Background and Purpose. The purpose of this study was to investigate t
he general magnitude and relative contributions of anthropometric, lif
estyle, and medical history factors and familial aggregation (combined
effects of genes and early environment) as determinants of paraspinal
muscle cross-sectional area (CSA). Subjects. The subjects were 65 pai
rs of male monozygotic twins aged 35 to 65 years ((X) over bar=49, SD=
8). Methods. Study methods included magnetic resonance imaging, percen
tage body fat determination, and a detailed interview. Results. Most o
f the anthropometric factors were associated with the CSAs. Familial a
ggregation was the strongest determinant, however, explaining 66% to 7
3% of the variance in the outcomes beyond what age alone predicted. Le
vels of occupational, sport, and leisure-time physical activities repo
rted by the subjects had negligible effects. Conclusion and Discussion
. The CSAs of the paraspinal muscles were influenced more by some comb
ination of genes and early environmental factors than by anthropometri
c factors and lifestyle choices in adulthood.