Hostname: page-component-848d4c4894-p2v8j Total loading time: 0 Render date: 2024-05-06T06:24:23.848Z Has data issue: false hasContentIssue false

Obesity: from molecules to man

Published online by Cambridge University Press:  28 February 2007

Susan A. Jebb*
Affiliation:
MRC Dunn Clinical Nutrition Centre, Hills Road, Cambridge CB2 2DH, UK
*
Corresponding author: Dr Susan A. Jebb, fax +44 (0)1223 413763, email Susan.Jebb@mrc-dunn.cam.ac.uk
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Obesity is now a major public health problem in both developed and developing countries. In the UK over 16 % men and 17.5 % women are obese, an increase of more than 100 % since 1980. However, interventions to prevent and treat obesity are hampered by an inadequate understanding of the aetiology of this condition. The present paper considers the current state of knowledge regarding the causes of obesity, including some of the genetic, metabolic, behavioural and environmental factors which influence energy balance. The present paper comprises The Nutrition Society Medal Lecture and focuses in particular on the research carried out at the MRC Dunn Nutrition Centre in Cambridge. It argues that despite decades of intensive research there is relatively little evidence of genetic or metabolic defects to explain the majority of cases of human obesity. Instead we must look to behavioural and/or environmental factors which may be underpinning the current epidemic of obesity.

Type
The Nutrition Society Medal Lecture
Copyright
Copyright © The Nutrition Society 1999

References

Acheson, KJ, Flatt, J-P & Jequier, E (1982) Glycogen synthesis versus lipogenesis after a 500 g carbohydrate meal in man. Metabolism 31, 12341240.CrossRefGoogle ScholarPubMed
Acheson, KJ, Schutz, Y, Bessard, T, Anantharaman, K, Flatt, J-P & Jequier, E (1988) Glycogen storage capacity and de novo lipogenesis during massive carbohydrate overfeeding in man. American Journal of Clinical Nutrition 48, 240247.CrossRefGoogle ScholarPubMed
Ashwell, M, Cole, TJ & Dixon, AK (1985) Obesity: new insights into the anthropometric classification of fat distribution shown by computed tomography. British Medical Journal 290, 16921694.CrossRefGoogle ScholarPubMed
Astrup, A, Toubro, S, Raben, A & Skov, AS (1997) The role of low-fat diets and fat substitutes in body weight management: What have we learned from clinical studies. Journal of the American Dietetic Association 97, S82S87.CrossRefGoogle ScholarPubMed
Ballinger, AB, McLoughlin, L, Medbak, S & Clark, ML (1994) Cholecystokinin is a satiety hormone at physiological post-prandial concentrations. Gastroenterology 106, A798.Google Scholar
Beales, PL & Kopelman, PG (1996) Obesity genes. Clinical Endocrinology 45, 373378.CrossRefGoogle ScholarPubMed
Bennett, N, Dodd, T, Flatley, J, Freeth, S & Bolling, K (1995) Health Survey for England 1993. London: H. M. Stationery Office.Google Scholar
Bjorntorp, P (1993) Visceral obesity: A ‘civilisation syndrome’. Obesity Research 1, 206222.CrossRefGoogle Scholar
Bjorntorp, P (1996) The regulation of adipose tissue distribution in humans. International Journal of Obesity 20, 291302.Google ScholarPubMed
Black, AE, Coward, WA, Cole, TJ & Prentice, AM (1996) Human energy expenditure in affluent societies: an analysis of 574 doubly-labelled water measurements. European Journal of Clinical Nutrition 50, 7292.Google ScholarPubMed
Black, AE, Jebb, SA, Bingham, SA, Runswick, SA & Poppitt, SD (1995) The validation of energy and protein intakes by doubly-labelled water and 24-hour urinary nitrogen excretion in post-obese subjects. Journal of Human Nutrition and Dietetics 8, 5164.CrossRefGoogle Scholar
Black, AE, Prentice, AM, Goldberg, GR, Jebb, SA, Bingham, SA, Livingstone, MBE & Coward, WA (1993) Measurements of total energy expenditure provide insights into the validity of dietary measurements of energy intake. Journal of the American Dietetic Association 93, 572579.CrossRefGoogle ScholarPubMed
Bolton-Smith, C & Woodward, M (1994) Dietary composition and fat to sugar ratios in relation to obesity. International Journal of Obesity 18, 820828.Google ScholarPubMed
