Effect of Gene-based vs. Standard Weight-Loss Recommendations on Anthropometry, Lipid and Glucose Markers, and Dietary Intake: The MyGeneMyDiet® Study

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Abstract

Background

Gene-based nutrition recommendations have emerged as a strategy for weight management, but their effectiveness over standard advice remains uncertain.

Objective

This study evaluated MyGeneMyDiet® recommendations versus standard advice on anthropometry, biochemical markers, and dietary intake in overweight and obese Filipino adults over 12 months.

Methods

In this 12-month randomized controlled trial, participants received either MyGeneMyDiet® or standard advice. Both groups underwent regular nutrition counseling during the active phase (months 0–6) before transitioning to free-living conditions (months 6–12). Primary outcomes included weight, BMI, waist circumference, and body fat percentage; secondary outcomes were dietary intake and biochemical markers. Analyses followed an intention-to-treat approach, with paired t-tests for within-group comparisons and ANCOVA for between-group differences. Sensitivity analyses used Last Observation Carried Forward (LOCF) and Inverse Probability of Attrition Weighting (IPAW) to address loss-to-follow-up.

Results

Of 136 screened, 52 participants (19–59 years) were enrolled (MyGeneMyDiet®, n = 29; standard recommendation, n = 23), with 27 completing the study (MyGeneMyDiet®, n = 15; standard recommendation, n = 12). Weight changes over 12 months were minimal, with no substantial differences between groups. At month 6, baseline-adjusted analyses showed no meaningful differences in weight (−0.36 kg [95% CI: −1.77, 1.04]), BMI (0.11 kg/m² [−0.51, 0.73]), waist circumference (−0.27 cm [−2.23, 1.69]), or body fat percentage (0.92% [−0.86, 1.05]). These trends persisted on month 12. While both groups reduced dietary intake, the MyGeneMyDiet® group showed greater decreases in total calories (−461 kcal, P = 0.001), protein (−12 g, P = 0.007), carbohydrates (−46 g, P = 0.015), and fat (−22 g, P = 0.014), though between-group differences remained modest.

Conclusions

Gene-based and standard weight management advice led to comparable weight and metabolic outcomes over 12 months. While gene-based recommendations influenced dietary intake, these changes did not improve anthropometric or biochemical outcomes.

This trial was registered at clinicaltrials.gov as NCT05098899 .

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