yelong ShenDejing Dou
Feb 1, 2011·Social Science & Medicine·Mathew J CreightonLuis Rubalcava
Nov 9, 2010·Obesity Research & Clinical Practice·Gregory E SimonEmily A Finch
Feb 1, 2011·Journal of Health Economics·M Christopher Auld
Jul 14, 2010·Progress in Cardiovascular Diseases·Gerald M Oppenheimer
May 19, 2010·Child and Adolescent Psychiatric Clinics of North America·Ann E Maloney
May 25, 2010·American Journal of Preventive Medicine·Nicole RedmondLeRoi S Hicks
Apr 23, 2010·American Journal of Preventive Medicine·Colleen M McBrideThomas W Valente
Apr 21, 2010·Oral and Maxillofacial Surgery Clinics of North America·Melanie W Gironda, Anna Lui
Mar 10, 2010·Appetite·Eveline J WoutersRinie Geenen
Mar 6, 2010·Gastroenterology Clinics of North America·Dang M Nguyen, Hashem B El-Serag
Mar 9, 2010·Social Science & Medicine·Helen McAneneyFrank Kee
Dec 8, 2015·Social Science & Medicine·Stephen J Mooney, Abdulrahman M El-Sayed
Dec 26, 2015·International Journal of Epidemiology·Connie W Tsao, Ramachandran S Vasan
Dec 26, 2015·International Journal of Epidemiology·Robert A Aronowitz
Dec 26, 2015·International Journal of Epidemiology·Connie W Tsao, Ramachandran S Vasan
Jan 5, 2010·Journal of Adolescence·Mir M Ali, Debra S Dwyer
Jul 22, 2016·Heliyon·Tjeerd W BoonstraHelen Christensen
Feb 2, 2010·Seminars in Nephrology·Andrew S Narva, Thomas D Sequist
Oct 13, 2009·Clinics in Liver Disease·Kenneth Cusi
May 20, 2016·Social Science Research·William Carbonaro, Joseph Workman
Mar 5, 2016·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Yan LiJosé A Pagán
Sep 15, 2009·Trends in Cognitive Sciences·Ramsey M RaafatChris Frith
Sep 11, 2009·Drug and Alcohol Dependence·Beth A ReboussinMark Wolfson
Feb 16, 2010·Comprehensive Psychiatry·Julia FandiñoJose C Appolinario
Jun 16, 2009·Archivos de bronconeumología·Miguel Perpiñá Tordera
Jul 25, 2009·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jonathan M Ellen
Jun 9, 2009·Obstetrics and Gynecology Clinics of North America·Sharon Phelan
Jun 30, 2009·Gastrointestinal Endoscopy·Dang M Nguyen, Hashem B El-Serag
Jul 21, 2009·Primary Care·Rickie BrawerJames Plumb
Apr 10, 2009·The Spine Journal : Official Journal of the North American Spine Society·Paul KhoueirMichael Y Wang
Nov 7, 2015·The Journal of Social Psychology·Nicholas G SchwabHelen C Harton
Aug 1, 2015·Journal of Epidemiology and Community Health·Clare Rosenfeld EvansS V Subramanian
Jun 6, 2009·Economics and Human Biology·Timothy J Halliday, Sally Kwak
Dec 20, 2015·The International Journal of Behavioral Nutrition and Physical Activity·Abby C KingLIFE Study Investigators
Jul 25, 2009·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Thomas W ValenteDonna Spruijt-Metz
Apr 10, 2009·Journal of Health Economics·Charles Courtemanche
Dec 17, 2015·Journal of Biosocial Science·Ha Ngoc Trinh, Ming Wen
Jan 20, 2009·Nursing Outlook·Jane Peace, Kristin F Lutz
Oct 28, 2008·Fertility and Sterility·Zaher O MerhiDavid B Seifer
Sep 17, 2008·Preventive Medicine·Danielle Barry, Nancy Petry
Oct 18, 2008·Journal of the American Dietetic Association·Kathryn A StrongBrenda M Davy
Jul 9, 2008·Journal of the Neurological Sciences·A Gordon SmithJ Robinson Singleton
Aug 30, 2008·Economics and Human Biology·Susan L AverettLaura M Argys
Aug 2, 2008·Economics and Human Biology·Francesco RennaNidhi Thakur
Sep 24, 2008·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Phyllis L EllicksonDavid J Klein
Mar 12, 2016·Appetite·Michelle R vanDellenJulie E Delose
May 13, 2008·Journal of Clinical Epidemiology·Michel Wensing
Jun 24, 2008·Journal of Health Economics·Ethan Cohen-Cole, Jason M Fletcher
Jun 21, 2008·Journal of Health Economics·Justin G TrogdonJoanne Pais
May 28, 2008·Journal of the American Dietetic Association·Isabela Romao, Jesse Roth
Sep 18, 2007·The Journal of Urology·Stephen J Freedland
Oct 12, 2007·Economics and Human Biology·Maria ChrzanowskaStanlej J Ulijaszek
Mar 21, 2016·Comprehensive Psychiatry·Hwanjin Park, Mo-Yeol Kang
Jan 22, 2015·Social Science & Medicine·Eric D Carter
Feb 6, 2016·Journal of the American Statistical Association·Bailey K Fosdick, Peter D Hoff