Briefel, RR, Sempos, CT, McDowell, MA, Chien, S & Alaimo, K (1997) Dietary methods research in the third National Health and Nutrition Examination Survey: underreporting of energy intake. American Journal of Clinical Nutrition 65, 1203S1209S.CrossRefGoogle ScholarPubMed
Buemann, B, Vohl, MC & Chagnon, M (1997) Abdominal visceral fat is associated with a BcII restriction fragment length polymorphism at the glucocorticoid receptor gene locus. Obesity Research 5, 186192.CrossRefGoogle Scholar
Ceesay, SM, Prentice, AM, Day, KC, Murgatroyd, PR, Goldberg, GR & Scott, W (1989) The use of heart rate monitoring in the estimation of energy expenditure: a validation study using indirect whole-body calorimetry. British Journal of Nutrition 61, 175186.CrossRefGoogle ScholarPubMed
Chagnon, YC, Chen, W-J & Pérusse, L (1997) Linkage and association studies between the melanocortin receptors 4 and 5 genes and obesity-related phenotypes in the Québec Family Study. Molecular Medicine 3, 663673.CrossRefGoogle ScholarPubMed
Chagnon, YC, Pérusse, L & Bouchard, C (1998) The human obesity gene map: The 1997 update. Obesity Research 6, 7692.CrossRefGoogle ScholarPubMed
Chan, JM, Rimm, EB, Colditz, GA, Stampfer, MJ & Willett, WC (1994) Obesity, fat distribution and weight gain as risk factors for clinical diabetes in men. Diabetes Care 17, 961969.CrossRefGoogle ScholarPubMed
Clement, K, Vaisse, C, Lahlou, N, Cabrol, S, Pellanx, V, Cassuto, D, Gourmelen, D, Dina, C, Chambaz, J, Lacorte, SM, Basdevant, A, Bougneres, P, Lebonc, V, Froguel, P & Guy-Grand, B (1998) A mutation in the leptin receptor gene causes obesity and pituitary dysfunction. Nature 392, 398401.CrossRefGoogle ScholarPubMed
Clément, K, Vaisse, C & Manning, BSJ (1995) Genetic variation in the β3-adrenergic receptor and an increased capacity to gain weight in patients with morbid obesity. New England Journal of Medicine 333, 352354.CrossRefGoogle Scholar
Colditz, GA, Willett, WC, Rotnitzky, A & Manson, JE (1995) Weight gain as a risk factor for clinical diabetes mellitus in women. Annals of Internal Medicine 122, 481486.CrossRefGoogle ScholarPubMed
Colhoun, H & Prescott-Clarke, P (1996) Health Survey for England 1994. London: H. M. Stationery Office.Google Scholar
Comuzzie, AG, Hixson, JE & Almasy, L (1997) A major quantitative trait locus determining serum leptin levels and fat mass is located on human chromosome 2. Nature Genetics 15, 273276.CrossRefGoogle Scholar
Coward, WA (1988) The doubly-labelled water method: principles and practice. Proceedings of the Nutrition Society 47, 209218.CrossRefGoogle ScholarPubMed
Dempster, P & Aitkens, S (1995) A new air displacement method for the determination of human body composition. Medicine and Science in Sports and Exercise 27, 16921697.CrossRefGoogle ScholarPubMed
Dériaz, O, Dionne, F & Pérusse, L (1994) DNA variation in the genes of the Na, K-adenosine triphosphatase and its relation with resting metabolic rate, respiratory quotient, and body fat. Journal of Clinical Investigation 93, 838843.CrossRefGoogle ScholarPubMed
Diaz, EO, Prentice, AM, Goldberg, GR, Murgatroyd, PR & Coward, WA (1992) Metabolic response to experimental overfeeding in lean and overweight healthy volunteers. American Journal of Clinical Nutrition 56, 641655.CrossRefGoogle ScholarPubMed
Durnin, JVGA & Womersley, J (1974) Body fat assessed from total body density and its estimation from skinfold thickness measurement in 481 men and women aged 16 to 72 years. British Journal of Nutrition 32, 7797.CrossRefGoogle ScholarPubMed
Elia, M, Jones, G, Jennings, G, Poppitt, SD, Fuller, NJ, Murgatroyd, PR & Jebb, SA (1995) Estimating energy expenditure from specific activity of urine urea during lengthy subcutaneous NaH14CO3 infusion. American Journal of Physiology 269, E172E182.Google ScholarPubMed
Fernandez-Real, JM, Gutierrez, C & Ricart, W (1997) The TNF-α gene NcoI polymorphism influences the relationship among insulin resistance, percent body fat, and increased serum leptin levels. Diabetes 46, 14681472.CrossRefGoogle ScholarPubMed
Finer, N (1997) Present and future pharmacological approaches. British Medical Bulletin 53, 409432.CrossRefGoogle ScholarPubMed
