Obesidad
Obesidad
Obesidad
Background: Body mass index (BMI) has been shown to be highly heritable, but most
studies were carried out in cohorts born before the onset of the "obesity epidemic."
Design: We carried out twin analyses of BMI and waist circumference (WC) in a UK
sample of 5092 twin pairs aged 8–11 y. Quantitative genetic model-fitting was used for
the univariate analyses, and bivariate quantitative genetic model-fitting was used for the
analysis of covariance between BMI and WC.
Conclusions: Genetic influences on BMI and abdominal adiposity are high in children
born since the onset of the pediatric obesity epidemic. Most of the genetic effect on
abdominal adiposity is common to BMI, but 40% is attributable to independent genetic
influences. Environmental effects are small and are divided approximately equally
between shared and nonshared effects. Targeting the family may be vital for obesity
prevention in the earliest years, but longer-term weight control will require a
combination of individual engagement and society-wide efforts to modify the
environment, especially for children at high genetic risk.