Intergenerational cardiovascular disease risk factors involve both maternal and paternal BMI
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Updated: Jun 17, 2026

Stable Isotope In-Vivo Labeling for Mass-Spectrometry Identification of Paternal Metabolites Transferred from Sperm to Oocyte During Fertilization
Published on: June 17, 2025
Idoia Labayen1, Jonatan R Ruiz, Francisco B Ortega
1Department of Nutrition and Food Science, University of the Basque Country, Vitoria, Spain. idoia.labayen@ehu.es
Insights
Parental body mass index (BMI) is linked to increased cardiovascular disease (CVD) risk factors in offspring, including body fat and reduced cardiorespiratory fitness, even in normal-weight children.
Area of Science:
- Pediatric Health
- Cardiovascular Disease Research
- Obesity Studies
Background:
- Parental obesity is a growing public health concern.
- Childhood cardiovascular disease (CVD) risk factors are increasingly prevalent.
- Understanding intergenerational influences on health is crucial.
Purpose of the Study:
- To investigate the association between parental body mass index (BMI) and cardiovascular disease (CVD) risk factors in offspring.
- To determine if parental BMI predicts offspring adiposity, blood pressure, fitness, and metabolic markers.
- To explore these associations independently of offspring weight status.
Main Methods:
- Cross-sectional study involving 940 children and 873 adolescents.
- Parental BMI was calculated from reported height and weight.
- Offspring CVD risk factors included body fat (total and central), blood pressure, cardiorespiratory fitness, insulin sensitivity, lipid profiles, and fibrinogen.
Main Results:
- Maternal and paternal BMI were positively associated with offspring total and central body fat (P < 0.001).
- Parental BMI correlated with offspring waist circumference independently of total adiposity and height (P < 0.001).
- Higher maternal BMI was linked to poorer offspring cardiorespiratory fitness, independent of fatness (P < 0.02).
Conclusions:
- Parental BMI is a significant predictor of CVD risk factors in offspring, particularly body fat and cardiorespiratory fitness.
- These associations suggest a transgenerational transmission of CVD risk susceptibility.
- The findings highlight the importance of parental weight status in offspring cardiovascular health, even in non-overweight descendants.
Objective:
To examine the association between parental BMI and offspring cardiovascular disease (CVD) risk factors.
Research Design And Methods:
The study comprised 940 children (9.5 +/- 0.4 years) and 873 adolescents (15.5 +/- 0.5 years). Parental weight and height were reported by the mother and the father, and BMI was calculated. CVD risk factors included total (sum of five skinfolds) and central (waist circumference) body fat, blood pressure, cardiorespiratory fitness, insulin sensitivity, total cholesterol, HDL cholesterol, triglycerides, and fibrinogen.
Results:
Maternal and paternal BMI were positively associated with total and central fatness in offspring (P < 0.001). BMIs of both parents were significantly related to fibrinogen levels (P < 0.02), but these associations disappeared when controlling for fatness. There was a positive relationship between maternal and paternal BMI and waist circumference in the offspring regardless of total adiposity and height (P < 0.001). Maternal BMI was negatively associated with offspring cardiorespiratory fitness independently of fatness (P < 0.02). These relationships persisted when overweight descendants were excluded from the analysis. There were no significant associations between parental BMI and the other CVD risk factors.
Conclusions:
Both maternal and paternal BMI increase CVD risk factors of their offspring, characterized by total and central body fat, and higher maternal BMI was associated with poorer cardiorespiratory fitness. Our findings give further support to the concept that adiposity in parents transmits susceptibility to CVD risk to descendants, which is detectable even in the absence of overweight in offspring.
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