Flatt, J-P, Ravussin, E, Acheson, KJ & Jequier, E (1985) Effects of dietary fat on postprandial substrate oxidation and on carbohydrate and fat balances. Journal of Clinical Investigation 76, 10191024.CrossRefGoogle ScholarPubMed
Fujisawa, T, Ikegami, H & Yamato, E (1996) Association of Trp64Arg mutation of the β3-adrenergic receptor with NIDDM and body weight gain. Diabetologia 39, 349352.CrossRefGoogle ScholarPubMed
Fuller, NJ, Jebb, SA, Goldberg, GR, Pullicino, E, Adams, C, Cole, TJ & Elia, M (1991) Inter-observer variability in the measurement of body composition. European Journal of Clinical Nutrition 45, 4349.Google ScholarPubMed
Fuller, NJ, Jebb, SA, Laskey, MA, Coward, WA & Elia, M (1992) Four component model for the assessment of body composition in humans: comparison with alternative methods and evaluation of the density and hydration of fat free mass. Clinical Science 82, 687693.CrossRefGoogle ScholarPubMed
Fumeron, F, Durack-Bown, I & Betoulle, D (1997) Polymorphisms of uncoupling protein (UCP) and β3-adrenoreceptor genes in obese people submitted to a low calorie diet. International Journal of Obesity 20, 10511054.Google Scholar
Gibbs, J, Young, RC & Smith, GP (1973) Cholecystokinin decreases food intake in rats. Journal of Comparative Physiology and Psychology 84, 488495.CrossRefGoogle ScholarPubMed
Glowa, GR, Barrett, JE, Russell, J & Gold, PW (1992) Effects of corticotrophin releasing hormone on appetitive behaviours. Peptides 13, 609621.CrossRefGoogle Scholar
Goldberg, GR, Black, AE, Jebb, SA, Cole, TJ, Murgatroyd, PR, Coward, WA & Prentice, AM (1991) Critical evaluation of energy intake data using fundamental principles of energy physiology. European Journal of Clinical Nutrition 45, 569581.Google ScholarPubMed
Goldberg, GR, Murgatroyd, PR, McKenna, APM, Heavey, PM & Prentice, AM (1998) Dietary compensation in response to covert imposition of negative energy balance by removal of fat or carbohydrate. British Journal of Nutrition 80, 141147.CrossRefGoogle ScholarPubMed
Goldberg, GR, Prentice, AM, Murgatroyd, PR, Haines, W & Tuersley, MD (1995) Effects on metabolic rate and fuel selection of a selective B-3 agonist (ICI D7114) in healthy lean men. International Journal of Obesity 19, 625631.Google Scholar
Greene, LC, Livingstone, MBE, McGloin, AF, Webb, SE, Jebb, SA & Prentice, AM (1998) Daily energy expenditure in free-living children: comparison of Caltrac motion sensors with the doubly-labelled water method. Proceedings of the Nutrition Society 57, 11A.Google Scholar
Griffiths, LR, Nyhold, D, Curtain, RP, Faggney, PT & Morris, BJ (1995) Cross-sectional study of a microsatellite marker in the low density lipoprotein receptor gene in obese normotensives. Clinical and Experimental Pharmacology and Physiology 22, 496498.CrossRefGoogle ScholarPubMed
Haapanen, N, Miilunpalo, S, Pasanen, M, Oja, P & Vuori, I (1997) Association between leisure time physical activity and 10-year body mass change among working-aged men and women. International Journal of Obesity 21, 288296.CrossRefGoogle ScholarPubMed
Hegele, RA, Harris, SB, Hanley, AJG, Sadikian, S, Connelly, PW & Zinman, B (1996) Genetic variation of intestinal fatty acid binding protein associated with variation in body mass in Aboriginal Canadians. Journal of Clinical Endocrinology and Metabolism 81, 43344337.Google ScholarPubMed
Heitmann, BL & Lissner, L (1995) Dietary under-reporting by obese individuals - is it specific or non-specific? British Medical Journal 311, 986989.CrossRefGoogle ScholarPubMed
Hill, JO & Prentice, AM (1995) Sugar and body weight regulation. American Journal of Clinical Nutrition 62 Suppl., 264S274S.CrossRefGoogle ScholarPubMed
Jackson, RS, Creemers, JWM, Ohagi, S, Rattin-Sanson, ML, Sanders, L, Montague, CT, Hutten, JC & O'Rahilly, S (1997) Obesity and impaired prohormone processing associated with mutations in the human prohormone convertase 1 gene. Nature Genetics 16, 303306.CrossRefGoogle ScholarPubMed
James, WPT (1996) The epidemiology of obesity. In The Origins and Consequences of Obesity, pp. 111[Chadwick, D and Cardew, G, editors]. Chichester: John Wiley & Sons.Google Scholar
