When it comes to what causes
obesity, there's a question that's commonly asked: Is obesity genetic?
Here, we'll take a look at how your genes can influence your weight
and how likely you are to develop obesity. We'll also look at some of
the research findings that support the link between genetics and
obesity.
Image is a model and not a real patient
As we talked about here, it's impossible to identify a specific reason why a person gains weight and develops obesity. However, we do know that genetics is one of the possible causes of obesity. Ongoing research on the relationship between genetics and obesity show that genes influence:
- How much food you tend to eat in a sitting.
- How you respond when you feel full.
- How much enjoyment you get from certain types of food.
- How much energy you need to run basic body functions (such as breathing or circulating blood in your body).
- How and where excess calories are stored as fat in your body.
Just as genes can determine the colour of your eyes, genes can also
determine your tendency to put on weight or develop obesity.
Genetics and obesity: Where does the environment come in?
Genes play a central role in obesity. But if genetics and obesity are closely related, why does it seem like more people are affected by obesity now? There were very few people with obesity a hundred years ago - so is obesity really genetic?
Our genes haven't changed much over the last hundred years. In fact, they haven't really changed over the past 50,000 years. What has changed is our environment.
As the geneticist Francis Collins puts it, “Genetics loads the gun and environment pulls the trigger.” That means that genetic factors and environmental factors may not work on their own, but interact with each other to produce a result.
We now live in a different environment compared to people who lived a hundred or so years ago. We live with different types of stress, food, and technology. The modern world interacts with our genes and obesity is part of the result.
Professor Joseph Proietto, a researcher and clinician specialising in obesity, explains genetics and obesity by asking us to think about two pots. They are different sizes: one pot holds 5 litres while the other pot holds 50 litres. The pots stand in the rain overnight and in the morning, both pots are full of water.
When you look at both pots, you can see that the larger pot holds
more water than the smaller pot. Professor Proietto explains that this
is because the bigger pot was made to hold more water. “In other
words, you need both your genetic make-up (how the pot was made) and
the environment (the rain) to develop obesity,” he says.
Research on genetics and obesity
Some of the first clues of a link between genetics and obesity came from researchers from the University of Michigan. In 1952, they conducted a study with 81 pairs of twins where they measured the twins in many ways, including foot length, forearm length, and even nose height.
The measurements enabled the researchers to figure out the likelihood that these different traits were inherited from the twins' parents. This is called heritability. Out of all the traits that the researchers measured, they found that the ones with the highest heritability rate were body weight and waist circumference. Many studies comparing twins have been done since. Researchers found that whether they were raised together or apart, identical twins were similar in weight.
This shows that your environment, how you live, and what you do are
not the only things that influence your body weight. Instead, genes
have a lot of power in determining how much you weigh.
Together, these findings provide indisputable evidence that genetics
and obesity are closely related. Some evidence suggests obesity is
between 40% to 70% determined by genetics. This means that the genes
you inherit from your parents may increase your risk of developing
obesity.
Taking genetics and obesity into account
The more you know about genetics and obesity, the more informed you
are when making decisions about managing
your weight. For example, you can be more aware of the different
triggers in your environment
that can make you eat more or increase the risk of developing
obesity.
It's also worthwhile to consider that because of our individual
genetics and obesity factors, we may respond differently to different
types of treatment. Strategies and treatments that work for one person
may not work for another. That’s why each person needs an individual
approach to managing weight.
References
- Clark PJ. The heritability of certain anthropometric characters as ascertained from measurements of twins. Am J Hum Cenet 1956; 8:49-54.
- Waalen J. The genetics of human obesity. Translational Research 2014; 164(4):293–301.
- Guyenet S. The hungry brain. Outsmarting the instincts that make us overeat. New York: Flatiron 2017.
- Farooqi IS. Genetics of Obesity. In: Thomas A Wadden & George A Bray (eds.). Handbook of Obesity Treatment. New York: Guilford Press 2018;64-74.
- Guyenet SJ & Schwartz MW. Regulation of Food Intake, Energy Balance, and Body Fat Mass: Implications for the Pathogenesis and Treatment of Obesity. The Journal of Clinical Endocrinology & Metabolism 2012; 97:745–755.
- Morris R. Stranger in a strange land: an optimal-environments account of evolutionary mismatch. Synthese 2018;1-26.
- Qi L & Cho YA. Gene-environment interaction and obesity. Nutr Rev 2008; 66(12):684–694.
- Bell CG, Walley AJ & Proguel P. The genetics of human obesity. Nature Reviews - Genetics 2005; 6:221-234.
- Proietto J. Body Weight Regulation. Essential Knowledge to manage weight and keep it off. Xlibris 2016.
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