The physiological barriers behind obesity: Unraveling the combined attack of genes, fat cells, and insulin.

2026-04-03

Why are you overweight? Is it because generations of your family have been overweight? Is it because you can't control your cravings for food? Is it because you don't like to exercise? Our bodies are like guns, and from birth, our genes load them with bullets that make us obese. What drives you to fire these bullets? The environment! The environment provides you with food, and it provides the conditions that make you active or lazy. In our current environment, where food is extremely abundant and readily available, and many things can be done without even moving your butt, regardless of your genes, you are more likely to choose food and more likely to choose less activity. The environment has already pulled half the trigger. But ultimately, it is you who pulls the fatal trigger! What you eat and what kind of life you live are all your decisions. Some people lose weight easily, while others find it very difficult. Therefore, some people say they are "predisposed to obesity." Although scientific research does not support the concept of a "predisposed to obesity," physiological factors do have a very important influence on weight control. Below are nine physiological factors that have the greatest impact on weight, and these are the reasons why no matter how hard you try to lose weight, you see little result. No matter your age, when your calorie intake exceeds your calorie expenditure, your body will very effectively store the excess calories as muscle or fat; conversely, when your calorie intake is lower than your calorie expenditure, your body will also very effectively convert your existing muscle or fat into energy. All of this conversion is perfectly coordinated by an "invisible hand." This includes your innate abilities, your developed abilities, and your ability to maintain a high level of body fat. When you're preparing to lose weight, think about how powerful this force is-always ready to fight you, constantly turning extra food into fat! If there's one fundamental factor influencing obesity, it's your genes. Genes refer to the factors inherited from your parents and grandparents. Our body's more than 250 genes determine how hungry you are, how much food you need to feel full, how quickly your food is converted into energy, how much exercise you need to feel comfortable, and how much energy you burn during exercise. However, weight isn't solely determined by genes. Your family and environment also have a significant impact on weight control. Studies have shown that genetic makeup significantly influences whether a person gains or loses weight later in life. If both parents are obese, their child is four times more likely to be obese than a child whose parents are not. If children genetically predisposed to obesity are placed together with children genetically predisposed to obesity and given the same calorie intake, the genetically predisposed children will gain more weight. Furthermore, this weight gain is more likely to be fat than muscle. Studies of identical twins show a similar pattern. If twins are raised in separate households, their weights tend to be similar, rather than similar to children raised together. However, weight is not solely determined by genetics. Your family and environment also significantly impact weight management. For example, if your colleagues or friends offer high-fat foods for lunch, you are more likely to choose high-fat options. If someone in your family is active and exercises regularly, your environment is more likely to support your exercise plan, making it easier to adopt this active lifestyle. Looking at the weight of dog owners and their dogs reveals the extent to which the environment influences weight: overweight people's dogs are more likely to be overweight than thin people's dogs. Humans and dogs don't share the same genes; it's our environment that influences a dog's weight. So, when you see weight loss ads claiming you can "lose as much weight as you want, and target specific areas," you can save your time and abandon that method. It's impossible. These ads ignore the influence of human genes on weight. Hasn't the saying "The bolder the man, the greater the harvest" already been proven false? Young children always seem hungry, their mouths agape after eating, waiting to be fed again. Our bodies also have these "open-mouthed swallow" fat cells. These cells are primarily for storing fat. Once you develop these fat cells, they never disappear. Overweight people may have four times more of these fat cells than lean people. Moreover, these insatiable fat cells can develop at any stage of life. Animal studies have shown that overeating animals (if they consume a lot of fat) can develop these permanent fat cells within a week. It is these fat cells that make it easier for excess calories to be converted into fat. Therefore, the key to weight loss is changing bad eating habits, not dieting. Fat cells are always like hungry wolves, ready to convert your excess calories into fat. When you stop dieting and return to a normal calorie intake, fat cells start working even more actively, making it easier for your weight to rebound. Fat cells are the only things in our bodies that seem to be able to expand at will. Think about it, the smallest of our fat cells is only the size of a golf ball, while the largest is the size of a basketball. The largest and smallest differ in volume by 20,000 times. It is this enormous elasticity that allows our bodies to hold an unlimited amount of fat. If we consume more calories than we burn, and the calories are converted into fat and stored, fat cells first expand in size, and if there is no room left, the number of fat cells can also increase. If you quickly eat a lot of calories, this general trend can be modified, basically trying every possible way to store fat. Fat cells use these two methods to make your body fat increase, your weight increase, and your worries increase, making you increasingly unhappy. Therefore, consistency is very important in the weight loss process. When you can't stick to it and start overeating, your fat cells are like sponges, able to hold as much as they want. The human brain primarily relies on blood sugar for nutrition, so it's crucial for humans to regulate blood sugar levels effectively. Without sufficient brain nutrition, a person cannot survive. When regulating blood sugar levels, the brain first detects when blood sugar is too high or too low, producing and storing insulin-a special cell in the pancreas-to promote glucose uptake by cells. Diabetics are individuals whose bodies cannot effectively regulate blood sugar levels due to insulin problems. In people without diabetes, blood sugar, or glucose concentration, is generally well-controlled within a certain range. When a person loses weight, fat cells become particularly sensitive to insulin, allowing them to absorb nutrients more quickly; conversely, muscle cells become less sensitive to insulin, leading to an increase in fat in fat cells. Some people experience heightened insulin sensitivity during weight loss. Those with heightened insulin sensitivity are more prone to weight regain. Most overweight individuals have higher levels of insulin in their blood vessels, and their increased insulin sensitivity makes them more likely to convert excess nutrients into fat. Therefore, exercise is essential for weight loss. Exercise, especially strength training, helps regulate the body's insulin sensitivity, making it less likely for calories to be converted into fat. This is why I advocate for a diet low in refined foods and a more frequent, smaller meal approach. Refined foods, such as white rice and white flour, cause a rapid rise in blood sugar and a rapid increase in insulin. If you can't burn these calories, they are more likely to be converted into fat and stored. Eating smaller, more frequent meals reduces this concern, preventing your blood sugar levels from rising too high due to overeating or dropping too low due to prolonged fasting, thus allowing for more stable blood sugar regulation. Lipoprotein lipase is an enzyme produced in many cells. Enzymes are special chemical mediators that attach to the walls of very small blood vessels and become highly active when transporting fat in the body. During weight loss, when fat cells release lipoprotein lipase into the bloodstream, the amount of lipase in the blood increases. This is equivalent to fat cells sending a signal to the brain: "Give me more food."

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