Jebb, SA (1997 a) Aetiology of obesity. British Medical Bulletin 53, 264285.CrossRefGoogle ScholarPubMed
Jebb, SA (1997 b) From chemical analysis of the body to metabolic insights provided by the new methodology. British Journal of Nutrition 78, Suppl. 2, S101S112.CrossRefGoogle ScholarPubMed
Jebb, SA (1998) Measurement of body composition - from the laboratory to the clinic. In Clinical Obesity, pp. 1849[Kopelman, P and Stock, M, editors]. London: Blackwell.Google Scholar
Jebb, SA Doman, D & Murgatroyd, PR (1998) Comprehensive validation study of in vivo body composition techniques relative to a four-compartment model in 205 adults. International Journal of Obesity 22 Suppl. 3, S190 Abstr.Google Scholar
Jebb, SA & Elia, M (1993) Techniques for the measurement of body composition: a practical guide. International Journal of Obesity 17, 611621.Google ScholarPubMed
Jebb, SA & Elia, M (1994) Measurement of body composition in clinical practice. In Consensus in Clinical Nutrition, pp. 121[Heatley, R, Green, J and Losowsky, M, editors]. Cambridge: Cambridge University Press.Google Scholar
Jebb, SA & Elia, M (1995) Multicompartment models in health and disease. In Body Composition Techniques in Health and Disease, pp. 240254[Davies, P and Cole, T, editors]. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Jebb, SA & Goldberg, GR (1998) The use of very low energy diets in the management of obesity. Journal of Human Nutrition and Dietetics 11, 219226.CrossRefGoogle Scholar
Jebb, SA, Goldberg, GR, Coward, WA, Murgatroyd, PR & Prentice, AM (1991) Effects of weight cycling caused by intermittent dieting on metabolic rate and body composition in obese women. International Journal of Obesity 15, 367374.Google ScholarPubMed
Jebb, SA, Murgatroyd, PR, Goldberg, GR, Prentice, AM & Coward, WA (1993) In vivo measurement of changes in body composition: description of methods and their validation against 12-d continuous whole-body calorimetry. American Journal of Clinical Nutrition 58, 455462.CrossRefGoogle ScholarPubMed
Jebb, SA, Prentice, AM & Cole, TJ (1997) Obesity and social class in women: Effects of smoking, drinking and physical activity. Proceedings of the Nutrition Society 56, 159 Abstr.Google Scholar
Jebb, SA, Prentice, AM, Goldberg, GR, Murgatroyd, PR, Black, AE & Coward, WA (1996) Changes in macronutrient balance during over- and under-nutrition assessed by 12-d continuous whole-body calorimetry. American Journal of Clinical Nutrition 64, 259266.CrossRefGoogle Scholar
Johnson, RK, Goran, MI & Poehlman, E (1994) Correlates of over- and under-reporting of energy intakes in healthy older men and women. American Journal of Clinical Nutrition 59, 12861290.CrossRefGoogle Scholar
Johnson, RK, Soultanakis, RP & Matthews, DW (1998) Literacy and body fatness are associated with under-reporting of energy intakes in US low-income women using a multiple pass 24-hour recall. Journal of the American Dietetic Association (In the Press).CrossRefGoogle Scholar
Kadowaki, H, Yasuda, K & Iwamoto, K (1995) A mutation in the β3-adrenergic receptor gene is associated with obesity and hyperinsulinaemia in Japanese subjects. Biochemical and Biophysical Research Communications 215, 555560.CrossRefGoogle Scholar
Kim-Motoyama, H, Yasuda, K & Yamaguchi, T (1997) A mutation of the β3-adrenergic receptor is associated with visceral obesity but decreased serum triglyceride. Diabetologia 40, 469472.CrossRefGoogle Scholar
Kissebah, AH & Krakower, GR (1994) Regional adiposity and morbidity. Physiological Reviews 74, 761811.CrossRefGoogle ScholarPubMed
Kolanowski, J (1997) Surgical treatment for morbid obesity. British Medical Bulletin 53, 433444.CrossRefGoogle ScholarPubMed
Krebs-Smith, SM, Graubard, B, Cleveland, L, Subar, A, Ballard-Barbash, R & Kahle, L (1998) Low energy reporters vs others: A comparison of reported energy intakes. European Journal of Clinical Nutrition 52, Suppl. 2, S18.Google Scholar
Kvist, H, Sjostrom, L & Tylen, U (1986) Adipose tissue volume determinations in women by computed tomography. International Journal of Obesity 10, 5367.Google ScholarPubMed
