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cover of episode 163. Does Your DNA Determine Your Weight?

163. Does Your DNA Determine Your Weight?

2023/9/17
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No Stupid Questions

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Mike Mahn:新兴减肥药物如Ozempic的出现,改变了人们对肥胖的认知,不再仅仅将其视为个人责任问题,而是可能与生物学因素相关的医学问题。他认为肥胖可能部分源于生物学上的“设定点”,药物可以帮助改变这个设定点。他提出了一个核心问题:个人对体重的控制程度以及生物学因素对体重的影响程度。他同时表达了对自身体重问题的两面性看法:一方面希望能够找到借口,另一方面又希望能够掌控自己的生活并为之负责。 Angela Duckworth:她认为“先天与后天”的争论不仅限于肥胖和体重,也适用于人格、性格和智力等各个方面。她不喜欢完全推卸对自身体重负责的想法,更倾向于相信自己可以通过努力改变体重。她既希望能够为自己的体重问题找到借口,又希望能够掌控自己的生活并为之负责。她指出人们往往希望得到一个简单的答案(先天或后天),而不是细致的解释。她深入探讨了行为遗传学,并介绍了行为遗传学第一定律:所有人类行为特征都是可遗传的。她解释了基因和环境因素之间复杂的相互作用,以及人类发展是非线性和交互作用的过程。她认为,即使是积极的性格特征(如感恩、快乐、勤奋),也可能存在基因基础。她还谈到了基因本质论,以及人们如何根据个体的感知基因构成来推断其特征和行为。她认为,大多数人对自身体重的控制能力都处于一个中间范围,只有极少数人由于基因异常而几乎无法控制体重。她强调,即使是看似简单的遗传特征,如眼睛颜色,也受到多种基因的影响。她还指出,人们往往会忽略环境因素对个体发展的影响,并以自身经历为例说明了朋友的关心和支持对减肥的积极作用。她总结道,“先天与后天”的讨论方式过于简化,基因和环境因素之间存在复杂的相互作用,无论基因如何,人们总是有办法改善自己的状况。 Angela Duckworth: 她深入探讨了行为遗传学,并介绍了行为遗传学第一定律:所有人类行为特征都是可遗传的。她解释了基因和环境因素之间复杂的相互作用,以及人类发展是非线性和交互作用的过程。她认为,即使是积极的性格特征(如感恩、快乐、勤奋),也可能存在基因基础。她还谈到了基因本质论,以及人们如何根据个体的感知基因构成来推断其特征和行为。她认为,大多数人对自身体重的控制能力都处于一个中间范围,只有极少数人由于基因异常而几乎无法控制体重。她强调,即使是看似简单的遗传特征,如眼睛颜色,也受到多种基因的影响。她还指出,人们往往会忽略环境因素对个体发展的影响,并以自身经历为例说明了朋友的关心和支持对减肥的积极作用。她总结道,“先天与后天”的讨论方式过于简化,基因和环境因素之间存在复杂的相互作用,无论基因如何,人们总是有办法改善自己的状况。

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The discussion explores the roles of nature and nurture in obesity, questioning if it's a medical condition or a matter of personal responsibility.

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Hey there, Stephen Dubner from Freakonomics Radio here to tell you the national sales event is on at your Toyota dealer. Now is the perfect time to get a great deal on a dependable new SUV like an adventure ready RAV4. Available with all wheel drive, your new RAV4 is built for performance on any terrain. Or check out a stylish and comfortable Highlander.

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Every sandwich has bread, every burger has a bun, but these warm, golden, smooth steamed buns? These are special. Reserved for the very best. The Filet-O-Fish. And you. You can have them too.

For a limited time, the classic filet of fish you love is joining your McDonald's favorites on the two for $3.99 menu. Limited time only. Price and participation may vary. Cannot be combined with any other offer. Single item at regular price. Shockingly, a lot of people walking down the street do think like, whoa, is that Tom Brady? I'm Angela Duckworth. I'm Mike Mahn. And you're listening to No Stupid Questions.

