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A fascinating new study found fat cells have a “metabolic memory that persists even after notable weight loss.” This finding has major implications for the treatment of the worldwide obesity epidemic.
Presently, we are trying to address the obesity problem with diet, exercise, surgery and powerful drugs like Ozempic. All of these interventions come with a risk of weight gain after cessation of the treatment. Understanding why people experience the significant frustration of going down and then back up in their weight is critical to effectively treating obesity.
The researchers in the study began by evaluating fat tissue from patients before and after they underwent surgery for obesity. They found the tissue retains epigenetic and transcriptional changes induced by obesity, even after significant weight loss.
Epigenetics: A process where the environment or lifestyle (like diet) changes how genes behave without altering the actual DNA sequence. Think of it as a "switch" for genes to turn on or off.
Transcriptional changes relate to how specific proteins are produced by the body.
This persistent "memory" can influence cellular responses and metabolic functions, creating a predisposition for weight regain.
The study also evaluated fat cells in mice with obesity. They found the “memory” of being obesity led to faster weight regain when mice went back on a high-fat diet after consuming a low-fat diet. The memory was in the form of epigenetic changes that altered inflammation and fat storage pathways in the body. (See graphic below)
Cutting-edge medical techniques, such as editing the parts of the cell where this "memory" is stored, might one day help erase these harmful changes. This could lead to longer-lasting weight-loss success. Popular interventions for weight loss such as medication and surgery don’t fix the underlying changes in fat cells. Long-term successful obesity treatment will require interventions addressing the underlying molecular changes that arise with weight gain.
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Obesity is clearly a complex problem. This new scientific information strongly suggests significant cellular abnormalities still exists in fat tissue even after substantial weight loss. This helps explain why many people quickly regain the weight they lose after taking weight loss drugs like Ozempic.
The research also highlights why it is crucial to try to avoid being obese at any stage of our lives. The tissue appears to retain the “memory” of being obese and somehow pushes our bodies back in that direction. Much more research is needed to better understand what is happening and how to reverse the changes that occur in obese bodies and cells.
The data screams for us to help young people avoid becoming overweight or obese. Their cells may have a lifelong memory that makes it more difficult for them to return to a normal weight. Here are some final thoughts about this research:
Cellular changes induced in an obese individuals create to pathological responses that exacerbating the 'yo-yo' effect (weight loss-weigh gain) commonly associated with dieting.
Addressing these mechanisms is essential for breaking this cycle and achieving sustainable weight loss.
Future strategies targeting these cellular adaptations could revolutionize long-term weight management.
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References:
Adipose tissue retains an epigenetic memory of obesity after weight loss. Hinte et al 2024. https://doi.org/10.1038/s41586-024-08165-7