Lean, MJ, Han, TS & Morrison, CE (1995) Waist circumference as a measure for indicating need for weight management. British Medical Journal 311, 158161.CrossRefGoogle ScholarPubMed
Lichtman, SW, Pisarska, K, Berman, E, Perstone, M, Dowling, H, Offenbacher, E, Weisel, H, Heshka, S, Matthews, DE & Heymsfield, SB (1993) Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. New England Journal of Medicine 327, 18931898.CrossRefGoogle Scholar
Lissner, L & Heitmann, BL (1995) Dietary fat and obesity: evidence from epidemiology. European Journal of Clinical Nutrition 49, 7990.Google ScholarPubMed
Lissner, L, Heitmann, BL & Bengtsson, C (1997) Low-fat diets may prevent weight gain in sedentary women: Prospective observations from the Population Study of Women in Gothenburg, Sweden. Obesity Research 5, 4348.CrossRefGoogle ScholarPubMed
Lissner, L, Lindroos, AK & Sjostrom, L (1998) Swedish obese subjects (SOS): an obesity intervention study with a nutritional perspective. European Journal of Clinical Nutrition 52, 316322.CrossRefGoogle ScholarPubMed
Livingstone, MBE, Coward, WA, Prentice, AM, Davies, PSW, Strain, JJ, McKenna, PG, Mahoney, CA, White, JA, Stewart, CM & Kerr, MJ (1992 a) Daily energy expenditure in free-living children: comparison of heart-rate monitoring with doubly-labelled water (2H18O) method. American Journal of Clinical Nutrition 56, 343352.CrossRefGoogle Scholar
Livingstone, MBE, Prentice, AM, Coward, WA, Strain, JJ, Davies, PSW, Stewart, EW, McKenna, PG & Whitehead, RG (1992 b) Validation of estimates of energy intake by weighed dietary records and diet history in children and adolescents. American Journal of Clinical Nutrition 56, 2935.CrossRefGoogle ScholarPubMed
McCrory, M, Gomez, T, Bernauer, E & Mole, P (1995) Evaluation of a new air displacement plethysmograph for measuring human body composition. Medicine and Science in Sports and Exercise 27, 16861691.CrossRefGoogle ScholarPubMed
McDevitt, RM, Murgatroyd, PR & Prentice, AM (1997) Macronutrient disposal during short-term overfeeding with different carbohydrates and fat in lean and obese women. International Journal of Nutrition 21, 226.Google Scholar
Macdiarmid, JI & Blundell, JE (1997) Dietary under-reporting: what people say about recording their food intake. European Journal of Clinical Nutrition 51, 199200.CrossRefGoogle ScholarPubMed
Mayer, J, Marshall, NB, Vitale, JJ, Christensen, JH, Mashayekhi, MB & Stare, FJ (1953) Exercise, food intake and body weight in normal rats and genetically obese adult mice. American Journal of Physiology 177, 544548.CrossRefGoogle Scholar
Mayer, J, Roy, P & Mitka, KP (1955) Relation between caloric intake, body weight and physical work: Studies in an industrial male population in West Bengal. American Journal of Clinical Nutrition 4, 169175.CrossRefGoogle Scholar
Miller, DS, Mumford, P & Stock, MJ (1967) Gluttony 2. Thermogenesis in overeating man. American Journal of Clinical Nutrition 20, 12231229.CrossRefGoogle ScholarPubMed
Montague, CT, Farooqi, IS, Whitehead, JP, Soos, MA, Rau, H, Wareham, NJ, Sewter, CP, Digby, JE, Mohammed, SN, Hurst, JA, Cheetham, CH, Earley, AR, Barnett, AH, Prins, JB & O'Rahilly, S (1997) Congenital leptin deficiency is associated with severe early onset obesity in humans. Nature 387, 903908.CrossRefGoogle ScholarPubMed
Murgatroyd, PR & Coward, WA (1989) An improved method for estimating changes in whole-body fat and protein mass in man. British Journal of Nutrition 62, 311314.CrossRefGoogle ScholarPubMed
Murgatroyd, PR, Davies, HL & Prentice, AM (1987) Intra-individual variability and measurement noise in estimates of energy expenditure by whole-body calorimetry. British Journal of Nutrition 58, 347356.CrossRefGoogle Scholar
Murgatroyd, PR, Shetty, PS & Prentice, AM (1993 a) Techniques for the measurement of human energy expenditure. International Journal of Obesity 17, 549568.Google ScholarPubMed
Murgatroyd, PR, Sonko, BJ, Wittekind, A, Goldberg, GR, Ceesay, SM & Prentice, AM (1993 b) Non-invasive techniques for assessing carbohydrate flux 1. Measurement of depletion by indirect calorimetry. Acta Physiologica Scandinavica 147, 9198.CrossRefGoogle ScholarPubMed
