Childhood obesity is predictive of obesity as an adult, and individual
differences in body weight relative to height (body mass index) in ad
ults are important predictors of morbidity as well as mortality from a
therosclerotic cardiovascular disease. The observation of strong famil
ial correlations does not ensure that genes are involved in the determ
ination of body mass index, because individuals in families share envi
ronments as well as genes. However, several recent studies have found
evidence for both additive (polygene) and nonadditive (major gene) com
ponents. A question that results from these analyses is - what gene(s)
has been inherited that carries an associated risk, most likely media
ted by environmental exposures, for obesity? Studies to identify genet
ic loci linked to familial obesity should add to our understanding of
the genetic factors involved in the determination of obesity and may l
ead to early identification of individuals and families at high risk f
or the chronic disorders that are associated with obesity.