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Updated: Mar 28, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Gene-environment interactions in obesity: implication for future applications in preventive medicine
Sho Nakamura1, Hiroto Narimatsu2,3, Hidenori Sato4
1Department of Clinical Oncology, Faculty of Medicine, Yamagata University, Yamagata, Japan.
Genetic predisposition influences how lifestyle choices impact body mass index (BMI). This study reveals gene-environment interactions affecting obesity risk, offering insights for personalized preventive medicine strategies.
Area of Science:
- Genetics
- Obesity Research
- Environmental Health
Background:
- Obesity is a complex condition influenced by environmental factors.
- Limited understanding exists regarding gene-environment interactions in obesity development.
- Genetic predisposition plays a role, but its interplay with lifestyle is not fully elucidated.
Purpose of the Study:
- To investigate gene-environment interactions in obesity.
- To examine the relationship between genetic risk score (GRS) and obesity-related lifestyle factors.
- To determine how genetic predisposition modifies the impact of lifestyle on body mass index (BMI).
Main Methods:
- Utilized data from a population-based prospective cohort study.
- Calculated a genetic risk score (GRS) based on East Asian ancestry single-nucleotide polymorphisms.
- Analyzed interactions between GRS and lifestyle factors including nutrition, alcohol intake, physical activity (metabolic equivalents-hour/day), and homeostasis model assessment ratio.
Main Results:
- The GRS was significantly associated with baseline BMI (P<0.001).
- Significant gene-environment interactions were found for six nutritional factors, alcohol intake, physical activity, and metabolic health markers.
- The GRS modified the effect of lifestyle factors on BMI, with varying BMI increases per unit intake depending on GRS.
- No significant correlation was observed between GRS and annual BMI changes during follow-up.
Conclusions:
- Lifestyle factors have differential effects on obesity based on an individual's genetic risk.
- The study highlights the importance of considering gene-environment interactions in obesity research.
- The employed methodology for evaluating gene-environment interaction holds potential for preventive medicine applications.
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