The goal of the present study was to evaluate mean values and heritability
estimates of 3 global and 11 regional obesity measures in siblings with (HP
T, n=209) or without (non-HPT, n=91) early-onset (age :less than or equal t
o 55 years) hypertension who originated from the same families. Sixty-one s
ibships, each having at least 2 HPT siblings, were selected from a French-C
anadian population with a known founder effect. Comparison of the mean valu
es showed that HPT siblings are more obese than non-HPT siblings and that t
he body fat of HPT siblings is more centrally distributed. Significant diff
erences were observed in all global obesity measures (P=0.009 to 0.0001). A
mong the regional measures, the most prominent differences were seen in wai
st circumference (P=0.00002), waist/hip ratio (P=0.0001), and suprailiac sk
infold (P=0.00008). Comparison of the heritability estimates derived from s
ibling/sibling correlations (FCOR program, SAGE) suggested that genetic fac
tors play a greater role in HPT (n=357) than in non-HPT (n=93) sib-pairs in
determining most obesity measures. Similar to the mean values, these diffe
rences were most apparent in global and upper-body measures, with heritabil
ities ranging from 40% to 70% (P=0.05 to 0.0006) in HPT siblings and from 0
% to 32% (P=NS) in non-HPT siblings. In summary, the present results sugges
t that HPT and non-HPT siblings drawn from the same families differ by the
degree and distribution of body fat accumulation and that this difference i
s determined, at least in part, by genetic factors cosegregating with hyper
tension. This, in turn, suggests that a genetic link exists between obesity
and hypertension in these families.