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May 24, 1990New England Journal of Medicine1,280 citationsOpen Access

The Response to Long-Term Overfeeding in Identical Twins

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CBClaude BouchardATAngelo TremblayJDJean‐Pierre Després

Key Points

  • To determine whether individual responses to sustained caloric overfeeding differ and to assess the extent to which genetic variation influences weight gain and body fat distribution.
  • Enrolled 12 pairs of young adult male monozygotic twins who completed a 2-week baseline period followed by an overfeeding protocol.
  • Administered an energy surplus of 4.2 MJ (1,000 kcal) daily, 6 days per week, for 84 days within a 100-day period, totaling an excess of 353 MJ (84,000 kcal) per participant.
  • Measured changes in total body weight, fat mass, subcutaneous fat, and abdominal visceral fat deposition across and within twin pairs.
  • Mean weight gain was 8.1 kg (range: 4.3 to 13.3 kg), with significant within-pair similarity for body weight, percentage of fat, fat mass, and subcutaneous fat (P < 0.05; r ≈ 0.5), showing three times more variance between pairs than within pairs.
  • After adjusting for total fat mass gain, regional fat distribution and abdominal visceral fat exhibited even greater within-pair similarity (P < 0.01; r ≈ 0.7), displaying six times more variance between pairs than within pairs.

Abstract

We undertook this study to determine whether there are differences in the responses of different persons to long-term overfeeding and to assess the possibility that genotypes are involved in such differences. After a two-week base-line period, 12 pairs of young adult male monozygotic twins were overfed by 4.2 MJ (1000 kcal) per day, 6 days a week, for a total of 84 days during a 100-day period. The total excess amount each man consumed was 353 MJ (84,000 kcal). During overfeeding, individual changes in body composition and topography of fat deposition varied considerably. The mean weight gain was 8.1 kg, but the range was 4.3 to 13.3 kg. The similarity within each pair in the response to overfeeding was significant (P less than 0.05) with respect to body weight, percentage of fat, fat mass, and estimated subcutaneous fat, with about three times more variance among pairs than within pairs (r approximately 0.5). After adjustment for the gains in fat mass, the within-pair similarity was particularly evident with respect to the changes in regional fat distribution and amount of abdominal visceral fat (P less than 0.01), with about six times as much variance among pairs as within pairs (r approximately 0.7). We conclude that the most likely explanation for the intrapair similarity in the adaptation to long-term overfeeding and for the variations in weight gain and fat distribution among the pairs of twins is that genetic factors are involved. These may govern the tendency to store energy as either fat or lean tissue and the various determinants of the resting expenditure of energy.

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Cite This Study

Bouchard et al. (1990) studied this question.

synapsesocial.com/papers/6a097a6087ad1657d2515e38https://doi.org/10.1056/nejm199005243222101
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