To assess the relative importance of genetic and environmental effects on the body-mass index (weight in kilograms divided by the square of the height in meters), we studied samples of identical and fraternal twins, reared apart or reared together. The samples consisted of 93 pairs of identical twins reared apart, 154 pairs of identical twins reared together, 218 pairs of fraternal twins reared apart, and 208 pairs of fraternal twins reared together. The intrapair correlation coefficients of the values for body-mass index of identical twins reared apart were 0.70 for men and 0.66 for women. These are the most direct estimates of the relative importance of genetic influences (heritability) on the body-mass index, and they were only slightly lower than those for twins reared together in this and earlier studies. Similar estimates were derived from maximum-likelihood model-fitting analyses--0.74 for men and 0.69 for women. Nonadditive genetic variance made a significant contribution to the estimates of heritability, particularly among men. Of the potential environmental influences, only those unique to the individual and not those shared by family members were important, contributing about 30 percent of the variance. Sharing the same childhood environment did not contribute to the similarity of the body-mass index of twins later in life. We conclude that genetic influences on body-mass index are substantial, whereas the childhood environment has little or no influence. These findings corroborate and extend the results of earlier studies of twins and adoptees.
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Department of Psychiatry, University of Pennsylvania, Philadelphia.
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112: 424-430
[Abstract][Full Text]
Friedman, J. M.
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299: 856-858
[Abstract][Full Text]
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225: 629-632
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[Abstract][Full Text]
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Einhorn, T. A.
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[Full Text]
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[Abstract][Full Text]
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[Abstract][Full Text]
Brunner, E., McCarthy, N.
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323: 52-52
[Full Text]
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38: 41-47
[Abstract][Full Text]
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322: 630-631
[Full Text]
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[Abstract][Full Text]
Frisancho, A R.
(2000). Prenatal compared with parental origins of adolescent fatness. Am. J. Clin. Nutr.
72: 1186-1190
[Abstract][Full Text]
Harrap, S. B., Stebbing, M., Hopper, J. L., Hoang, H. N., Giles, G. G.
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[Abstract][Full Text]
Treuth, M. S., Butte, N. F., Puyau, M., Adolph, A.
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106: 49e-49
[Abstract][Full Text]
Urhammer, S. A., Hansen, T., Borch-Johnsen, K., Pedersen, O.
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[Abstract][Full Text]
Öhman, M., Oksanen, L., Kaprio, J., Koskenvuo, M., Mustajoki, P., Rissanen, A., Salmi, J., Kontula, K., Peltonen, L.
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85: 3183-3190
[Abstract][Full Text]
Wadden, T. A., Anderson, D. A., Foster, G. D., Bennett, A., Steinberg, C., Sarwer, D. B.
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9: 854-860
[Abstract][Full Text]
Barrera, R., Arslan, V., Gebrayel, N., Melendez, J.
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15: 181-184
[Abstract]
Thomas, G. N., Tomlinson, B., Critchley, J. A. J. H.
(2000). Modulation of Blood Pressure and Obesity With the Dopamine D2 Receptor Gene TaqI Polymorphism. Hypertension
36: 177-182
[Abstract][Full Text]
Yanovski, J. A, Diament, A. L, Sovik, K. N, Nguyen, T. T, Li, H., Sebring, N. G, Warden, C. H
(2000). Associations between uncoupling protein 2, body composition, and resting energy expenditure in lean and obese African American, white, and Asian children. Am. J. Clin. Nutr.
71: 1405-1420
[Abstract][Full Text]
Boivin, M., Camirand, A., Carli, F., Hoffer, L. J., Silva, J. E.
(2000). Uncoupling Protein-2 and -3 Messenger Ribonucleic Acids in Adipose Tissue and Skeletal Muscle of Healthy Males: Variability, Factors Affecting Expression, and Relation to Measures of Metabolic Rate. J. Clin. Endocrinol. Metab.
85: 1975-1983
[Abstract][Full Text]
Treuth, M. S, Butte, N. F, Wong, W. W
(2000). Effects of familial predisposition to obesity on energy expenditure in multiethnic prepubertal girls. Am. J. Clin. Nutr.
71: 893-900
[Abstract][Full Text]
Spungen, A. M., Wang, J., Pierson, R. N. Jr., Bauman, W. A.
(2000). Soft tissue body composition differences in monozygotic twins discordant for spinal cord injury. J. Appl. Physiol.
