Is the energy balance explanation of the obesity epidemic wrong?

能量平衡 肥胖 超重 卡路里 消费(社会学) 双标水 平衡(能力) 能量(信号处理) 能源消耗 能源消耗 心理学 食物消费 人口学 经济 医学 统计 内分泌学 数学 社会学 农业经济学 生物 社会科学 生态学 神经科学
作者
Wolfgang Stroebe
出处
期刊:Appetite [Elsevier BV]
卷期号:: 106614-106614
标识
DOI:10.1016/j.appet.2023.106614
摘要

There is a striking discrepancy in both U.S and the U.K data between obesity rates, which are increasing, and self-reported food consumption rates, which are decreasing. There are two possible explanations for this discrepancy, namely that the widely accepted energy balance interpretation of obesity is wrong or that food consumption data are somehow biased. In a comment entitled "Obesity-an unexplained epidemic", Mozzafarian (2022) challenged the Energy Balance Model (EBM) and argued for a need to replace it with a novel biological theory. This challenge is premature, because there are psychological explanations for this discrepancy, namely that individuals with overweight and obesity underreport their food consumption and that this tendency has increased in recent years. To support these hypotheses, U.S and U.K data are reviewed that used the Doubly Labeled Water method (DLW), which is the gold standard for estimating energy expenditure. Such studies find not only consistent evidence of underreporting, but also that the discrepancy between measured energy expenditure and reported calorie consumption increased over time. Two psychological explanations for this pattern are discussed.
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