Abstract
Family, twin, and adoption studies of anorexia nervosa (AN), bulimia nervosa (BN), binge-eating disorder (BED), and the proposed purging disorder presentation (PD) have consistently demonstrated that genetic factors contribute to the variance in liability to eating disorders. In addition, endophenotypes and component phenotypes of eating disorders have been evaluated and provide further insight regarding genetic factors influencing eating disorders and eating disorder diagnostic criteria. Many of these phenotypes have demonstrated substantial heritability. This chapter reviews biometrical genetic methods and current findings from family and twin studies that investigate the role of genes and environment in the etiology of eating disorders. We review the methodology used to estimate heritability, the results of these studies, and discuss the implications of this research for the basic conceptualization of eating disorders and the future value of twin modeling in the molecular genetic era.
Keywords
- Anorexia nervosa
- Bulimia nervosa
- Eating disorders
- Endophenotypes
- Twin models
This is a preview of subscription content, access via your institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsAbbreviations
- A:
-
Additive genetic effects
- a2 :
-
Proportion of variance due to additive genetic effects
- AN:
-
Anorexia nervosa
- BED:
-
Binge eating disorder
- BMI:
-
Body mass index
- BN:
-
Bulimia nervosa
- C:
-
Shared environmental effects
- c2 :
-
Proportion of variance due to shared environmental effects
- CI:
-
95% Confidence interval
- DZ:
-
Dizygotic
- E:
-
Unique environmental effects
- e2 :
-
Proportion of variance due to unique environmental effects
- EDE:
-
Eating Disorders Examination
- EDI:
-
Eating Disorder Inventory
- IWL:
-
Intentional weight loss
- MZ:
-
Monozygotic
- PD:
-
Purging disorder
- TFEQ:
-
Three Factor Eating Questionnaire
- V:
-
Variance in liability to a disorder
References
Baker JH, Maes HH, Lissner L, Aggen SH, Lichtenstein P, Kendler KS (2009) Genetic risk factors for disordered eating in adolescent males and females. J Abnorm Psychol 118:576–586
Brody ML, Walsh BT, Devlin MJ (1994) Binge eating disorder: reliability and validity of a new diagnostic category. J Consult Clin Psychol 62:381–386
Bruch H (1974) Perils of behavior modification in treatment of anorexia nervosa. J Am Med Assoc 230:1419–1422
Bruder CE, Piotrowski A, Gijsbers AA, Andersson R, Erickson S, de Stahl TD, Menzel U, Sandgren J, von Tell D, Poplawski A, Crowley M, Crasto C, Partridge EC, Tiwari H, Allison DB, Komorowski J, van Ommen GJ, Boomsma DI, Pedersen NL, den Dunnen JT, Wirdefeldt K, Dumanski JP (2008) Phenotypically concordant and discordant monozygotic twins display different DNA copy-number-variation profiles. Am J Hum Genet 82:763–771
Bulik C, Sullivan P, Kendler K (1998) Heritability of binge-eating and broadly defined bulimia nervosa. Biol Psychiatry 44:1210–1218
Bulik C, Sullivan P, Wade T, Kendler K (2000) Twin studies of eating disorders: a review. Int J Eat Disord 27:1–20
Bulik CM, Sullivan PF, Kendler KS (2003) Genetic and environmental contributions to obesity and binge-eating. Int J Eat Disord 33:293–298
Bulik C, Sullivan P, Tozzi F, Furberg H, Lichtenstein P, Pedersen N (2006) Prevalence, heritability and prospective risk factors for anorexia nervosa. Arch Gen Psychiatry 63:305–312
Bulik CM, Hebebrand J, Keski-Rahkonen A, Klump KL, Reichborn-Kjennerud T, Mazzeo SE, Wade TD (2007) Genetic epidemiology, endophenotypes, and eating disorder classification. Int J Eat Disord 40(Suppl):S52–S60
Bulik CM, Thornton LM, Root TL, Pisetsky EM, Lichtenstein P, Pedersen NL (2010) Understanding the relation between anorexia nervosa and bulimia nervosa in a Swedish national twin sample. Biol Psychiatry 67:71–77
Favaro A, Ferrara S, Santonastaso P (2003) The spectrum of eating disorders in young women: a prevalence study in a general population sample. Psychosom Med 65:701–708
Fisher R (1918) The correlation between relatives on the supposition of Medelian inheritance. Trans R Soc Edinb 52:399–433
