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Cited by 172Obesity, Physical Activity, DietEating Disorders and BehaviorsObesity and Health Practices

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Obesity is a sign – over‐eating is a symptom: an aetiological framework for the assessment and management of obesity

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Sharma, A. M., Padwal, R.·2010·Obesity Reviews
DOI 10.1111/j.1467-789x.2009.00689.x
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Abstract

Summary: Obesity is characterized by the accumulation of excess body fat and can be conceptualized as the physical manifestation of chronic energy excess. Using the analogy of oedema, the consequence of positive fluid balance or fluid retention, obesity can be seen as the consequence of positive energy balance or calorie ‘retention’. Just as the assessment of oedema requires a comprehensive assessment of factors related to fluid balance, the assessment of obesity requires a systematic assessment of factors potentially affecting energy intake, metabolism and expenditure. Rather than just identifying and describing a behaviour (‘this patient eats too much’), clinicians should seek to identify the determinants of this behaviour (‘why, does this patient eat too much?’). This paper provides an aetiological framework for the systematic assessment of the socio‐cultural, biomedical, psychological and iatrogenic factors that influence energy input, metabolism and expenditure. The paper discusses factors that affect metabolism (age, sex, genetics, neuroendocrine factors, sarcopenia, metabolically active fat, medications, prior weight loss), energy intake (socio‐cultural factors, mindless eating, physical hunger, emotional eating, mental health, medications) and activity (socio‐cultural factors, physical and emotional barriers, medications). It is expected that the clinical application of this framework can help clinicians systematically assess, identify and thereby address the aetiological determinants of positive energy balance resulting in more effective obesity prevention and management.

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  • Body weight and fat mass are regulated by numerous physiological mechanisms beyond voluntary food intake and physical exercise.

    “First, body weight and fat mass are known to be regulated by numerous physiological mechanisms, beyond voluntary food intake and physical exercise.”

    From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [93]

  • Overeating and reduced physical activity, when present, might be symptoms rather than the root causes of obesity.

    “Hence, overeating and reduced physical activity, when present, might be symptoms rather than the root causes of obesity93.”

    From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [93]

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Metadata

Authors
Sharma, A. M., & Padwal, R.
Affiliations
University of Alberta (CA)
Corresponding author
Sharma, A. M.
ORCID
Venue
Obesity Reviews
Publisher
Wiley
Published
2010-04-14
Volume
11
Issue
5
Pages
362-370
ISSN
  • 1467-7881 (ISSN-L)
  • 1467-789X
DOI
10.1111/j.1467-789x.2009.00689.x
OpenAlex
W2120637125
Cited by
172
References
10
Citations by year
2026: 5 · 2025: 11 · 2024: 10 · 2023: 8 · 2022: 16 · 2021: 14 · 2020: 12 · 2019: 9 · 2018: 7 · 2017: 8 · 2016: 12 · 2015: 10 · 2014: 13 · 2013: 17 · 2012: 8
FWCI
0.88
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Obesity Reviews (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Heart and Stroke Foundation of Canada
  • Alberta Health Services
  • University of Alberta
  • Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
Keywords
obesity, etiology, energy balance, overeating, energy intake, energy expenditure, metabolic factors, emotional eating, mindless eating, barriers to physical activity, sociocultural factors, obesity treatment, obesity prevention
MeSH terms
Age Factors, Basal Metabolism, Adipose Tissue, Brown, Energy Intake, Culture, Energy Metabolism, Physical Exertion, Homeostasis, Humans, Hyperphagia, Motor Activity, Neurosecretory Systems, Obesity, Sex Factors, Sarcopenia

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