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Diet and Weight Loss

A New Genetic Test to Predict Obesity Before Kindergarten: A Breakthrough in Preventing Childhood Obesity

A groundbreaking study involving genetic data from over five million people has uncovered how our DNA can predict obesity risk as early as childhood. The new polygenic risk score outperforms previous methods, helping to identify high-risk children before weight issues develop paving the way for early lifestyle interventions.

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A groundbreaking study led by the Universities of Copenhagen and Bristol has made a significant breakthrough in predicting childhood obesity using genetic analysis. The research team, comprising an international collaboration of scientists, has developed a polygenic risk score (PGS) that can accurately identify children at higher genetic risk of developing obesity later in life.

By analyzing data from over five million people, the researchers have created a reliable measure that is associated with adulthood obesity and shows consistent patterns in early childhood. This breakthrough could help identify young children who may benefit from targeted preventative strategies, such as lifestyle interventions, to prevent obesity later in life.

The World Obesity Federation expects more than half of the global population to become overweight or obese by 2035. However, current treatment strategies are not universally available or effective. The new PGS has shown remarkable consistency between genetic risk and body mass index (BMI) before the age of five and through to adulthood.

“What makes this score so powerful is the consistency of associations between the genetic score and BMI before the age of five and through to adulthood,” said Assistant Professor Roelof Smit at the University of Copenhagen, lead author of the research published in Nature Medicine. “Intervening at this point could theoretically make a huge impact.”

The researchers drew on genetic data from over five million people, including consumer DNA testing firm 23andMe, and tested their new PGS against datasets of more than 500,000 people. The results showed that the new PGS was twice as effective as the previous best method at predicting a person’s risk of developing obesity.

Dr Kaitlin Wade, Associate Professor in Epidemiology at the University of Bristol, second author on this paper, said: “Obesity is a major public health issue, with many factors contributing to its development. These findings could help us detect individuals at high risk of developing obesity at an earlier age.”

The research team also investigated the relationship between a person’s genetic risk of obesity and the impact of lifestyle weight loss interventions. They discovered that people with a higher genetic risk of obesity were more responsive to interventions but also regained weight more quickly when the interventions ended.

Despite drawing on a diverse population, the new PGS has limitations, particularly in predicting obesity in people with African ancestry. This highlights the need for further research in more representative groups.

This breakthrough study offers hope for preventing childhood obesity and improving public health outcomes. By identifying young children at higher genetic risk of obesity, healthcare professionals can provide targeted preventative strategies to mitigate this risk. The new PGS represents a significant step forward in our understanding of the complex interplay between genetics and lifestyle factors that contribute to obesity.

Consumer Behavior

The Hidden Dangers of Erythritol: A Sugar Substitute Linked to Brain Cell Damage and Stroke Risk

Erythritol, a widely used sugar substitute found in many low-carb and sugar-free products, may not be as harmless as once believed. New research from the University of Colorado Boulder reveals that even small amounts of erythritol can harm brain blood vessel cells, promoting constriction, clotting, and inflammation—all of which may raise the risk of stroke.

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The decades-old sweetener erythritol has become increasingly popular among health-conscious individuals. It’s found in numerous products, from sugar-free soda to low-carb ice cream and keto protein bars. However, new research suggests that this sugar substitute comes with serious downsides, impacting brain cells in ways that can boost the risk of stroke.

A study published in the Journal of Applied Physiology has shed light on the potential risks associated with erythritol consumption. Researchers at the University of Colorado Boulder found that human cells lining blood vessels in the brain were altered when treated with a serving-size amount of erythritol, similar to what’s found in a typical sugar-free beverage.

The study revealed that the treated cells expressed significantly less nitric oxide, a molecule that relaxes and widens blood vessels. This led to increased constriction of blood vessels, making it more difficult for blood to flow freely. Additionally, the cells produced more endothelin-1, a protein that constricts blood vessels even further.

When challenged with a clot-forming compound called thrombin, cellular production of the natural clot-busting compound t-PA was “markedly blunted.” This means that the treated cells were less effective at breaking down blood clots, making it more likely for strokes to occur.

The researchers also observed an increase in reactive oxygen species (ROS), metabolic byproducts that can age and damage cells and inflame tissue. These findings suggest that erythritol consumption may lead to a higher risk of stroke.

While the study used only a serving-size amount of erythritol, the authors caution that consuming multiple servings per day could have a more significant impact.