Fowler S, Bulik C (1997) Family environment and psychiatric history in women with binge eating disorder and obese controls. Behav Change 14:106–112
Garfinkel P, Lin E, Goering P, Spegg C, Goldbloom D, Kennedy S, Kaplan A, Woodside D (1995) Bulimia nervosa in a Canadian community sample: prevalence and comparison of subgroups. Am J Psychiatry 152:1052–1058
Garner D, Olmsted M, Polivy J (1984) Eating disorders inventory manual. Psychological Assessment Resources, New York
Gershon ES, Goldin LR (1986) Clinical methods in psychiatric genetics. I. Robustness of genetic marker investigative strategies. Acta Psychiatr Scand 74:113–118
Gershon E, Schreiber J, Hamovit J, Dibble E, Kaye W, Nurnberger J, Anersen A, Ebert M (1983) Anorexia nervosa and major affective disorders associated in families: a preliminary report. In: Guze SB, Earls FJ, Barrett JE (eds) Childhood psychopathology and development. Raven Press, New York, pp 279–284
Heatherton TF, Herman CP, Polivy J, King GA, McGree ST (1988) The (mis)measurement of restraint: an analysis of conceptual and psychometric issues. J Abnorm Psychol 97:19–28
Hoek HW (2006) Incidence, prevalence and mortality of anorexia nervosa and other eating disorders. Curr Opin Psychiatry 19:389–394
Holland AJ, Hall A, Murray R, Russell GFM, Crisp AH (1984) Anorexia nervosa: a study of 34 twin pairs and one set of triplets. Br J Psychiatry 145:414–419
Holland AJ, Sicotte N, Treasure J (1988) Anorexia nervosa: evidence for a genetic basis. J Psychosom Res 32:561–571
Hudson JI, Pope HG, Jonas JM, Yurgelun-Todd D, Frankenburg FR (1987) A controlled family history study of bulimia. Psychol Med 17:883–890
Hudson J, Lalonde J, Pindyck L, Bulik C, Crow S, McElroy S, Laird N, Tsuang M, Rosenthal N, Pope H (2006) Familial aggregation of binge-eating disorder. Arch Gen Psychiatry 63:313–319
Hudson JI, Hiripi E, Pope HG Jr, Kessler RC (2007) The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 61:348–358
Javaras KN, Laird NM, Reichborn-Kjennerud T, Bulik CM, Pope HG Jr, Hudson JI (2008a) Familiality and heritability of binge eating disorder: results of a case-control family study and a twin study. Int J Eat Disord 41:174–179
Javaras KN, Pope HG, Lalonde JK, Roberts JL, Nillni YI, Laird NM, Bulik CM, Crow SJ, McElroy SL, Walsh BT, Tsuang MT, Rosenthal NR, Hudson JI (2008b) Co-occurrence of binge eating disorder with psychiatric and medical disorders. J Clin Psychiatry 69:266–273
Kassett J, Gershon E, Maxwell M, Guroff J, Kazuba D, Smith A, Brandt H, Jimerson D (1989) Psychiatric disorders in the first-degree relatives of probands with bulimia nervosa. Am J Psychiatry 146:1468–1471
Keel P, Haedt A, Edler C (2005) Purging disorder: an ominous variant of bulimia nervosa? Int J Eat Disord 38:191–199
Kendler KS (1993) Twin studies of psychiatric illness. Arch Gen Psychiatry 50:905–915
Kendler KS, MacLean C, Neale MC, Kessler RC, Heath AC, Eaves LJ (1991) The genetic epidemiology of bulimia nervosa. Am J Psychiatry 148:1627–1637
Keski-Rahkonen A, Bulik CM, Neale BM, Rose RJ, Rissanen A, Kaprio J (2005a) Body dissatisfaction and drive for thinness in young adult twins. Int J Eat Disord 37:188–199
Keski-Rahkonen A, Neale BM, Bulik CM, Pietilainen KH, Rose RJ, Kaprio J, Rissanen A (2005b) Intentional weight loss in young adults: sex-specific genetic and environmental effects. Obes Res 13:745–753
Keski-Rahkonen A, Hoek HW, Susser ES, Linna MS, Sihvola E, Raevuori A, Bulik CM, Kaprio J, Rissanen A (2007) Epidemiology and course of anorexia nervosa in the community. Am J Psychiatry 164:1259–1265
Killen J, Taylor C, Hayward C, Haydel K, Wilson D, Hammer L, Kraemer H, Blair-Greiner A, Strachowski D (1996) Weight concerns influence the development of eating disorders: a 4-year prospective study. J Consult Clin Psychol 64:936–940
Klump KL, Holly A, Iacono WG, McGue M, Willson LE (2000a) Physical similarity and twin resemblance for eating attitudes and behaviors: a test of the equal environments assumption. Behav Genet 30:51–58
Klump KL, McGue M, Iacono WG (2000b) Age differences in genetic and environmental influences on eating attitudes and behaviors in preadolescent and adolescent female twins. J Abnorm Psychol 109:239–251
