Obesity

Contribution of genetic and environmental factors to obesity indices and their overlap

Diabetes Obes MetabPublished Cohort study

Authors' conclusion

The high correlation between the majority of obesity indices implies their redundancy. In contrast, ABSI and HI were relatively independent of BMI and other indices and showed the greatest influence from individual-specific environmental factors, suggesting their potential utility as complementary tools in epidemiological research, clinical risk prediction, and monitoring of targeted interventions.

Study context

Population
Adults at baseline of the multi-generational Lifelines cohort studyfemales = 89,091, 58.4%
Participants
152,298 adults
Outcome
Genetic (h2), shared (c2) and unique environmental (e2) variance components of anthropometric measures and 12 obesity indices, and their pairwise phenotypic, genetic, shared and unique environmental correlations
Follow-up
Baseline
Methodological detailsfamily-based variance-component analysis, multi-generational, population-based, Variance components and correlations estimated using ASReml software
  • Family-based variance-component analysis
  • Multi-generational
  • Population-based
  • Variance components and correlations estimated using ASReml software

Main finding

As reported in the abstract

Correlations among most indices (rP, rG, rC, rE)
> 0.8
A body shape index (ABSI) and hip index (HI) weakly correlated with other indices, largely independent of body mass index (BMI) (rP)
< 0.10
e2 of ABSI (highest)
64.2%
e2 of HI (highest)
75.7%
Heritability of height (highest)
h2 = 91.7%
Heritability of most other traits (moderate)
h2 = 45%-55%

Observational data: associations, not effects.

Original publication

Contribution of genetic and environmental factors to obesity indices and their overlap. Diabetes Obes Metab. Published 11 February 2026. doi:10.1111/dom.70530

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