Nagase, T, Aoki, A & Yamamoto, M (1997) Lack of association between the Trp64Arg mutation in the β3-adrenergic receptor gene and obesity in Japanese men: a longitudinal analysis. Journal of Clinical Endocrinology and Metabolism 82, 12841287.Google Scholar
Norman, RA, Thompson, DB & Foroud, T (1997) Genomewide search for genes influencing percent body fat in Pima Indians: suggestive linkage at chromosome 11q21-q22. American Journal of Human Genetics 60, 166173.Google ScholarPubMed
O'Dell, SD, Miller, GJ & Cooper, JA (1997) Apal polymorphism in insulin-like growth factor II (IGF2) gene and weight in middle-aged males. International Journal of Obesity 21, 822825.CrossRefGoogle ScholarPubMed
Oppert, JM, Vohl, MC & Chagnon, M (1994) DNA polymorphism in the uncoupling protein (UCP) gene and human body fat. International Journal of Obesity 18, 526531.Google ScholarPubMed
Pavlou, KN, Krey, S & Steffee, WP (1989) Exercise as an adjunct to weight loss and maintenance in moderately obese subjects. American Journal of Clinical Nutrition 49, 11151123.CrossRefGoogle ScholarPubMed
Poppitt, SD, Murgatroyd, PR, Tanish, KR & Prentice, AM (1997) Effect of dexfenfluramine on energy and macronutrient balance on high-fat and low-fat diets. International Journal of Obesity 21, 197 Abstr.Google Scholar
Poppitt, SD, Swann, D, Black, AE & Prentice, AM (1998) Assessment of selective under-reporting of food intake by both obese and non-obese women in a metabolic facility. International Journal of Obesity 22, 303311.CrossRefGoogle Scholar
Pouliot, MC, Després, JP & Dionne, FT (1994) ApoB-100 gene EcoRI polymorphism. Relations to plasma lipoprotein changes associated with abdominal visceral obesity. Arteriosclerosis and Thrombosis 14, 527533.CrossRefGoogle ScholarPubMed
Prentice, A (1995) Application of dual energy X-ray absorptiometry and related techniques to the assessment of bone and body composition. In Body Composition Techniques in Health and Disease, pp. 113 [Davies, P and Cole, T, editors]. Cambridge: Cambridge University Press.Google Scholar
Prentice, AM (1995) Alcohol and obesity. International Journal of Obesity 19, S44S50.Google ScholarPubMed
Prentice, AM (1997) Obesity - the inevitable penalty of civilisation? British Medical Bulletin 53, 229237.CrossRefGoogle ScholarPubMed
Prentice, AM, Black, AE, Coward, WA & Cole, TJ (1996) Energy expenditure in affluent societies: an analysis of 319 doubly-labelled water measurements. European Journal of Clinical Nutrition 50, 9397.Google ScholarPubMed
Prentice, AM, Black, AE, Coward, WA, Davies, HL, Goldberg, GR, Murgatroyd, PR, Ashford, J, Sawyer, M & Whitehead, RG (1986) High levels of energy expenditure in obese women. British Medical Journal 292, 983987.CrossRefGoogle ScholarPubMed
Prentice, AM, Goldberg, GR, Davies, HL, Murgatroyd, PR & Scott, W (1989) Energy-sparing adaptations in human pregnancy assessed by whole-body calorimetry. British Journal of Nutrition 62, 522.CrossRefGoogle ScholarPubMed
Prentice, AM & Jebb, SA (1995 a) Obesity in Britain: gluttony or sloth? British Medical Journal 311, 437439.CrossRefGoogle ScholarPubMed
Prentice, AM & Jebb, SA (1995 b) Obesity in Britain. British Medical Journal 311, 15681569.CrossRefGoogle ScholarPubMed
Prentice, AM & Jebb, SA (1998) Energy expenditure and regulation of human energy balance. Journal of the Royal College of Physicians (In the Press).Google Scholar
Prentice, AM & Poppitt, SD (1996) Importance of energy density and macronutrients in the regulation of energy intake. International Journal of Obesity 20, Suppl. 2, S18S23.Google ScholarPubMed
Price, GM, Paul, AA, Cole, TJ & Wadsworth, MEJ (1997) Characteristics of the low-energy reporters in a longitudinal national dietary survey. British Journal of Nutrition 77, 833851.CrossRefGoogle Scholar
Pryer, JA, Vrijheid, M, Nichols, R, Kiggins, M & Elliott, P (1997) Who are the ‘low energy reporters’ in the Dietary and Nutritional Survey of British Adults. International Journal of Epidemiology 26, 146154.CrossRefGoogle ScholarPubMed