Klump KL, Miller KB, Keel PK, McGue M, Iacono WG (2001) Genetic and environmental influences on anorexia nervosa syndromes in a population-based twin sample. Psychol Med 31:737–740
Klump K, Strober M, Bulik C, Thornton L, Johnson C, Devlin B, Fichter M, Halmi K, Kaplan A, Woodside D, Crow S, Mitchell J, Rotondo A, Keel P, Berrettini W, Plotnicov K, Pollice C, Lilenfeld L, Kaye W (2004) Personality characteristics of women before and after recovery from an eating disorder. Psychol Med 34:1407–1418
Klump KL, Suisman JL, Burt SA, McGue M, Iacono WG (2009) Genetic and environmental influences on disordered eating: an adoption study. J Abnorm Psychol 118:797–805
Kortegaard LS, Hoerder K, Joergensen J, Gillberg C, Kyvik KO (2001) A preliminary population-based twin study of self-reported eating disorder. Psychol Med 31:361–365
Lee Y, Abbott D, Seim H, Crosby R, Monson N, Burgard M, Mitchell J (1999) Eating disorders and psychiatric disorders in the first-degree relatives of obese probands with binge eating disorder and obese non-binge eating disorder controls. Int J Eat Disord 26:322–332
Lilenfeld L, Kaye W, Greeno C, Merikangas K, Plotnikov K, Pollice C, Rao R, Strober M, Bulik C, Nagy L (1998) A controlled family study of restricting anorexia and bulimia nervosa: comorbidity in probands and disorders in first-degree relatives. Arch Gen Psychiatry 55:603–610
Mazzeo SE, Mitchell KS, Bulik CM, Aggen SH, Kendler KS, Neale MC (2009a) A twin study of specific bulimia nervosa symptoms. Psychol Med 40:1–11
Mazzeo SE, Mitchell KS, Bulik CM, Reichborn-Kjennerud T, Kendler KS, Neale MC (2009b) Assessing the heritability of anorexia nervosa symptoms using a marginal maximal likelihood approach. Psychol Med 39:463–473
Mehler PS, Crews C, Weiner K (2004) Bulimia: medical complications. J Womens Health (Larchmt) 13:668–675
Mitchell KS, Neale MC, Bulik CM, Aggen SH, Kendler KS, Mazzeo SE (2010) Binge eating disorder: a symptom-level investigation of genetic and environmental influences on liability. Psychol Med published online Feb 5
Neale M, Cardon L (1992) Methodology for the study of twins and families. Kluwer Academic Publisher Group, Dordrecht, the Netherlands
Neale BM, Mazzeo SE, Bulik CM (2003) A twin study of dietary restraint, disinhibition and hunger: an examination of the eating inventory (three factor eating questionnaire). Twin Res 6:471–478
Plomin R, DeFries JC, McClearn GE, Rutter M (1994) Behavioral genetics, 3rd edn. W.H. Freeman & Co, New York
Polivy J, Herman CP (1985) Dieting and binging: a causal analysis. Am Psychol 40:193–201
Reichborn-Kjennerud T, Bulik C, Tambs K, Harris J (2004) Genetic and environmental influences on binge eating in the absence of compensatory behaviours: a population-based twin study. Int J Eat Disord 36:307–314
Root TL, Pisetsky EM, Thornton L, Lichtenstein P, Pedersen NL, Bulik CM (2010) Patterns of co-morbidity of eating disorders and substance use in Swedish females. Psychol Med 40:105–115
Rutherford J, McGuffin P, Katz R, Murray R (1993) Genetic influences on eating attitudes in a normal female twin population. Psychol Med 23:425–436
Scarr S (1968) Environmental bias in twin studies. Eugen Q 15:34–40
Schur E, Noonan C, Polivy J, Goldberg J, Buchwald D (2009) Genetic and environmental influences on restrained eating behavior. Int J Eat Disord 42:765–772
Stein D, Lilenfeld L, Plotnicov K, Pollice C, Rao R, Strober M, Kaye W (1999) Familial aggregation of eating disorders: results from a controlled family study of bulimia nervosa. Int J Eat Disord 26:211–215
Stice E (1998) Relations of restraint and negative affect to bulimic pathology: a longitudinal test of three competing models. Int J Eat Disord 23:243–260
Stice E, Fisher M, Lowe MR (2004) Are dietary restraint scales valid measures of acute dietary restriction? Unobtrusive observational data suggest not. Psychol Assess 16:51–59
Stice E, Cooper JA, Schoeller DA, Tappe K, Lowe MR (2007) Are dietary restraint scales valid measures of moderate- to long-term dietary restriction? Objective biological and behavioral data suggest not. Psychol Assess 19:449–458
