title: Genetic and behavioral determinants of waist-hip ratio and waist circumference in women twins.
abstract: OBJECTIVE
  This study examines genetic and behavioral determinants of waist-hip ratio (WHR) and waist circumference among women twins.
  
  
  METHODS
  Six hundred eighty participants from the second examination of the Kaiser-Permanente Women Twins Study (1989 to 1990) were included. Women ranged in age from 31 to 90 years, and included 59% monozygotic and 41% dizygotic twins. Heritabilities of WHR and waist circumference were estimated (range=0 to 1) using three different statistical methods. Linear regression models that adjusted for the lack of independence within twin pairs were used to assess associations between behavioral variables, WHR, and waist circumference.
  
  
  RESULTS
  Age and body mass index-adjusted heritability estimates ranged from 0.36 to 0.61 for WHR and 0.72 to 0.82 for waist circumference. When considered individually, after adjusting for age and body mass index, all behavioral characteristics, except calorie-adjusted fat intake, were significantly (p<0. 10) associated with waist circumference and WHR. Greater central adiposity was associated with lower education, higher alcohol consumption, lower physical activity, current cigarette smoking, higher parity, and postmenopausal status without hormone replacement therapy. In multivariate models, these associations persisted, except neither educational attainment nor alcohol intake was significantly associated with waist circumference. In longitudinal analyses, both measures were positively associated with current or recent-past smoking; infrequent or inconsistent physical activity; and long-term, daily consumption of alcohol.
  
  
  CONCLUSIONS
  These cross-sectional and longitudinal associations are consistent with genetic and behavioral predictors of waist circumference and WHR. Whereas the evidence for genetic influences is stronger for waist circumference, both body fat measures may be similarly influenced by the behavioral factors considered.
authors.affiliation: Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, 27514, USA.
authors.forename: K M
authors.initials: KM
authors.lastname: Rose
authors.forename: B
authors.initials: B
authors.lastname: Newman
authors.forename: E J
authors.initials: EJ
authors.lastname: Mayer-Davis
authors.forename: J V
authors.initials: JV
authors.lastname: Selby
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001519:Behavior; D001824:Body Constitution / Q000235:genetics*; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004041:Dietary Fats / Q000008:administration & dosage; D004522:Educational Status; D015914:Estrogen Replacement Therapy; D000431:Ethanol / Q000008:administration & dosage; D015444:Exercise; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D010298:Parity; D017698:Postmenopause; D012907:Smoking
chemical_list: D004041:Dietary Fats; D000431:Ethanol