Obesity

Heritability of Body Mass Index Among Familial Generations

JAMA Netw OpenPublished Population-based cohort study

Authors' conclusion

In this cohort study of military enrollees whose parents also underwent prerecruitment evaluations, the observed correlation between midparental and offspring BMI, coupled with a calculated narrow-sense heritability of 39%, suggested a substantive contribution of genetic factors to BMI variation at 17 years of age.

Study context

Population
Offspring examined at prerecruitment military screening in Israel (1986–2018) whose both parents had body mass index (BMI) measured at their own prerecruitment evaluation at 17 years of age447,883 offspring
Participants
1,343,649 participants
Exposure
Parental BMI status vs healthy parental BMI
Outcome
Spearman correlation of offspring BMI with mothers', fathers' and midparental BMI percentile; Odds ratios (ORs) of offspring obesity vs healthy BMI by parental BMI status
Follow-up
17 years of age
Methodological detailspopulation-wide mandatory medical screening
  • Population-wide mandatory medical screening

Main finding

As reported in the abstract

Offspring obesity vs healthy weight by parental obesity; BMI correlation
Each group vs healthy BMIOdds ratio (95% CI)
Maternal obesity
4.96(4.63–5.32)
Paternal obesity
4.48(4.26–4.72)
Parental obesity
6.44(6.22–6.67)
Correlation midparental BMI percentile vs offspring BMI (moderate)
ρ = 0.386

Observational data: associations, not effects.

Further findings

BMI correlation among female offspring · 17 years of age

Maternal-offspring BMI correlation
ρ = 0.329
Paternal-offspring BMI correlation
ρ = 0.266

Prevalence of overweight or obesity in offspring by parental BMI

Both parents healthy BMI
15.4%
Both parents obesity
76.6%
Both parents severe underweight
3.3%

Original publication

Heritability of Body Mass Index Among Familial Generations. JAMA Netw Open. Published 3 June 2024. doi:10.1001/jamanetworkopen.2024.19029

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