A common mistake regarding the FTO gene in seniors is assuming that a risk variant (e.g., rs9939609) inevitably causes obesity. In reality, the effect on BMI is modest – about 0.3 kg per risk allele. In older adults, age-related muscle loss (sarcopenia) and hormonal shifts have a much greater impact on metabolism than this single gene. Many seniors misinterpret a 'risk' result as a fixed destiny and neglect exercise or dietary improvements. Another mistake is over-reliance on direct-to-consumer DNA tests, which typically report only one SNP without considering gene–environment interactions or polygenic scores. The evidence is moderate (GWAS, observational studies) and not strong enough for clinical decisions. Seniors should instead focus on actionable biomarkers (lipids, glucose, waist circumference) and sustainable lifestyle changes. A genetic test alone does not justify extreme diets or medications.
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