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Obesity is not just elevated adiposity, it is also a state of metabolic perturbation

Published online by Cambridge University Press:  11 May 2017

Jonathan CK Wells
Jonathan CK Wells*
Affiliation:
Childhood Nutrition Research Centre, UCL Great Ormond Street Institute of Child Health, London WC1N 1EH, United Kingdom.
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Abstract

Nettle et al. miss the crucial difference between adaptive models of storing energy and explanations for the pathological metabolic state of obesity. I suggest that the association of food insecurity with obesity in women from industrialized settings is most likely due to reverse causation: Poverty reduces agency to resist obesogenic foods, and this scenario is compounded by perturbations of insulin metabolism stemming from high adiposity and lipogenic diets.

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Type
Open Peer Commentary
Information
Behavioral and Brain Sciences , Volume 40 , 2017 , e130
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Copyright © Cambridge University Press 2017 

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