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Parents' Genes Influence Their Child's Metabolic Health

A family with two children walks hand-in-hand along a path lined with trees.
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New research at Lund University shows that the biological parents’ genes affect the child's insulin function and capacity to regulate blood sugar levels and blood lipids in different ways. Such knowledge may be used to to develop preventive treatments that reduce the child's risk of developing type 2 diabetes and cardiovascular disease.


Previous research by diabetes researcher Rashmi Prasad has shown that variations in previously known risk genes for type 2 diabetes increase the risk for the child to develop the disease if they are inherited from the mother. Inheriting these genes from the father, on the other hand, had less or no impact on the disease risk. In a new study, published in Diabetologia, Rashmi Prasad investigated how traits such as body weight, levels of blood sugar and cholesterol and insulin function are passed on from mothers and fathers to children and how these parental effects change over the years. The traits studied are of importance for cardiometabolic health.


“Our new study shows that the mother had the greatest influence on blood sugar and cholesterol levels across the child’s different ages. Insulin-related traits that are important to diabetes risk seem to be more influenced by the father over time, likely due to genes inherited from the father. The study has been possible to carry out thanks to genetic analyses and robust measurements in a population study with extensive follow-up,” says Rashmi Prasad, associate professor of genetics and diabetes at Lund University Diabetes Centre. 

Blood sugar and lipids

Rashmi Prasad led the study together with researchers at King Edward Memorial (KEM) Hospital and Research Centre in Pune, India. The research team conducted genetic and statistical analyses of data from 2,400 participants in the Pune Maternal Nutrition Study (PMNS) in India. The researchers have studied the relationship between traits such as BMI (body mass index), insulin function and levels of blood glucose and lipids in parents and offspring when the child was 6, 12 and 24 years. The relationship between the traits of each of the parents with that of the child has been explained by genetic markers. The study shows that the mother had the greatest influence on the baby’s birth weight. The child’s ability to regulate blood sugar levels as well as blood lipids had a stronger association with the mother’s genes from birth to adulthood.


“When we looked at levels of blood sugar and lipids at group level, we could see that the levels of the mother and the child were similar to a greater extent. If we know that the mother's genes have a greater impact on the child’s ability to regulate cholesterol levels, the preventive treatments can focus on regulating glucose and cholesterol in the pregnant mother to reduce the child’s risk to develop cardiovascular disease in the future," says Rashmi Prasad.

Effects on insulin function

The participants in the population study have participated in tests that measure the insulin sensitivity and function of the insulin-producing cells. The researchers' analyses show that the father's genes had a stronger effect on the child's insulin function at different ages.


“If the father has insulin resistance and impaired insulin secretion, it may also affect the child in the future. Such knowledge can be used to prevent type 2 diabetes. Through increased physical activity, insulin sensitivity may be improved in both father and the child. We know that exercise can decrease the risk of developing type 2 diabetes," says Rashmi Prasad.


The researchers behind the study hope to see more research that increases the understanding of how parents’ metabolic traits may affect health of the offspring. Such knowledge can lead to new strategies that can prevent type 2 diabetes, cardiovascular disease and obesity at an early stage.


“Some influences we have seen in this study can be due to the mother’s genes, but also due to the mother’s influence during the fetus’s development. More research is needed to uncover the exact mechanisms behind these parental effects. Our study provides strong evidence that both parents contribute to a child’s metabolism in different ways,” says Rashmi Prasad.


Reference: Wagh R, Hatem G, Andersson J, et al. Parent-of-origin effects in the life-course evolution of cardiometabolic traits. Diabetologia. 2025. doi: 10.1007/s00125-025-06396-5


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