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Towards a comprehensive theory of obesity and a healthy diet: The causal role of oxidative stress in food addiction and obesity
Abstract
Background Obesity is a major public health problem whose prevalence has been rapidly increasing in the United States (U.S), and globally. It is one of the leading causes of preventable deaths globally and contributes to the development of many diseases.Methods The search was limited to studies published in English and other languages involving both animal and human subjects. Articles selected included preclinical studies, randomized clinical trials RCTs, observational studies, meta-analyses, narrative and systemic reviews providing primary quantitative data with a measure of obesity or food addiction as an outcome. Over 5000 articles were found in the first round of search which was filtered to 506 articles.Results Oxidative stress plays a critical role in food addiction and is both a cause and mediator of obesity. Reactive oxygen species play a direct role in adipogenesis and oxidative stress modulates all factors involved in obesity including genetics, sleep, gut microbiome, insulin, ghrelin, inflammation, adipokines, leptin, stress, HPA axis, and the hypothalamus.Conclusions The idea of thinking of combating obesity from the lens of calorie count, low carbohydrate, high or low-fat, vegetarian, vegan, plant-based, or animal-based diet is fundamentally wrong. The best way to look at obesity is through the framework of systemic redox homeostasis. Since redox homeostasis is tilted towards increased reactive oxygen species production, and excessive antioxidant intake can result in oxidative stress, an antioxidant and prooxidant food ratio of 2:3 per meal is the ideal nutritional ratio for good health and ideal weight. A ratio of 3:4 is ideal for obese individuals because of their state of chronic oxidative stress and inflammation. Physical activity, sleep quality, psychological stress, maternal prenatal diet and oxidative stress promoting disease conditions are important modulators of oxidative stress and obesity.
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“Recent review articles have discussed highly processed foods (often high in glycemic index) as impacting neurohormonal and inflammatory signaling pathways in ways that create a vicious cycle of impulsivity, compulsivity, FA, and EDs [93,94,95].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [95]
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Metadata
- Authors
- Tobore, T. O.
- Corresponding author
- Tobore, Tobore Onojighofia
- Venue
- Behavioural Brain Research
- Publisher
- Elsevier BV
- Published
- 2020-04
- Volume
- 384
- Pages
- 112560
- ISSN
- 0166-4328 (ISSN-L)
- OpenAlex
- W3008749930
- Cited by
- 73
- References
- 516
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 9 · 2023: 14 · 2022: 14 · 2021: 22 · 2020: 6
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural Brain Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- obesity, food addiction, oxidative stress, reactive oxygen species, redox homeostasis, antioxidant intake, adipogenesis, gut microbiota, insulin, ghrelin, leptin, inflammation, hypothalamic-pituitary-adrenal axis, sleep quality, psychological stress, healthy eating
- MeSH terms
- Gastrointestinal Microbiome, Diet, Healthy, Food Addiction, Animals, Humans, Hypothalamo-Hypophyseal System, Hypothalamus, Inflammation, Insulin, Obesity, Pituitary-Adrenal System, Sleep, Stress, Psychological, Exercise, Reactive Oxygen Species, Oxidative Stress, Adipogenesis, Adipokines, Ghrelin
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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