For a more visual understanding of obesity epigenetics, this is useful. 2/10



Here is what we know:

- BMI ⬆️heritable (40% - 70%) risk of ⬆️weight
(your predisposition)

Our environment has changed++;
⬆️complex food environment ⬇️need for activity
But, NOT everyone ⬆️ weight if they have pre-disposition 3/10

- Pre-disposition is impacted by our epigenome, which is impacted by our environment
- Epigenome modulates interaction between our genes and environment
- This interaction = your phenotype (lean, overweight, obesity)
Epigenetics = interface between our genome and the environment. 4/10

What happens EARLY in life is important++

e.g. differential nutrient exposure in pregnancy can alter risks of metabolic disorders (including obesity, T2DM)

Epigenetic changes = can turn a gene off or on
How do epigenetic changes happen? 5/10

One example:
- Maternal nutrition impacts risk in adult offspring AND in 2nd generation
- But not just about weight e.g. where pregnant women were starved/poor nutrition ⬆️ risk of metabolic disease in offspring also
The epigenome of visceral fat (with the abdominal cavity and associated organs) is different between lean versus non-lean people. 6/10

New research - can metabolic disorders be switched off?

We inherit gene sequences from both parents, but NOT ALL become imprinted.
Reflections: 9/10
Current environment 'encourages' variations in ⬆️weight
We still promote idea of a 'normal BMI' without being aware of epigenome influence on weight
Might be ⬇️weight stigma if we adopt idea of a 'best weight'

And, we still need more early years support!
Reflections: 10/10

How much metabolic disorder could be due to weight cycling, fad diets, internalised stigma, weight-related bullying due to fighting a naturally higher weight in today's society?

Could this change how we talk about weight?

#SupportNotStigma #PublicHealth
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