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Giles Yeo

đŸ‘€ Speaker
97 total appearances

Appearances Over Time

Podcast Appearances

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

What we do know, because we can actually observe, is how people of different ethnicities are susceptible to different diseases. So famously, East Asian people, people that look like me, South Asian people, Indian, Pakistanis, Bangladeshis, cannot get as large BMI-wise, before becoming at risk of type 2 diabetes, right?

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

Compared to white people, Polynesians famously, who can get pretty large before they actually end up getting diseases. So that's a classic example where this is why South Asian people, East Asian people have a higher predisposition of diabetes, even though... obesity is not particularly a big thing in their cultures. But then you then begin to look at body shape. That does matter as well.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

Compared to white people, Polynesians famously, who can get pretty large before they actually end up getting diseases. So that's a classic example where this is why South Asian people, East Asian people have a higher predisposition of diabetes, even though... obesity is not particularly a big thing in their cultures. But then you then begin to look at body shape. That does matter as well.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

Where do you put your fat? Do you tend to put the fat on your bum, on your tummy? How tall are you? How short are you? And all of these things, which we can see visually, we can see, there are people who are then susceptible or not susceptible to specific diseases. Other things you can't see.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

Where do you put your fat? Do you tend to put the fat on your bum, on your tummy? How tall are you? How short are you? And all of these things, which we can see visually, we can see, there are people who are then susceptible or not susceptible to specific diseases. Other things you can't see.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

Why are African-Americans, for example, more likely to end up with cardiovascular heart disease, less likely with diabetes, whereas why are Indians more? And so you then begin to ask the question, and there we have genetics.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

Why are African-Americans, for example, more likely to end up with cardiovascular heart disease, less likely with diabetes, whereas why are Indians more? And so you then begin to ask the question, and there we have genetics.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

There are more than a thousand genes for body weight. The obese gene in chapter two, which I talk about, is this leptin gene, is this gene which lets your brain know how much fat you have. Ah. So that's the exact gene. Leptin is the gene that I'm talking about in chapter two with the obese. It's called the obese gene because the mouse was called obese.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

There are more than a thousand genes for body weight. The obese gene in chapter two, which I talk about, is this leptin gene, is this gene which lets your brain know how much fat you have. Ah. So that's the exact gene. Leptin is the gene that I'm talking about in chapter two with the obese. It's called the obese gene because the mouse was called obese.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

There was a lack of imagination because the mouse was a naturally occurring mouse that had a mutation in the same gene. Scientists found out what that was and then found out that it was conserved in humans. And that's where my boss, Steve O'Reilly, then came in and found that that gene was also mutated in some humans. So that's the obese gene.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

There was a lack of imagination because the mouse was a naturally occurring mouse that had a mutation in the same gene. Scientists found out what that was and then found out that it was conserved in humans. And that's where my boss, Steve O'Reilly, then came in and found that that gene was also mutated in some humans. So that's the obese gene.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

It's the fat gene, fat gene, meaning gene from fat, that lets your brain know how much fat you have.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

It's the fat gene, fat gene, meaning gene from fat, that lets your brain know how much fat you have.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

So leptin, for whatever odd reason, is pretty much binary. So if you have a little bit of it, you're fine. If you have none of it, you're not. However, there is obviously a pathway. Leptin signals to the brain, which signals to something else. And there is another gene that I looked at called MC4R. It's part of the pathway. It's is a rheostat. It's like a thermostat.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

So leptin, for whatever odd reason, is pretty much binary. So if you have a little bit of it, you're fine. If you have none of it, you're not. However, there is obviously a pathway. Leptin signals to the brain, which signals to something else. And there is another gene that I looked at called MC4R. It's part of the pathway. It's is a rheostat. It's like a thermostat.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

And so, for example, we have found thousands of different mutations in this gene. And you can imagine that depending on the severity of the dysfunction, some are completely dead, some are 70% functional, we can predict how much someone will eat in a test buffet meal scenario if they have a 50% functioning gene versus a zero functioning gene. And we now know that 0.3% in this country at least.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

And so, for example, we have found thousands of different mutations in this gene. And you can imagine that depending on the severity of the dysfunction, some are completely dead, some are 70% functional, we can predict how much someone will eat in a test buffet meal scenario if they have a 50% functioning gene versus a zero functioning gene. And we now know that 0.3% in this country at least.

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

So 200,000 people in the UK, a million people in the United States will carry mutations in this MC4R gene, making them more likely to end up with obesity. So that at 18 years old, if you carry a mutation in this MC4R gene, you are on average... 18 kilos heavier, 40 pounds heavier at 18 years old on average. And that's 200,000 people in this country. So it's not super common, right?

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

So 200,000 people in the UK, a million people in the United States will carry mutations in this MC4R gene, making them more likely to end up with obesity. So that at 18 years old, if you carry a mutation in this MC4R gene, you are on average... 18 kilos heavier, 40 pounds heavier at 18 years old on average. And that's 200,000 people in this country. So it's not super common, right?

The Diary Of A CEO with Steven Bartlett
Moment 209: The Real Reason You’re Gaining Weight (Even If You’re Exercising!)

It's still 99.7% of the people's body weight's not determined by this. But there are a lot of people's body weights who are dependent on this specific gene. But it is a tunable system. So it's a little bit or a lot means that you're either slightly heavier or a lot heavier.