Rajput-Williams, J, Knott, TJ & Wallis, SC (1988) Variation of apolipoprotein-B gene is associated with obesity, high blood cholesterol levels, and increased risk of coronary heart disease. Lancet 31, 14421446.CrossRefGoogle Scholar
Rissanen, AM, Heliovaara, M, Knekt, P, Reunanen, A & Aroma, A (1991) Determinants of weight gain and overweight in adult Finns. European Journal of Clinical Nutrition 45, 419430.Google ScholarPubMed
Ross, R, Lege, L, Morris, D, Guise, JD & Guardo, R (1992) Quantification of adipose tissue by MRI: relationship with anthropometric variables. Journal of Applied Physiology 72, 787795.CrossRefGoogle ScholarPubMed
Ross, R, Rissanen, J & Hudson, R (1996) Sensitivity associated with the identification of visceral adipose tissue levels using waist circumference in men and women: effects of weight loss. International Journal of Obesity 20, 533538.Google ScholarPubMed
Saha, N, Tay, JSH, Heng, CK & Humphries, SE (1993) DNA polymorphisms of the apolipoprotein B gene are associated with obesity and serum lipids in healthy Indians in Singapore. Clinical Genetics 44, 113120.CrossRefGoogle ScholarPubMed
Sakane, N, Yoshida, T, Umekawa, T, Kondo, M, Sakai, Y & Takahashi, T (1997) Beta 3-adrenergic-receptor polymorphism: a genetic marker for visceral fat obesity and the insulin resistance syndrome. Diabetologia 40, 200204.CrossRefGoogle ScholarPubMed
Sakurai, T, Amemiya, A, Ishii, M, Matsuzaki, I, Chemelli, RM, Tanaka, H, Williams, SC, Richardson, JA, Kozlowski, GP, Wilson, S, Arch, JRS, Buckingham, RE, Haynes, AC, Carr, SA, Annan, RS, McNulty, DE, Liu, W, Terrett, JA, Elshourbagy, NA, Bergsma, DJ & Yanagisawa, M (1998) Orexins and orexin receptors: A family of hypothalamic neuropeptides and G protein-coupled receptors that regulate feeding behaviour. Cell 92, 573585.CrossRefGoogle Scholar
Schutz, Y, Acheson, KJ & Jequier, E (1984) Twenty-four hour energy expenditure and thermogenesis: response to progressive carbohydrate overfeeding in man. International Journal of Obesity 9, 111114.Google Scholar
Schwartz, JM, Neese, RA, Turner, S, Dare, D & Hellerstein, MK (1995) Short-term alterations in carbohydrate energy intake in humans. Journal of Clinical Investigation 96, 27352743.Google Scholar
Seidell, JC & Rissanen, AM (1998) Time trends in the worldwide prevalence of obesity. In Handbook of Obesity, pp. 7992 [Bray, GA, Bouchard, C and James, WPT, editors]. New York: Marcel Dekker.Google Scholar
Shetty, PS, Prentice, AM, Goldberg, GR, Murgatroyd, PR, McKenna, APM, Stubbs, RJ & Volschenk, PA (1994) Alterations in fuel selection and voluntary food intake in response to isoenergetic manipulation of glycogen stores in humans. American Journal of Clinical Nutrition 60, 534543.CrossRefGoogle ScholarPubMed
Shor-Posner, G, Grinker, JA, Marinescu, C, Brown, O & Leibowitz, SF (1986) Hypothalamic serotonin in the control of meal patterns and macronutrient selection. Brain Research Bulletin 17, 663671.CrossRefGoogle ScholarPubMed
Siri, WS (1961) Body Composition from Fluid Spaces and Density: A Combined Analysis of Methods. Washington, DC: National Academy of Sciences - National Research Council.Google Scholar
Sonko, BJ, Prentice, AM, Murgatroyd, PR, Goldberg, GR, van der Ven, MLHM & Coward, WA (1994) Effect of alcohol on post-meal fat storage. American Journal of Clinical Nutrition 59, 619625.CrossRefGoogle Scholar
Spurr, GB, Prentice, AM, Murgatroyd, PR, Goldberg, GR, Reina, JC & Christman, NT (1988) Energy expenditure from minute-by-minute heart rate recording: comparison with indirect calorimetry. American Journal of Clinical Nutrition 48, 552559.CrossRefGoogle ScholarPubMed
Stanley, BG, Kyrkouli, SE, Lampert, S & Leibowitz, SF (1986) Neuropeptide-Y chronically injected into the hypothalamus: a powerful neurochemical inducer of hyperphagia and obesity. Peptides 7, 11891192.CrossRefGoogle ScholarPubMed
Strobel, A, Issad, T, Camoin, L, Ozata, M & Strosberg, AD (1998) A leptin missense mutation associated with hypogonadism and morbid obesity. Nature Genetics 18, 213215.CrossRefGoogle ScholarPubMed
Stubbs, RJ, Harbron, CG, Murgatroyd, PR & Prentice, AM (1995 a) Covert manipulation of dietary fat and energy density: effect on substrate flux and food intake in men eating ad libitum. American Journal of Clinical Nutrition 62, 316329.CrossRefGoogle ScholarPubMed
