Twin study of genetic and environmental influences on glucose tolerance and indices of insulin sensitivity and secretion

Diabetologia. 2003 Sep;46(9):1276-83. doi: 10.1007/s00125-003-1165-x. Epub 2003 Jul 24.


Aims/hypothesis: Family and twin studies have reported different estimates of the relative contribution of genetic and environmental factors to the quantitative traits glucose tolerance, insulin secretion, and insulin sensitivity. Our aims were to estimate these relative influences in a large sample of twins from the population and to assess the effect of age.

Methods: In this population-based, cross-sectional study we gave an oral glucose tolerance test to 317 women and 290 men who were same-sex healthy twin pairs between 18 to 67 years of age. The genetic, common environmental and individual environmental variance components for fasting and 120-min glucose and for fasting and 30-min insulin as well as the linear effects of age on these components were estimated by multivariate analysis (using the software FISHER).

Results: In women and men the heritability for fasting glucose was 12 and 38%, for 120-min glucose it was 38 and 43%, for fasting insulin it was 54 and 37%, and for 30-min insulin it was 57 and 47%, respectively. Under the assumption of no non-additive genetic effects (no intra- or inter-gene interaction) there was no strong evidence for common environmental effects, barring significant effects for fasting glucose in women. Heritability decreased with age for 120-min glucose in women and fasting insulin in men, whereas it increased for 120-min glucose in men.

Conclusion/interpretation: This study indicates a limited additive genetic influence on the result of an OGTT, possibly with sex-specific age effects, and generally little or no influence of the common environment. Accordingly, there is a considerable individual environmental variation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Twin Study

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Blood Glucose / drug effects
  • Blood Glucose / metabolism*
  • Denmark
  • Environment*
  • Fasting
  • Female
  • Glucose Tolerance Test*
  • Humans
  • Insulin / blood
  • Insulin / metabolism*
  • Insulin / pharmacology
  • Insulin Secretion
  • Male
  • Middle Aged
  • Patient Selection
  • Registries
  • Surveys and Questionnaires
  • Twins*


  • Blood Glucose
  • Insulin