Today on the show, is obesity a matter of nature or nurture? Wow, you just got a gajillion genes and a gajillion experiences. ♪

Angela, I'm so excited to talk to you about today's question because it is about something that is, I think, kind of taking over the cultural zeitgeist right now. Ooh, and what would that be? Taylor Swift? It is about this new Wagovi Ozempic craze, which maybe you've heard about. There are all these people using it to lose lots of weight. Yes, I have heard of this miracle drug. Well, so here's the deal. It's sort of changing the face of obesity.

because obesity has generally been viewed as an issue of like personal responsibility. You don't move enough. You don't eat right. Stuff like that. Right. I remember seeing these headlines like this new drug shows that it's not willpower, that really we should think about weight as a medical condition and it's not behavior or motivation. Yeah. So the idea is that for some people, it's extremely difficult to lose weight, probably because of their biology. They maybe have this set point that's naturally higher than

And this medication helps shift that set point. I mean, I've always dealt with weight fluctuation. It made me curious to know where my natural set point is or what I can do to change it. So look, is my weight totally genetic or how much does my behavior matter if my biology wants me to be a certain way? What control do I have

overweight versus what control does biology have over my weight? I love this question, Mike, in part because the nature nurture question, like how much of who I am is genetic? How much is it that I was born this way? And how much of it is nurture, like my experiences and my free will? This isn't just about

obesity and weight. This is about personality and character and intelligence. And you could even argue that this is about every aspect of who we are. When it comes to weight, though, I sort of hate the idea that

that I'm not responsible for it. You hate the idea that you're not responsible for it. Right, like I want to be able to say that I can change it. The reality is I should move more. I should exercise more. I should make better choices. I like the idea that I can control my own life.

But I also like the idea that, oh, well, I guess no matter what I do, I can blame my genes. You know, I have a dear friend who eats whatever they want and will always remain so skinny. And that person hates that they're so skinny and they want to gain weight. So obviously... You're ambivalent because on one hand, in a way being exonerated from weight issues by your...

genetic, you know, the deck of cards that you were dealt. The idea is that, oh, wow, that kind of lets me off the hook. On the other hand, I think you have an uncanny instinct for any idea that is going to enhance your sense of agency. And that, by the way, Mike, has not gone up and down over the whatever 10 years that I've known you. You really like to have an internal locus of control. You lean very hard into like, well, what can I do about this?

I think all of us have that. I mean, all of us want to be forgiven our sins or let off the hook for them and also have an instinct that we should probably take responsibility. And I think the science on nature and nurture is going to be helpful, but it's not going to be helpful in like in a bumper sticker way. People so often want like

well, which is it? Nature or nurture? Like A or B? And if they're willing to handle a little bit of nuance, like, okay, fine, 70%, 30%. Right. That's what I was going to go to because don't most studies show that it is more nature than nurture, but nurture is how you maximize within the range that you can change. Is that accurate or no? It's a problem in how you phrase the question. So this question of nature, nurture goes back a

A long time, at least to the mid-19th century, when people like Charles Darwin and his cousin Francis Galton wondered, like, why do people turn out the way they do? And why is one leopard faster than another leopard? But also, why are, like, leopards faster than, you know—

Aardvarks or something like that. So, of course, Darwin and others of that time didn't have modern genetics. So I'll fast forward you to modern times and 2023. The research on this goes under the title of behavioral genetics. So behavioral genetics is the study of how genetics influences our psychological development.

And the first thing I want to tell you is what's often called the first law of behavioral genetics. And that was a phrase coined by Eric Turkheimer, who's a leading scholar in this field. And I'll quote him so that I don't get it wrong. So the first law of behavioral genetics is that all human behavioral traits are heritable. Not just like height, eye color, height.

of your feet, whatever, right? It's my personality, whether I... Everything. I mean, we have 23 pairs of chromosomes, right? We have DNA, and those chromosomes have a code. And everything about you has to in some way be genetic in the sense that your DNA are like coding for certain proteins, and that's why you were born a human and not an aardvark, and my genes being different from your genes, Mike, are partly why...

me and you're you. So when Turkheimer says that the first law of behavioral genetics is that all human behavioral traits are heritable, you can, by extension, just with common sense, think, oh, yeah, all traits are heritable. It's so mind-blowing because if you think about, oh, I'm a happy person, I'm a grateful person, I'm a motivated person, I'm a hardworking person, all of those things are things that you can work on.

