Obesidad

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American Journal of Clinical Nutrition, Vol. 87, No.

2, 398-404, February 2008


© 2008 American Society for Nutrition

Evidence for a strong genetic influence on childhood


adiposity despite the force of the obesogenic
environment1,2,3
Jane Wardle, Susan Carnell, Claire MA Haworth and Robert Plomin
1
From the Department of Epidemiology and Public Health, Health Behaviour Research Centre,
University College London, London, United Kingdom (JW and SC), and the Social, Genetic and
Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, London, United
Kingdom (CMAH and RP)

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."

Objective: We aimed to quantify genetic and environmental influences on BMI and


central adiposity in children growing up during a time of dramatic rises in pediatric
obesity.

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.

Results: Quantitative genetic model-fitting confirmed substantial heritability for BMI


and WC (77% for both). Bivariate genetic analyses showed that, although the genetic
influence on WC was largely common to BMI (60%), there was also a significant
independent genetic effect (40%). For both BMI and WC, there was a very modest
shared-environment effect, and the remaining environmental variance was unshared.

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.

Key Words: Heritability • waist circumference • BMI • childhood obesity • twins

Related articles in AJCN:


Obesity—still highly heritable after all these years
Solomon K Musani, Stephen Erickson, and David B Allison
AJCN 2008 87: 275-276. [Full Text]

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