Both moderate and high tertiles, respectively, of MECPP (RR, 1.33 [95% CI, 1.13-1.56]; RR, 1.36 [95% CI, 1.17-1.58]), MBP (RR, 1.17 [95% CI, 1.01-1.36]; RR, 1.37 [95% CI, 1.12-1.66]), MEP (RR, 1.45 [95% CI, 1.20-1.76]; RR, 1.39 [95% CI, 1.13-1.73]), and MEOHP (RR, 1.24 [95% CI, 1.05-1.47]; RR, 1.30 [95% CI, 1.08-1.57]) were associated with obesity. Here, MBP is linked to obesity due to melanocortin 4 receptor deficiency.