Evidence map›Paper›PMID 39164418›Full record

ReviewNature metabolism2024

On the pathogenesis of obesity: causal models and missing pieces of the puzzle.

Faidon Magkos, Thorkild I A Sørensen, David Raubenheimer, Nikhil V Dhurandhar, Ruth J F Loos, Anja Bosy-Westphal, Christoffer Clemmensen, Mads F Hjorth, David B Allison, Gary Taubes and 6 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Beyond Deterministic Fetal Programming: Intrauterine Exposures and the Multifactorial Origins of Adiposity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  7. Protein Decoys, Alcohol, and Energy Intake: Testing a Mechanistic-Ecological Model.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  8. Review
  9. The evolving landscape of obesity pharmacotherapy.Nature reviews. Drug discovery · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. How does obesity develop-and are specific foods to blame?Hepatobiliary surgery and nutrition · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Faidon MagkosDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Frederiksberg, Denmark. fma@nexs.ku.dk.ORCID http://orcid.org/0000-0002-1312-7364
Thorkild I A SørensenNovo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-4821-430X
David RaubenheimerCharles Perkins Centre and School of Life and Environmental Sciences, the University of Sydney, Sydney, New South Wales, Australia.
Nikhil V DhurandharDepartment of Nutritional Sciences, Texas Tech University, Lubbock, TX, USA.ORCID http://orcid.org/0000-0002-1356-1064
Ruth J F LoosNovo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-8532-5087
Anja Bosy-WestphalInstitute of Human Nutrition and Food Science, Kiel University, Kiel, Germany.ORCID http://orcid.org/0000-0002-8318-9448
Christoffer ClemmensenNovo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-2456-9667
Mads F HjorthDepartment of Obesity and Nutritional Sciences, Novo Nordisk Foundation, Hellerup, Denmark.
David B AllisonSchool of Public Health, Indiana University Bloomington, Bloomington, IN, USA.ORCID http://orcid.org/0000-0003-3566-9399
Gary TaubesIndependent journalist, Oakland, CA, USA.
Eric RavussinPennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA, USA.ORCID http://orcid.org/0000-0003-2129-547X
Mark I FriedmanMonell Chemical Senses Center, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-2684-2620
Kevin D HallNational Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA.
David S LudwigNew Balance Foundation Obesity Prevention Center, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3307-8544
John R SpeakmanShenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.ORCID http://orcid.org/0000-0002-2457-1823
Arne AstrupDepartment of Obesity and Nutritional Sciences, Novo Nordisk Foundation, Hellerup, Denmark.ORCID http://orcid.org/0000-0001-8968-8996

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Application of the physical laws of energy and mass conservation at the whole-body level is not necessarily informative about causal mechanisms of weight gain and the development of obesity. The energy balance model (EBM) and the carbohydrate-insulin model (CIM) are two plausible theories, among several others, attempting to explain why obesity develops within an overall common physiological framework of regulation of human energy metabolism. These models have been used to explain the pathogenesis of obesity in individuals as well as the dramatic increases in the prevalence of obesity worldwide over the past half century. Here, we summarize outcomes of a recent workshop in Copenhagen that brought together obesity experts from around the world to discuss causal models of obesity pathogenesis. These discussions helped to operationally define commonly used terms; delineate the structure of each model, particularly focussing on areas of overlap and divergence; challenge ideas about the importance of purported causal factors for weight gain; and brainstorm on the key scientific questions that need to be answered. We hope that more experimental research in nutrition and other related fields, and more testing of the models and their predictions will pave the way and provide more answers about the pathogenesis of obesity than those currently available.

Indexed as

Energy MetabolismModels, BiologicalObesityAnimalsHumansInsulinWeight GainInsulin

Identifiers

PMID39164418

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.