An inherent biological or genetic susceptibility, combined with epigenetic and early life programming, that increases an individual’s likelihood of gaining and retaining excess body weight when exposed to a modern obesogenic environment. This predisposition is characterized by a lower metabolic rate, heightened orexigenic drive, and a tendency toward preferential visceral fat storage. It signifies a clinical vulnerability rooted in metabolic and hormonal set points.
Origin
This concept is derived from genetics, epigenetics, and nutritional science, recognizing that not all individuals respond equally to the same caloric intake. “Predisposition” highlights the non-deterministic, probabilistic nature of this vulnerability. The underlying framework is the thrifty gene hypothesis and the Developmental Origins of Health and Disease (DOHaD).
Mechanism
Genetic variants can influence the efficiency of energy expenditure, the expression of key appetite-regulating hormones like leptin and ghrelin, and the number and size of adipocytes. Epigenetic changes from early life stressors or maternal nutrition can program the hypothalamus to defend a higher body weight set point. This combination leads to a persistent energy imbalance where the body resists weight loss and readily promotes fat storage, amplifying the risk of metabolic syndrome.
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