Updated 27 February 2017

Your body shape can indicate your diabetes risk

Recent research has shown that women with narrow hips have a higher diabetes risk than women with larger hips.


Studies have shown that women with larger hips tend to have a lower risk of type 2 diabetes, and now scientists are getting a clearer picture of the genetics behind it all.

Recent research has shown that a variant in a gene called KLF14 is associated with the risk of developing type 2 diabetes. It also seems to be a master regulator of how and where a woman's body stores fat: Women with one particular "allele", or version, of the gene variant tend to have slimmer hips, while women with another are more "pear-shaped".

Body fat distribution important

Now a team of international researchers has discovered more about how the gene variant works: It appears to regulate hundreds of other genes active in fat cells, and it changes the structure and function of those cells.

The findings offer clues as to why narrow hips have the unfortunate side effect of an increased diabetes risk, the researchers reported.

Read: Why did I get diabetes?

"Most genes that have been associated with type 2 diabetes are related to the pancreas," said lead researcher Kerrin Small, a genomics researcher at King's College London in England. "What's different about the KLF14 gene is that it's expressed in fat tissue."

That suggests that variations in the gene affect people's sensitivity to insulin, Small explained. Insulin is a hormone that regulates blood sugar; type 2 diabetes develops when the body becomes less responsive to insulin, causing levels of both the hormone and blood sugar to soar.

Obesity is a key risk factor for type 2 diabetes, but body fat distribution is also important: People who carry their weight around the middle are particularly at risk of diabetes, as well as heart disease.

"Differences in KLF14 variants do not affect overall body weight," Small pointed out. "They're only related to body fat distribution."

New therapies down the road

Small was to present her findings at the annual meeting of the American Society of Human Genetics, in Baltimore. Research presented at meetings should be viewed as preliminary until published in a peer-reviewed journal.

So, why do the genetics of hip size and diabetes matter? "No, you can't do anything about your genes," Small acknowledged.

However, she said, gene studies allow researchers to get at the roots of the underlying disease process and can potentially lead to new diabetes therapies down the road.

Dr Caroline Apovian, a spokeswoman for the Obesity Society, agreed.

"This could lead to treatments down the road," said Apovian, who directs nutrition and weight management at Boston Medical Centre.

Of course, she added, the reasons that any one person gains excess weight or develops diabetes are varied and complex. And any single genetic study is "just the tip of the iceberg", Apovian said.

Read: 13 signs you could have diabetes

"Yes, there are genetic influences over your body shape and diabetes risk," she said. "But there's still a lot that you can do to lower your risk."

The take-away, Apovian said, is that women with an "apple shape", who have more fat around the middle should be especially vigilant about eating a healthy diet and getting regular exercise.

The same advice goes for men, since a large waistline also raises their risk of diabetes and heart disease, according to Apovian.

The KLF14 variant seems to influence body fat distribution in women only. But, Small said, other genes have been associated with fat stores and diabetes risk in men.

More broadly, Apovian said, this study helps illustrate the importance of fat cells their structure and activity to human health.

"Fat cells don't just sit there, storing fat," she said.

Read more:

Sweet drinks and poor diet combo linked to diabetes

Sugary drinks increase diabetes

Why South Africans are the fattest in Africa

Image: Women with different body shapes from iStock


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Diabetes expert

Dr. May currently works as a fulltime endocrinologist and has been in private practice since 2004. He has a variety of interests, predominantly obesity and diabetes, but also sees patients with osteoporosis, thyroid disorders, men's health disorders, pituitary and adrenal disorders, polycystic ovaries, and disorders of growth. He is a leading member of several obesity and diabetes societies and runs a trial centre for new drugs.

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