Oct 16, 2015·American Journal of Public Health·Amy Carroll-ScottJeannette R Ickovics
Oct 4, 2014·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·R HuangA Drewnowski
Feb 9, 2013·Methods of Information in Medicine·T ChomutareG Hartvigsen
Oct 1, 2015·Eating and Weight Disorders : EWD·Alejandro MagallaresAsuncion Cano-Escoriaza
Dec 26, 2015·Preventive Medicine Reports·Ginger WinstonMary Charlson
Jul 15, 2015·American Journal of Obstetrics and Gynecology·Urania MagriplesJeannette R Ickovics
Feb 4, 2014·Prevention Science : the Official Journal of the Society for Prevention Research·Jessica M PerkinsDavid W Craig
Sep 1, 2015·Social Science & Medicine·Akihiro Nishi
Jun 3, 2015·Scientific Reports·C Herrera-YagüeMarta C González
Feb 11, 2014·Scientific Reports·Márton KarsaiAlessandro Vespignani
Jun 7, 2013·Scientific Reports·Giovanna MiritelloEsteban Moro
Sep 27, 2014·Scientific Reports·Michele Coscia
Aug 29, 2013·Scientific Reports·Lilian WengYong-Yeol Ahn
Jul 24, 2012·Scientific Reports·Lazaros K GallosHernán A Makse
Oct 9, 2009·Journal of Evaluation in Clinical Practice·Cameron D Norman
Feb 4, 2009·British Journal of Health Psychology·Eileen WiczinskiKORA Study Group
Aug 4, 2009·International nursing review·E Ben-SeferM Ehrenfeld
May 7, 2010·Clinical and Translational Science·Genevieve BardwellRobert Branch
Sep 17, 2009·Journal of the American Geriatrics Society·Iain A LangKenneth Rockwood
Dec 17, 2008·Obesity·Wendy K Chung, Rudolph L Leibel
Oct 22, 2008·Tropical Medicine & International Health : TM & IH·J J MirandaS Ebrahim
Feb 9, 2008·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·T J Atkinson
Jan 17, 2009·Obesity·David B BahrJames O Hill
Sep 19, 2012·Journal of Clinical Nursing·Johanna IlmonenKirsi Laitinen
Dec 6, 2011·Social and Personality Psychology Compass·Jerry CullumHoward Tennen
Oct 26, 2011·Health Economics·Carol GrahamEduardo Lora
Jan 3, 2013·Sociology of Health & Illness·Christiaan W S Monden, Nan Dirk de Graaf
Jul 26, 2011·Social and Personality Psychology Compass·Jennifer E Phillips, William M P Klein
Apr 5, 2012·Health Economics·Toni Mora, Joan Gil
Dec 2, 2010·Economic Geography·Susan ChenChristopher C Miller
May 15, 2012·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·A E MesasF Rodríguez-Artalejo
Oct 20, 2011·Orthodontics & Craniofacial Research·P AuconiA Polimeni
Nov 19, 2011·Health Services Research·Craig Evan PollackKatrina Armstrong
Nov 5, 2010·Journal of the American Geriatrics Society·Margaret Kelly-Hayes
Jul 25, 2013·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·H S Abed, G A Wittert
Oct 23, 2012·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Akihiko Michimi, Michael C Wimberly
Apr 15, 2014·Journal of the Royal Statistical Society. Series C, Applied Statistics·Sudeshna Paul, A James O'Malley
Sep 18, 2010·Journal of Evaluation in Clinical Practice·Cameron D NormanCharlotte Lombardo
Nov 9, 2011·Haemophilia : the Official Journal of the World Federation of Hemophilia·K KhairS Carrington
Sep 20, 2011·Wiley Interdisciplinary Reviews. Systems Biology and Medicine·Joseph Loscalzo, Albert-Laszlo Barabasi
Jan 26, 2011·Cancer·Nancy L KeatingNicholas A Christakis
Jan 14, 2011·Journal of Advanced Nursing·Christine A Anderson, Ann L Whall
Nov 25, 2011·Health Economics·Gindo TampubolonIchiro Kawachi
Jun 20, 2013·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·A M CameronD L Segev
Nov 15, 2011·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·M L FitzgibbonL K Sharp
Oct 27, 2010·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·D T LevyB Swinburn
Mar 16, 2016·Journal of General Internal Medicine·Mitesh S PatelKevin Volpp
Jun 23, 2009·Obesity·H Shelton BrownDeanna M Hoelscher
May 10, 2013·Risk Analysis : an Official Publication of the Society for Risk Analysis·Felicia Wu, Hasan Guclu
Apr 23, 2013·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·M SiervoA Colantuoni
Aug 12, 2014·BioEssays : News and Reviews in Molecular, Cellular and Developmental Biology·Joe AlcockC Athena Aktipis
Apr 28, 2010·Medical Anthropology Quarterly·Tina Moffat