To put it into perspective, the researchers note that a recent study involving 4,000 people in the U.S. and Europe found that men and women with higher circulating levels of erythritol were significantly more likely to have a heart attack or stroke within the next three years.

Given these findings, experts recommend that consumers read labels carefully, looking for erythritol or “sugar alcohol” on the label. They also encourage individuals to be mindful of their consumption and consider alternative sweeteners that may be safer.

While this study was conducted in a laboratory setting using cells, further research is needed to confirm these findings in humans. However, experts agree that it’s always better to err on the side of caution when it comes to our health.

The next time you reach for a sugar-free soda or low-carb ice cream, remember: even seemingly healthy ingredients can have hidden dangers.

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Bone and Spine

The Quiet Side Effect of Semaglutide: How Losing Muscle Can Affect Weight Loss Success

Semaglutide, a popular anti-obesity drug, may come with a hidden cost: significant muscle loss, especially in women and older adults. A small study found that up to 40% of weight loss from semaglutide comes from lean body mass. Alarmingly, those who consumed less protein saw even more muscle loss—potentially undermining improvements in blood sugar control.

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In recent years, the anti-obesity medication semaglutide has gained popularity for its ability to melt fat effectively. However, a small study presented at ENDO 2025, the Endocrine Society’s annual meeting in San Francisco, highlights a concerning side effect of this medication – the potential quiet stripping away of muscle strength, particularly among women and older adults.

Losing muscle mass, also known as lean mass, is a common issue associated with weight loss in adults with obesity. This can have negative consequences on metabolism and bone health. Muscle plays an essential role in controlling blood sugar levels after meals and keeping bones strong. Approximately 40% of the weight lost from taking semaglutide comes from lean mass, including muscle.

The researchers conducted a three-month study involving 40 adults with obesity, divided into two groups: those prescribed semaglutide and those following a diet and lifestyle program called Healthy Habits for Life (HHL). The results showed that participants who took semaglutide lost more weight than those in the HHL group. However, the percentage of weight loss attributed to lean mass was similar between the two groups.

Further analysis revealed that being older, female, or consuming less protein was linked to greater muscle loss among participants taking semaglutide. Moreover, losing more muscle was associated with less improvement in blood sugar control (HbA1c levels).

Study lead researcher Melanie Haines emphasized the importance of preserving muscle during weight loss with semaglutide to reduce insulin resistance and prevent frailty in people with obesity. She also highlighted that higher protein intake may help mitigate muscle loss in these patients.

In conclusion, while semaglutide is an effective medication for weight loss, it’s essential to be aware of its potential side effects, particularly among vulnerable populations like women and older adults. By understanding the importance of preserving muscle mass during weight loss and incorporating higher protein intake into their diet, individuals can maximize the benefits of this medication and achieve a healthier, more sustainable weight loss outcome.

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Diabetes

Fasting Twice a Week May Be a Game-Changer for Type 2 Diabetes Management

A new study comparing three popular diets—intermittent fasting, time-restricted eating, and continuous calorie cutting—found that all can help people with type 2 diabetes lose weight and lower blood sugar. But one diet stood out: the 5:2 intermittent fasting plan, where participants eat normally five days a week and restrict calories on two. It led to better results in fasting blood sugar, insulin response, and sticking with the plan.

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The study, presented at ENDO 2025 in San Francisco, California, compared three dietary interventions for managing type 2 diabetes with obesity. Researchers found that intermittent energy restriction (IER), also known as fasting twice a week, showed greater advantages in reducing blood sugar levels, improving insulin sensitivity, and lowering triglycerides.

For the study, 90 patients were randomly assigned to either IER, time-restricted eating (TRE), or continuous energy restriction (CER) for 16 weeks. While there were no significant differences in HbA1c reduction and weight loss between the three groups, the IER group experienced a greater absolute decrease in blood sugar levels and body weight.

The study’s lead researcher, Haohao Zhang, Ph.D., highlighted the importance of this research, stating that it fills a gap in directly comparing 5:2 intermittent energy restriction with a 10-hour time-restricted eating. The findings provide scientific evidence for clinicians to choose appropriate dietary strategies when treating patients with obesity and type 2 diabetes.

Interestingly, the IER group had the highest adherence rate at 85%, followed by the CER group at 84% and the TRE group at 78%. This suggests that fasting twice a week may be more feasible and effective for people managing type 2 diabetes.

The study’s results have significant implications for the management of type 2 diabetes, particularly in relation to dietary interventions. As researchers continue to explore the benefits and limitations of different diets, healthcare professionals can rely on evidence-based information to guide their recommendations.

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