Stubbs, RJ, Murgatoyd, PR, Goldberg, GR & Prentice, AM (1993) Carbohydrate balance and the regulation of day-to-day food intake in humans. American Journal of Clinical Nutrition 57, 897903.CrossRefGoogle ScholarPubMed
Stubbs, RJ, Ritz, P, Coward, WA & Prentice, AM (1995 b) Covert manipulation of the ratio of dietary fat to carbohydrate and energy density: effect on food intake and energy balance in free-living men eating ad libitum. American Journal of Clinical Nutrition 62, 330337.CrossRefGoogle ScholarPubMed
Svendsen, OL, Haarbo, J, Hassager, C & Christiansen, C (1993) Accuracy of measurements of body composition by dual energy X-ray absorptiometry in vivo. American Journal of Clinical Nutrition 57, 605608.CrossRefGoogle ScholarPubMed
Tempel, DL, Leibowitz, KJ & Leibowitz, SF (1992) Effects of PVN galanin on macronutrient selection. Peptides 13, 309314.Google Scholar
Thompson, DB, Ravussin, E, Bennett, PH & Bogardus, C (1997) Structure and sequence variation at the human leptin receptor gene in lean and obese Pima Indians. Human Molecular Genetics 6, 675679.CrossRefGoogle ScholarPubMed
Totton, M, Murgatroyd, PR, Goldberg, GR & Prentice, AM (1995) Energy expenditure and carbohydrate flux in type 1 (insulin-dependent) diabetics. Proceedings of the Nutrition Society 54, 162A.Google Scholar
Treuth, MS, Hunter, GR & Kebes-Szabo, T (1995) Estimating intra-abdominal adipose tissue in women by dual energy X-ray absorptiometry. American Journal of Clinical Nutrition 62, 527532.CrossRefGoogle Scholar
Turton, MD, O'Shea, D, Beak, SA, Edwards, CM, Meeran, K, Choi, SJ, Taylor, GM, Heath, MM, Lambert, PD, Wilding, JP, Smith, DM, Ghatei, MA, Herbert, J & Bloom, SR (1996) A role for glucagon-like peptide-1 in the central control of feeding. Nature 379, 6972.CrossRefGoogle Scholar
Urhammer, SA, Clausen, JO, Hansen, T & Pedersen, O (1996) Insulin sensitivity and body weight changes in young White carriers of the Codon 64 amino acid polymorphism of the β3-adrenergic receptor gene. Diabetes 45, 11151120.CrossRefGoogle Scholar
van der Kooy, K, Leenen, R, Seidell, JC, Deurenberg, P, Droop, A & Bakker, CJG (1993) Waist-hip ratio is a poor predictor of changes in visceral fat. American Journal of Clinical Nutrition 57, 327333.CrossRefGoogle ScholarPubMed
van der Kooy, K & Seidell, JC (1993) Techniques for the measurement of visceral fat: a practical guide. International Journal of Obesity 17, 187196.Google ScholarPubMed
Vijayaraghavan, S, Hitman, GA & Kopelman, PG (1994) Apolipoprotein-D polymorphism: a genetic marker for obesity and hyperinsulinemia. Journal of Clinical Endocrinology and Metabolism 79, 568570.Google ScholarPubMed
Voss, S, Kroke, A, Klipstein-Grobusch, K & Boeing, H (1998) Is macronutrient composition of dietary intake data affected by underreporting? Results from the EPIC-Postdam study. European Journal of Clinical Nutrition 52, 119126.CrossRefGoogle ScholarPubMed
Wareham, NJ, Hennings, SHJ, Day, NE & Prentice, AM (1997) The feasibility of measuring energy expenditure by heart-rate monitoring in a population-based study of adults. British Journal of Nutrition 78, 889900.CrossRefGoogle Scholar
Wilding, J, Widdowson, P & Williams, G (1997) Neurobiology. British Medical Bulletin 53, 286306.CrossRefGoogle ScholarPubMed
Williamson, DF (1996) Dietary intake and physical activity as ‘predictors’ of weight gain in observational, prospective studies of adults. Nutrition Reviews 54, S101S109.CrossRefGoogle ScholarPubMed
World Health Organization (1998) Obesity. Preventing and Managing the Global Epidemic.WHO/NUT/NCD/98.1. Geneva: WHO.Google Scholar
Yamada, K, Yuan, X & Ishiyama, S (1997) Association between Ala54Thr substitution of the fatty acid-binding protein 2 gene with insulin resistance and intra-abdominal fat thickness in Japanese men. Diabetologia 40, 706710.CrossRefGoogle ScholarPubMed
Yoshida, T, Sakane, N, Umekawa, T, Sakai, M, Takahashi, T & Kondo, M (1995) Mutation of β3-adrenergic receptor gene and response to treatment of obesity. Lancet 346, 14331434CrossRefGoogle Scholar