88: 1310-1315
[Abstract][Full Text]
Holder, J. L. Jr, Butte, N. F., Zinn, A. R.
(2000). Profound obesity associated with a balanced translocation that disrupts the SIM1 gene. Hum Mol Genet
9: 101-108
[Abstract][Full Text]
Levin, B. E., Dunn-Meynell, A. A.
(2000). Defense of body weight against chronic caloric restriction in obesity-prone and -resistant rats. Am. J. Physiol. Regul. Integr. Comp. Physiol.
278: R231-R237
[Abstract][Full Text]
Yanovski, J. A., Yanovski, S. Z.
(1999). Recent Advances in Basic Obesity Research. JAMA
282: 1504-1506
[Full Text]
Anderson, R. M., Brackenridge, B. P.
(1999). Polar Bears in the Jungle: Reflections on Obesity and Overeating. The Diabetes Educator
25: 521-526
Schunkert, H., Brockel, U., Hengstenberg, C., Luchner, A., Muscholl, M. W., Kurzidim, K., Kuch, B., Doring, A., Riegger, G.u. A. J., Hense, H.-W.
(1999). Familial predisposition of left ventricular hypertrophy. J Am Coll Cardiol
33: 1685-1691
[Abstract][Full Text]
Ludwig, D. S., Majzoub, J. A., Al-Zahrani, A., Dallal, G. E., Blanco, I., Roberts, S. B.
(1999). High Glycemic Index Foods, Overeating, and Obesity. Pediatrics
103: 26e-26
[Abstract][Full Text]
Butterwick, R. F., Hawthorne, A. J.
(1998). Advances in Dietary Management of Obesity in Dogs and Cats. J. Nutr.
128: 2771S-2771
[Abstract][Full Text]
Chung, W. K., Belfi, K., Chua, M., Wiley, J., Mackintosh, R., Nicolson, M., Boozer, C. N., Leibel, R. L.
(1998). Heterozygosity for Lepob or Leprdb affects body composition and leptin homeostasis in adult mice. Am. J. Physiol. Regul. Integr. Comp. Physiol.
274: R985-R990
[Abstract][Full Text]
Urhammer, S. A., Fridberg, M., Sorensen, T. I. A., Echwald, S. M., Andersen, T., Tybjarg-Hansen, A., Clausen, J. O., Pedersen, O.
(1997). Studies of Genetic Variability of the Uncoupling Protein 1 Gene in Caucasian Subjects with Juvenile-Onset Obesity. J. Clin. Endocrinol. Metab.
82: 4069-4074
[Abstract][Full Text]
Whitaker, R. C., Wright, J. A., Pepe, M. S., Seidel, K. D., Dietz, W. H.
(1997). Predicting Obesity in Young Adulthood from Childhood and Parental Obesity. NEJM
337: 869-873
[Abstract][Full Text]
Bray, G. A.
(1997). Progress in Understanding the Genetics of Obesity. J. Nutr.
127
: 940S-940S
[Abstract][Full Text]
Nagase, T., Aoki, A., Yamamoto, M., Yasuda, H., Kado, S., Nishikawa, M., Kugai, N., Akatsu, T., Nagata, N.
(1997). Lack of Association between the Trp64Arg Mutation in the {beta}3-Adrenergic Receptor Gene and Obesity in Japanese Men: A Longitudinal Analysis. J. Clin. Endocrinol. Metab.
82: 1284-1287
[Abstract][Full Text]
Stich, V., Harant, I., Glisezinski, I. D., Crampes, F., Berlan, M., Kunesova, M., Hainer, V., Dauzats, M., Riviere, D., Garrigues, M., Holm, C., Lafontan, M., Langin, D.
(1997). Adipose Tissue Lipolysis and Hormone-Sensitive Lipase Expression during Very-Low-Calorie Diet in Obese Female Identical Twins. J. Clin. Endocrinol. Metab.
82: 739-744
[Abstract][Full Text]
Samaras, K., Spector, T. D., Nguyen, T. V., Baan, K., Campbell, L. V., Kelly, P. J.
(1997). Independent Genetic Factors Determine the Amount and Distribution of Fat in Women after the Menopause. J. Clin. Endocrinol. Metab.
82: 781-785
[Abstract][Full Text]
Lamon-Fava, S., Wilson, P. W.F., Schaefer, E. J.
(1996). Impact of Body Mass Index on Coronary Heart Disease Risk Factors in Men and Women: The Framingham Offspring Study. Arterioscler. Thromb. Vasc. Bio.
