Obesity & Weight Management

Condition Guide · Weight Management

Obesity & Weight Management

Struggling to lose weight despite dieting? Genes like FTO, IRS1 and MC4R shape your appetite, fat storage and carb sensitivity — a DNA + blood test shows which ones are working against you.

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Indian woman in her late 30s smiling with her eyes closed while holding a bowl of healthy food in a sunlit kitchen, conveying comfort, self-care, and a positive relationship with nutrition
Author

Nupur Sharma, Master's in Sport Nutrition, University of Mumbai

Medically reviewed by

Nihala Ibrahim, MS in Clinical Nutrition, Sri Ramachandra Institute of Higher Education & Research, Chennai

Tavleen Kaur, MSc Nutrition, Dietetics & Nutrigenomics, Symbiosis Institute of Health Sciences

Last updated

Signs and health impacts to watch for

Obesity itself is usually identified through BMI or waist circumference rather than "symptoms," but related signs and health impacts can include:

  • BMI of 25 or above (overweight) or 30 or above (obese), by Asian-specific BMI cut-offs
  • Increased waist circumference — a stronger indicator of metabolic risk than BMI alone
  • Breathlessness during routine activity or mild exertion
  • Joint pain, particularly in the knees and lower back
  • Fatigue and low energy throughout the day
  • Symptoms of sleep apnea, such as loud snoring or daytime sleepiness
  • Difficulty losing weight despite calorie-controlled diets

BMI and waist circumference are screening tools, not diagnoses. A full assessment of metabolic health should include blood biomarkers and, where relevant, genetic risk factors.

What causes obesity and weight gain?

Genetic factors

Genetics influences weight through multiple pathways — appetite signalling, how the body partitions calories between fat storage and energy use, and how it responds to carbohydrates specifically.

  1. FTO — one of the most well-studied obesity-associated genes globally, linked to appetite regulation and fat mass 1
  2. IRS1 — affects how the body responds to carbohydrates and is linked to carbohydrate-driven weight gain 2
  3. MC4R and TRHR — both involved in appetite control and body mass index regulation 3
  4. Variants affecting fat metabolism and storage efficiency, influencing how readily extra calories are stored as fat versus used for energy 4

1–4 Gene–weight associations summarized from peer-reviewed obesity genetics research (GWAS and candidate-gene studies on FTO, IRS1, MC4R and TRHR). Full citations available on request.

Lifestyle & environmental factors

These factors interact with genetic predisposition to determine actual weight outcomes over time.

  • Consistent calorie surplus, often driven by portion sizes and energy-dense processed foods
  • Low physical activity levels and sedentary work
  • Poor sleep quality and quantity, which disrupts hunger-regulating hormones
  • Chronic stress, which can drive emotional eating and elevate cortisol
  • Underlying hormonal imbalances (e.g. thyroid conditions, PCOS) that make weight management more difficult
  • Highly processed, low-fibre diets that don't support satiety

How unlock.fit's DNA + blood approach helps

A plan calibrated to your biology, not a generic calorie target.

  1. A generic 1,500-calorie diet plan doesn't account for whether your genes predispose you to strong carbohydrate cravings (IRS1), slower appetite regulation (FTO), or a higher genetic baseline BMI (MC4R, TRHR). Our DNA test reads these markers alongside a full blood panel to understand both inherited tendencies and current metabolic status.

  2. From there, our dietitians build a plan calibrated to you — for example, prioritising protein-forward meals and smaller portions of high-glycaemic staples if you show high genetic carbohydrate sensitivity, rather than applying the same target to everyone regardless of biology.

Frequently asked questions

Both. Genetics influences appetite regulation, fat storage and how the body responds to different foods, but lifestyle factors like diet, activity and sleep largely determine whether that genetic predisposition leads to actual weight gain.

Your weight isn't just about willpower

Get your personalised DNA report and see which genetic and lifestyle factors are shaping your results.