A positive family history is a risk factor for many chronic diseases,
including most cancers, coronary heart disease, and diabetes. Since di
et is also associated with most chronic diseases, one possible explana
tion for non-Mendelian familial clustering is shared eating habits. Fo
od frequency data were obtained on 3,515 sisters in the Iowa Women's H
ealth Study, a prospective cohort of postmenopausal women. Intraclass
correlations between sisters were computed on a range of energy-adjust
ed nutrients to determine whether dietary intakes were more similar am
ong siblings than among unrelated individuals. Two methods were used t
o calculate correlations: analysis of variance modeling and weighted s
ibling correlations. F-tests and randomization tests were used to dete
rmine statistical significance. The intraclass correlations for all of
the nutrients examined were statistically significantly greater than
the hypothesized value of zero (P < 0.05). Representative correlations
include dietary fiber (0.15), animal fat (0.12), vegetable fat (0.13)
, calcium (0.14), iron (0.04), cholesterol (0.08), sodium (0.10), vita
min D (0.16), and total energy intake (0.11). When corrected for measu
rement error, the magnitude of these correlations increased, on averag
e 62%. Although modest in magnitude, these correlations may be high en
ough to influence familial clustering of complex diseases that are att
ributed, in part, to diet. (C) 1998 Wiley-Liss, Inc.