And I hate the idea that like I am inherently either grateful or ungrateful. I am either happy or unhappy emotionally.

But I think what you're saying is there is maybe a baseline. Like, I know some people. I have this, I call him my new life coach. He's not officially, but this guy Vinny, he's the happiest person. He's just happy. I feel like every time I see him, it's a little bit like a puppy dog. And like, he makes me happy because he's so happy. I think that's probably inborn in him. When you describe Vinny, I think of my daughter, Lucy. You know my kids. And Lucy is just sunshine personified. You know, one day she was like, Mom,

it's 72 degrees. And I was like, yeah, I know. She's like, isn't that a great temperature? And I was like, oh, my God. I love that so much. Who dealt you these dispositional cards? So I know what you mean when you meet people and they seem to be naturally extroverted or naturally confident or naturally gritty. And when you then hear the first law of behavioral genetics is that

all traits are heritable, it does make you think, "Okay, so much is inborn." But let me explain further what Turkheimer, if he were in this conversation, I think would want to impress people with. And that is that human development is fundamentally nonlinear and interactive. And that is another quote from Turkheimer. So let me unpack it. Human development is fundamentally nonlinear and interactive.

Okay, so you are conceived when the sperm and the egg come together and there's a little genetic deck that's dealt. And from that moment on, there are these extraordinarily complex, almost computationally infinite interactions that happen between genes and between genes and environmental influences.

And it's like everything, like your mom's blood sugar on a certain day. And when you are born, who holds you first? And then who your first grade teacher is and who you get sat next to and whether you trip and skin your knee in sixth grade and whether your parents take you to Spain or don't take you to Spain. So there's just an uncountable number of environmental influences that interact with all of these genes that you got dealt.

And one of the things that is really hard to even wrap a human mind around, I have found it hard to wrap my mind around, it's just that because there's this soup of genes that you got and this uncountable number of environmental influences and each gene and each organism,

environmental influence probably has a teeny tiny effect but these effects are like not just additive they're like interacting with each other it's like oh and then this happened and then because this happened something else is going to happen that's what Turkheimer means by it being non-linear and interactive it's like

the weather. You know, like you've ever heard that expression that a butterfly flaps its wings in Houston and there's a, you know, tornado in Honduras. Yes, the butterfly effect. It's basically a similar, not exactly the same intuition, but like one event among many will influence this

long-term outcome because of all the things that it sets off? I mean, if you're... We just went to children for a minute. There's been, for years, this big debate on breastfeeding or using formula. And all these people are like, guess what? Like, I'm just trying to survive. I just had a baby. How about you back off and stop telling me how to feed my child? It's enough to almost drive you crazy if you think about it in too micro a level. Yeah, I mean, it's true. When...

It's hard. People tend just to shut down, and they're like, is it nature or nurture? Or how much is nature and how much is nurture? Neither of those phrasings actually make sense when you really understand how genetics work. So when Turkheimer says, look, the first law of behavioral genetics is that everything is to some extent heritable, he's not saying it's fixed. He's not saying it's genes or destiny. In fact, he's saying the opposite, that development is nonlinear and interactive. It's so fixed.

Gosh darn complicated. There's nothing about you that's easy to explain. I mean, almost nothing. Eye color is an extraordinarily common thing that people think is genetic. And we, at least I in elementary school, was assigned the family tree homework. Did you ever have to do this where you have to like make a family tree of who's blue eyed and who's brown eyed? I don't know if I had to do it with eye color, but I've certainly made many a family tree. For a school assignment?

