Similar to twin studies, adoption studies have been used to elucidate the causes of obesity. In 1986, a large-scale adoption study was published, in which information concerning the adult body weight and height of over 500 adopted individuals, their biological parents and their adoptive parents.
By measuring the body-mass index (adult body weight divided by the square root of the adult height), geneticists analyzed the relation between the adopted people and their biological and adoptive parents. Based on their BMI, the people included in the study were divided into four weight categories: thin, median weight, overweight and obese.
The results showed a strong correlation between the weight class assigned to the adopted individuals and their biological parents. Since the only connection between the adoptees and their biological parents are the genes they have in common, it was concluded that obesity is clearly influenced by genetic factors. Between the weight classification of the adoptees and their adoptive parents there was no clear association to be discovered.