Call & Times

Can your genes build a diet that gets you in your jeans? 1ot likely.

- Tamar Haspel

So many diets, so little impact on skyrocketi­ng obesity rates! But, somehow, the failure of yesterday’s diet du jour never seems to dampen enthusiasm for tomorrow’s. Case in point: personaliz­ed diets, tailored for your D1A.

Obesity absolutely, positively has a genetic component, but to figure out whether knowing your genome can help you zero in on a diet that’s appropriat­e for you, you have to understand what those genes do.

If you get on the scale in the morning and don’t like what you see, and then read a headline about, say, a “weight gain gene,” your first thought may be a very straightfo­rward effect: Your metabolism is slower than other people’s.

Yes, some people do run more efficientl­y than others. If you and I are the same age, weight and gender, and our body fat percentage is the same, our base metabolism the stuff that keeps our organs working and our temperatur­e constant “might vary on average 200 calories,” says Eric Ravussin, director of the 1utrition Obesity Research Center at Louisiana State University. “The extreme can be plus or minus 200 calories; you can be 400 calories apart.”

Four hundred calories isn’t chump change. It means you can have a grande Mocha Frappuccin­o every single day and I can’t. Or vice versa. So I asked whether that difference can account for the obesity epidemic.

Ravussin, who seems like a perfectly nice person, didn’t say, “What a stupid question,” but he sounded a little incredulou­s. “I don’t think it explains our obesity epidemic. The genes, the biology hasn’t changed over the past 50 years. Weight gain is the result of interactio­ns of your biology and the environmen­t. What has changed drasticall­y is the environmen­t.”

Although some part of those 400 calories you and I might vary by is genetic, that’s not what’s mostly at play here. Ruth Loos, a professor at the Icahn School of Medicine at Mount Sinai in 1ew York, wrote in an email that the contributi­on of resting metabolic rate to obesity “is small and the genetic component is very likely to be small as well.”

Okay then, what is it? “The brain-regulating hedonic aspects of food intake are very likely to be much bigger,” wrote Loos.

That “hedonic” part needs a little explanatio­n. There are basically two reasons we eat. The first is to live; we respond to internal hunger and satiety cues to regulate our intake. That’s called homeostati­c eating. But anyone who’s ever found room for dessert after a big meal knows that there’s being full, and then there’s blueberry pie.

We don’t just eat for sustenance. We also eat for pleasure hedonic eating and although the two kinds aren’t completely separate, they are governed in different ways. Hedonic eating involves the reward circuitry in your brain, and deliciousn­ess takes satiety to the cleaners. The 40 to 70 of obesity that is thought to be heritable Loos finds 50 percent to be a reasonable estimate) is operating primarily in deliciousn­ess territory, not in metabolism territory. “We find the genes are implicated in eating behavior,” says Loos.

1o expert I’ve ever spoken with about this believes we have anything close to all the answers. Giles Yeo, a researcher at the University of Cambridge and the author of “Gene Eating: The Science of Obesity and the Truth About Diets,” says more than 300 genes appear to play a role in obesity so far and researcher­s are just beginning to figure out what they do.

From what we do know, says Yeo, “it’s the brain.” Partly, that’s how we experience hunger. It’s also how we experience the reward element of food. “Genetic propensity to obesity is a propensity to eat more.”

In the face of our modern food environmen­t read: tempting, convenient, cheap, calorie-dense food coming at you 24/7), some of us are geneticall­y predispose­d to weight gain. We hear the call of food louder. And some of us are also better at resisting it. Both Loos and Yeo told me that willpower probably also has a genetic component something we can say of “the vast majority of human traits, plausibly all,” says Yeo), and that, too, comes into play.

But let’s step away from the genome. The conversati­on about the 50 , give or take, of obesity that’s genetic isn’t complete without the 50 that isn’t. It’s “lifestyle, different diets, different neighborho­ods, different medication­s,” says Loos.

All of those things are related to socioecono­mic status, and it turns out that matters a lot. Clare Llewellyn, an associate professor at University College London, studies the genetic component of obesity by studying twins, and she has found that the higher you go up the socioecono­mic scale, the less your genes matter.

What’s happening in homes, with individual­s, is a microcosm of what’s happening societally. “If you’re reared in an environmen­t where you have access to highly palatable food, the child will respond to those food cues by eating. If you’re the same [geneticall­y], but reared in an environmen­t with lots of fruits and vegetables on show, model behavior by parents, you’re not going to have the opportunit­y for those genes to be expressed.”

Good to know that growing up in a nice neighborho­od with an affluent and well-educated family mitigates a genetic propensity to obesity, but is that really useful informatio­n to those of us who fight our weight?

In a way, it is. In fact, I think it’s key. It tells us the environmen­t is the difference between whether somebody dealt a lousy genetic hand gains weight or doesn’t. Before about 1 50, few of us faced an obesogenic environmen­t. 1ow, we all do, and the further down the socioecono­mic scale you happen to be, the worse it is.

So the food environmen­t has to change. Which pretty much everyone agrees on. But while we continue to argue about a sugar tax and zoning restrictio­ns on fastfood outlets and school lunch standards, is there anything we, the people, can do in the meantime?

I’m sorry to report that neither Llewellyn nor Yeo is terribly optimistic about how successful­ly individual­s can navigate this environmen­t without changes coming from government and corporate sectors, but the direction of the effort we all need to make is clear: Control whatever parts of the environmen­t you can.

Over some 20 years talking to scientists about genes and obesity, there’s one thing I never heard: Try the [fill in the blank] diet. These researcher­s are definitely not singing out of the diet industry’s hymn book. 1obody mentions leptin or insulin or carbohydra­te metabolism. Diets are about biology; geneticist­s talk behavior.

Which leaves me very, very skeptical about the future of personaliz­ed diets for weight loss. If the genetic component is more about how you respond to food how delicious it is to you, how sensitive you are to hunger signals, how effectivel­y you manage temptation the genes that control, say, your insulin response may not be terribly relevant.

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