Yes, for school. I don't often sit home on Friday night and make family trees just for fun. Well, by the way, when you're Chinese, the whole family tree thing where you're like, please identify the eye color of your grandparents and your great. I was like, easy, cheesy, lemon, squeezy, brown. But I bring up, you know, eye color because when we're

we were in elementary school, at least when I was in elementary school, I was taught that genes worked in this very simple way. Like if your mom has blue eyes and your dad has blue eyes, then you'll have blue eyes. And then, you know, you draw these little charts. Right. You make the little like quadrant and it's the dominant recessive gene and you just do your... Turns out that even things like eye color have, I think, more than a dozen different genes. So it's like not what they teach in fourth grade. Hundreds of different genes. Yeah.

influence your disposition to be heavier or lighter. Every aspect of your genetic makeup, which is super complicated, and every aspect of your experience, just super complicated, they're all interacting. And so, yeah, everything is genetic or heritable in some sense, but the reason why you can do something about your weight and your grit and your extroversion and your honesty is because...

development unfolds in that complicated way. Still to come on No Stupid Questions, Mike and Angela wonder if better understanding of genetics can help counter fat shaming. There's so much I'll never know about your DNA. Music

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Now, back to Mike and Angela's conversation about how nature and nurture shape your identity. I think it's amazing when we see how much

change has been happening in the world as a whole. And that leads to this question of nature, nurture, all these things, right? I mean, when you look at just the obesity statistics, the worldwide prevalence of obesity has nearly tripled between 1975 and 2016, which obviously is not just because everyone's genes suddenly changed. That would speak to sort of these environmental or behavioral things that have come with it. And there's a lot to be said about

The damage done by weight stigma or weight bias where people who are overweight deal with a lot of negative verbal commentaries, teasing, physical assault, eye rolling, etc. You know, I think there's a dimension of this that's super interesting called genetic essentialism. What the idea is, is that we as human beings have a tendency, quote, to infer a person's characteristics and behaviors as based on their perceived genetic makeup, right?

And there are two scientists who have made this observation, and their names are Elon Darnimrod, who's now a professor at the University of Sydney in psychology, and Steve Heine, who's a professor of psychology at the University of British Columbia. So let me give you a little quiz, Mike.

They have this scale called the Genetic Essentialist Tendency Scale, and I won't read you all of the items. But as I read your statement, just tell me whether you disagree or agree. Okay. Even in an environment which encourages and nurtures creative behavior, a person without a genetic predisposition for creativity will still be uncreative.

Oh, I disagree with that. Okay. An individual's particular behavior is not changeable if it has a genetic basis. Strongly disagree. I hate that idea. And finally, most irrelevant to Ozempic and this conversation about fat genes and what we can do about them, a person with a genetic predisposition for obesity is destined to be fat.

I'm going to disagree. I mean, I think that obviously the likelihood is higher, but I think you're not destined to be. Okay. It's clear to me that you recognize this tendency toward genetic essentialism, but you counter it in yourself, right? You're like, I know it's not that simple. Where I want to be careful here, though, is that some people have genes that probably, you'll tell me if I'm wrong,

are so maybe extreme on one end of the scale or another that I have some friends who never lift weights and are incredibly strong and toned and whatever, right? There's extremities on both ends where someone's genes are so potentially extreme on weight gain or weight loss or obesity or whatnot that there is probably very little you can do. But most people, I would imagine, fall within a range of

where there is at least more control. So you're thinking that for most people, they fall somewhere in between. But for the extremes, maybe those are kind of like genetic anomalies, right? I would assume so. I mean, what I don't want to do is say, because I think it is very dangerous, this whole idea of weight shaming, weight stigma, weight bias, and

And I don't want to say that someone who's on maybe a more extreme end, I'm not going to put all the responsibility on their head. And I don't think the science would tell us that, right? Well, you know, the first law of behavioral genetics should prevent us from saying that things are, you know, like totally under the control of your decisions. Because if it's true that all traits are genetically influenced, they're heritable, then you're exactly right that like it is a deck of cards. And some of us inherit hands with...

a lot of aces, kings, and queens. And some of us are like, so what do I do with this, like, two of clubs? But one of the reasons I got into the complexity just now is that when you're

It's a lot of genes that influence one of your traits. It's less likely that you can point to your really muscular friend and say, like, it's just genes, because that really suggests that, like, he inherited a deck of many, many, many, many genes that were all tilting in the same way. And again, I'm not saying there aren't people who are genetically lucky and genetically unlucky, and you're so right, that should help us not stigmatize. But just because they're on the extreme doesn't mean it's genetic, right?