Strober M, Morrell W, Burroughs J, Salkin B, Jacobs C (1985) A controlled family study of anorexia nervosa. J Psychiatr Res 19:239–246
Strober M, Lampert C, Morrell W, Burroughs J, Jacobs C (1990) A controlled family study of anorexia nervosa: evidence of familial aggregation and lack of shared transmission with affective disorders. Int J Eat Disord 9:239–253
Strober M, Freeman R, Lampert C, Diamond J, Kaye W (2000) Controlled family study of anorexia nervosa and bulimia nervosa: evidence of shared liability and transmission of partial syndromes. Am J Psychiatry 157:393–401
Strober M, Freeman R, Lampert C, Diamond J, Kaye W (2001) Males with anorexia nervosa: a controlled study of eating disorders in first-degree relatives. Int J Eat Disord 29:263–269
Sullivan PF, Bulik CM, Kendler KS (1998) The genetic epidemiology of binging and vomiting. Br J Psychiatry 173:75–79
Treasure J, Holland A (1989) Genetic vulnerability to eating disorders: evidence from twin and family studies. In: Remschmidt H, Schmidt M (eds) Child and youth psychiatry: European persoectives. Hogrefe & Huber, New York, pp 59–68
Tyrka A, Waldron I, Graber J, Brooks-Gunn J (2002) Prospective predictors of the onset of anorexic and bulimic syndromes. Int J Eat Disord 32:282–290
Wade TD, Bulik CM (2007) Shared genetic and environmental risk factors between undue influence of body shape and weight on self-evaluation and dimensions of perfectionism. Psychol Med 37:635–644
Wade T, Martin N, Tiggemann M (1998) Genetic and environmental risk factors for the weight and shape concerns characteristic of bulimia nervosa. Psychol Med 28:761–771
Wade TD, Martin N, Neale M, Tiggemann M, Trealor S, Heath A, Bucholz K, Madden P (1999) The structure of genetic and environmental risk factors for three measures of disordered eating characteristic of bulimia nervosa. Psychol Med 29:925–934
Wade TD, Bulik CM, Neale M, Kendler KS (2000) Anorexia nervosa and major depression: shared genetic and environmental risk factors. Am J Psychiatry 157:469–471
Wade T, Bergin J, Tiggemann M, Bulik C, Fairburn C (2006) Prevalence and long-term course of lifetime eating disorders in an adult Australian twin cohort. Aust N Z J Psychiatry 40:121–128
Wade TD, Treloar S, Martin NG (2008) Shared and unique risk factors between lifetime purging and objective binge eating: a twin study. Psychol Med 38:1455–1464
Wade TD, Treloar SA, Heath AC, Martin NG (2009) An examination of the overlap between genetic and environmental risk factors for intentional weight loss and overeating. Int J Eat Disord 42:492–497
Westenhoefer J (1991) Dietary restraint and disinhibition: is restraint a homogeneous construct? Appetite 16:45–55
Westenhoefer J, Stunkard AJ, Pudel V (1999) Validation of the flexible and rigid control dimensions of dietary restraint. Int J Eat Disord 26:53–64
Wilksch SM, Wade TD (2009) An investigation of temperament endophenotype candidates for early emergence of the core cognitive component of eating disorders. Psychol Med 39:811–821
Williamson DA, Martin CK, York-Crowe E, Anton SD, Redman LM, Han H, Ravussin E (2007) Measurement of dietary restraint: validity tests of four questionnaires. Appetite 48:183–192
Woodside D, Field LL, Garfinkel P, Heinmaa M (1998) Specificity of eating disorders diagnoses in families of probands with anorexia nervosa and bulimia nervosa. Compr Psychiatry 39:261–264
Woodside DB, Garfinkel PE, Lin E, Goering P, Kaplan AS, Goldbloom DS, Kennedy SH (2001) Comparisons of men with full or partial eating disorders, men without eating disorders, and women with eating disorders in the community. Am J Psychiatry 158:570–574
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Thornton, L.M., Mazzeo, S.E., Bulik, C.M. (2010). The Heritability of Eating Disorders: Methods and Current Findings. In: Adan, R., Kaye, W. (eds) Behavioral Neurobiology of Eating Disorders. Current Topics in Behavioral Neurosciences, vol 6. Springer, Berlin, Heidelberg. https://doi.org/10.1007/7854_2010_91
Download citation
DOI: https://doi.org/10.1007/7854_2010_91
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-15130-9
Online ISBN: 978-3-642-15131-6
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)