16: 1509-1515
[Abstract][Full Text]
Chung, W K, Power-Kehoe, L, Chua, M, Leibel, R L
(1996). Mapping of the OB receptor to 1p in a region of nonconserved gene order from mouse and rat to human.. Genome Res
6: 431-438
[Abstract]
Ravussin, E.
(1995). Rising trend may be due to "pathoenvironment". BMJ
311: 1569-1569
[Full Text]
He, Y., Chen, H., Quon, M. J., Reitman, M.
(1995). The Mouse obese Gene. J. Biol. Chem.
270: 28887-28891
[Abstract][Full Text]
Mahaney, M. C., Blangero, J., Comuzzie, A. G., VandeBerg, J. L., Stern, M. P., MacCluer, J. W.
(1995). Plasma HDL Cholesterol, Triglycerides, and Adiposity : A Quantitative Genetic Test of the Conjoint Trait Hypothesis in the San Antonio Family Heart Study. Circulation
92: 3240-3248
[Abstract][Full Text]
Slyper, A., Schectman, G.
(1994). Coronary Artery Disease Risk Factors From a Genetic and Developmental Perspective. Arch Intern Med
154: 633-638
[Abstract]
Andersson, L, Haley, C., Ellegren, H, Knott, S., Johansson, M, Andersson, K, Andersson-Eklund, L, Edfors-Lilja, I, Fredholm, M, Hansson, I, et, al.
(1994). Genetic mapping of quantitative trait loci for growth and fatness in pigs. Science
263: 1771-1774
[Abstract]
Allison, D. B., Heshka, S., Heymsfield, S. B.
(1993). Evidence of a Major Gene With Pleiotropic Action for a Cardiovascular Disease Risk Syndrome in Children Younger Than 14 Years. Arch Pediatr Adolesc Med
147: 1298-1302
[Abstract]
Eisen, S. A., Lyons, M. J., Goldberg, J., True, W. R.
(1993). The Impact of Cigarette and Alcohol Consumption on Weight and Obesity: An Analysis of 1911 Monozygotic Male Twin Pairs. Arch Intern Med
153: 2457-2463
[Abstract]
Hopper, J.
(1993). Review papers : Variance components for statistical genetics: applications in medical research to characteristics related to human diseases and health. Stat Methods Med Res
2: 199-223
[Abstract]
Lee, I-M., Cook, N. R., Hennekens, C. H., Laws, A., University of RochesterSchool of Medicine and Dent, , Casey, D. E., University of RochesterSchool of Medicine and Dent, , Heymsfield, S. B., Heshka, S., Lichtman, S. W., University of RochesterSchool of Medicine and Dent, , Danforth, E., Sims, E. A.H., University of RochesterSchool of Medicine and Dent,
(1993). Actual versus Self-Reported Intake and Exercise in Obesity. NEJM
328: 1494-1496
[Full Text]
Heller, D. A., de Faire, U., Pedersen, N. L., Dahlen, G., McClearn, G. E.
(1993). Genetic and Environmental Influences on Serum Lipid Levels in Twins. NEJM
328: 1150-1156
[Abstract][Full Text]
Yanovski, S. Z.
(1993). A Practical Approach to Treatment of the Obese Patient. Arch Fam Med
2: 309-316
[Abstract]
Bentler, P., Stein, J.
(1992). Structural equation models in medical research. Stat Methods Med Res
1: 159-181
[Abstract]
Wilber, J. F.
(1991). Neuropeptides, Appetite Regulation, and Human Obesity. JAMA
266: 257-259
[Abstract]
I. A. Sorensen, T.
(1991). Genetic epidemiology utilizing the adoption method: Studies of obesity and of premature death in adults. Held as the Ipsen Lecture 18th May, 1990. Scand J Public Health
19: 14-19
[Abstract]
Stunkard, A. J., Berkowitz, R. I.
(1990). Treatment of Obesity in Children. JAMA
264: 2550-2551
[Abstract]
Stunkard, A. J., Fernstrom, M. H., Price, R. A., Frank, E., Kupfer, D. J.
(1990). Direction of Weight Change in Recurrent Depression: Consistency Across Episodes. Arch Gen Psychiatry
47: 857-860
[Abstract]
(1990). SOLID EVIDENCE THAT GENETICS STRONGLY INFLUENCES BODY WEIGHT. JWatch General
1990: 2-2
[Full Text]