It could be that there are environmental reasons that that person is in the extreme of the distribution, but it's not our first thought. And I'm as guilty as anyone else. When I see somebody who's like Lucy, I'm like, oh, my gosh, what did you do to win the genetic lottery in happiness? And I forget for a moment that behavior and development are these things

fundamentally like nonlinear and interactive processes. And I can't say, oh, she just got yes, yes, yes, yes, yes on all the genes for happiness. It absolutely could be some path dependent development where, yes, her genes, but also her experiences and her experiences interacting with her genes and her genes interacting with each other and so on like that produced this happy disposition. Yeah. Yeah.

Look, I think it's amazing. And there's so much being said right now, obviously, in this conversation about genetic essentialism, nature and nurture, not nature or nurture. But, you know, we started this conversation out talking about weight loss. So we would both love to hear from our listeners about your experience with weight loss. Do you think that your genetics made it harder? What would you modify about your situation? So

So record in a quiet place with your mouth close to the phone and email it to [email protected], and maybe we'll play it on a future episode of the show. I'd love to share with you a little story about Bill Maher, who is a late night host, and James Corden, also a late night television host, recently retired.

But back in September of 2019, Bill Maher on his HBO show talked about fat shaming. And he basically said fat shaming needs to make a comeback because some amount of shame is good.

And, you know, there are a lot of people like me who I'm healthy. I can bike 100 miles. I can go climb tall mountains. But like medically, I am classified as overweight. Now, obviously, sometimes medically things don't work super well because, you know, by some of the classifications, Tom Brady was considered overweight because of his height and size. But he was muscular and whatever. So these scales are all different.

scientific and not perfect in any way. But generally speaking, we always use this phrase fuzzy math over time still shows trends.

I think generally speaking, the metrics work, but they're not great in any measure. So like you're saying that you're not just Tom Brady, who is such high percentage muscle. Shockingly, a lot of people walking down the street do think like, oh, is that Tom Brady? Just kidding. Yeah, you can easily get mistaken for Tom Brady. No one has ever thought that.

But BMI is just easy to calculate, right? Like that's just, you know, a height and weight that you can take in. BMI is a garbage metric by almost all standards. So Bill Maher on his show says, and I quote, fat shaming needs to make a comeback and that some amount of shame is good. So James Corden, who's a British comedian, he's done the Late Late Show in the U.S. for years at this point. He has since retired.

is watching this and James Corden is himself overweight. And he said, he sat watching this and thought, "Man, I wish someone with a platform who's overweight could say something about that." And then he's like, "Wait, that's me."

And this is what he said in sort of his response, his monologue response to Bill Maher. He just said, fat shaming never went anywhere. Ask literally any fat person. We're reminded all the time on airplanes, on Instagram, when someone leaves a pie on a windowsill to cool and they give us a look like, don't you dare. Obviously, he's joking with this last part. But like he

He says there's this common and insulting misconception that fat people are stupid or lazy, and Corden says we're not. We get it. We know being overweight isn't good for us. He said, I've struggled my entire life trying to manage my weight. If making fun of fat people made them lose weight, there would be no fat kids in school, and I've had a six-pack right now. And he ends by saying this to Bill Maher. He says, when you're encouraging people to think about what goes into their mouths, you're

Please just think a little harder about what comes out of yours. Well, that's a really good phrase. I think perhaps dragging you through the mud of understanding what nature and nurture really are and making us who we are. I mean, look, I don't know if it's as good as what you just said, but I hope it

prevents us from shaming anyone for anything. You don't know about the uncountable number of environmental experiences they've had. You sure as hell don't know their full genotype and what those implications are. So maybe, and this may be naive, but maybe at least appreciating that we're all

all really complicated. And it's just not a simple thing about, you know, you were or weren't motivated. You do or don't care about your weight. You do or don't have fat genes. Like, it's super complicated. And what I do know is that I have to order lunch today. So what intentional decisions can I make? So, you know, nothing

about Ozempic to me made me think differently about nature-nurture. That had no bearing on this like foundational complicated question. It is settled. Nature versus nurture is the wrong question. How much nature, how much nurture is also an oversimplified question. The answer is nature and nurture in a very, very complicated nonlinear interactive way

