A joint study conducted by researchers at University of Michigan and the Argentina-based National Council of Science and Technology (CONICET) has found that the amount of time a person remains overweight may be linked with how "irreversible" the obesity is.
Over time, the static, obese state of the mice reset the "normal," body weight set point to become permanently elevated, despite dieting that initially worked to shed pounds, the researchers said.
"Our model demonstrates that obesity is in part a self-perpetuating disorder and the results further emphasize the importance of early intervention in childhood to try to prevent the condition whose effects can last a lifetime," said senior author Malcolm J. Low, M.D., Ph.D., professor of molecular and integrative physiology and internal medicine.
The lead author of the study was Viviana F. Bumaschny, M.D., assistant investigator of CONICET.
People who are overweight have a much higher risk of type 2 diabetes, hypertension, and cardiovascular diseases.
One of the major strengths of the research was a new model of obesity-programmed mice that allowed weight loss success to be tracked at different stages and ages by flipping a genetic switch that controls hunger.
Turning on the switch right after weaning prevented the mice from overeating and ever becoming obese. Similarly, mice that remained at a healthy weight into young adulthood by strict dieting alone were able to maintain normal weight without dieting after turning on the switch.
However, chronically overfed mice with the earliest onset of obesity never completely returned to normal weight after flipping the switch, despite marked reduction in food intake and increased activity.
The new findings may raise questions about the long-term success rate of severe calorie restriction and strenuous exercise used later in life to lose weight, such as the extreme regimens seen in the popular reality television show "Biggest Loser."
"Somewhere along the way, if obesity is allowed to continue, the body appears to flip a switch that re-programs to a heavier set weight," Low explained.
"The exact mechanisms that cause this shift are still unknown and require much further study that will help us better understand why the regaining of weight seems almost unavoidable," he added.
The findings appeared online ahead of print in the Journal of Clinical Investigation.