And whatever your genes are, you always have something that you can do. And at the same time, whatever you do, you're always going to have your genes. You know, I think the thing that's been most motivating to me in terms of losing weight, I had a really good friend, Michael Katz, who just came to me years ago and he said, I care about you and I want you to be around for a long time. So I want you to take better care of yourself.

And that to me was a really powerful external motivator that he wasn't shaming me. He was saying, I care about you a lot.

I want you to be here. It's like the opposite of shame in a way. Right. Because it was this caring approach to it. I took it as he wants to help me. He wants me to be better. He wants me to be around to be an uncle to his kids and everything else. And that had a really powerful effect on my desire to not only believe that I could do something about it, but that I was going to get up and do that.

I mean, this may be a bridge too far, but I'm going to walk over it and see if it holds up, which is that I think really understanding the complexity of how we become who we are, really having some grasp on the fact that like, wow, we've just got a gajillion genes and everything.

I've got a gajillion experiences and they all interact with each other. I do think it brings you to a more enlightened place where you can say to yourself and someone else, like, there's so much I don't know about you. There's so much I'll never know about your DNA. And I do know that I care about you. I want you to be here. And maybe I also know that you have some control over what you do. And I have some control over what I say.

say. This episode was produced by me, Rebecca Lee Douglas. And now here's a fact check of today's conversation.

Angela says that mapping out the eye colors of her family tree was, quote, easy, cheesy, lemon squeezy, because all of the members of her Chinese family have brown eyes. She likely meant to say easy peasy lemon squeezy, a phrase which reportedly came from a 1950s British commercial for the lemon scented soap squeezy. That's it for the fact check. Before we end today's show, let's hear some thoughts about last week's episode on self-compassion.

Hi, my name's Logan. I don't have a great answer for the question of how I show myself compassion in chaotic times. I'm still working on that. But I do think there's a lot of benefit to having a conversation with your friends about the kind of things you say to yourself. I decided to

ask one of my friends slash co-workers if she feels she's very self-critical. You know, we had a really nice conversation about it. And towards the end, I mentioned to her, like, I have the tendency to come home from work and think about something dumb that I said or a mistake that I made and say to myself, like, oh, you f***ing moron. And she looked at me and said, I would punch somebody who said that to you. Honestly, it made me tear up in the moment. But since then, I...

Anytime I think to myself, oh, you f***ing moron, I stop myself halfway through and I think about that conversation. That was listener Logan Thompson-Dessat. Thanks to him and to everyone who shared their experiences with us. And remember, we'd love to hear your thoughts on the nature-nurture debate, especially how it relates to characteristics like weight. Send a voice memo to nsq at Freakonomics.com and you might hear your voice on the show. Thank you.

Coming up next week on No Stupid Questions, do you have imposter syndrome? God, I am overrated. People are going to find me out. That's next week on No Stupid Questions.

No Stupid Questions is part of the Freakonomics Radio Network, which also includes Freakonomics Radio, People I Mostly Admire, and The Economics of Everyday Things. All our shows are produced by Stitcher and Renbud Radio. Lyric Bowditch is our production associate. This episode was mixed by Eleanor Osborne.

We had research assistance from Daniel Moritz-Rabson. Our theme song was composed by Luis Guerra. You can follow us on Twitter at NSQ underscore show and on Facebook at NSQ show. If you have a question for a future episode, please email it to NSQ at Freakonomics.com. To learn more or to read episode transcripts, visit Freakonomics.com slash NSQ. Thanks for listening.

So when, you know, like the hand goes up in an audience that I'm speaking to and they ask me, is grit nature or nurture? And I have 10 seconds to answer the question. I'm like, well. It takes all the grit you have not to hit that person. The Freakonomics Radio Network. The hidden side of everything. Stitcher.

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