19/07/2025
STUDY SHOWS DIET QUALTY, NOT PHYSICAL INACTIVITY, EXPLAINS THE OBESITY CRISIS
Obesity is currently a major health concern, globally and locally, especially in industrialised countries, yet the debate continues over whether poor diet or lack of exercise is the primary cause of obesity
Essentially, calories must be used either through physical activity or essential bodily functions like, breathing, digestion and energy production. However, the question remains as to whether people are consuming too many calories or simply not burning enough, otherwise known as a the 'calories in, calories out' model of obesity.
A new study published in Proceedings of the National Academy of Sciences sheds light on this conundrum. LINK TO STUDY https://www.pnas.org/doi/10.1073/pnas.2420902122
Data was obtained from 4,213 adults, aged 18ā60, across 34 diverse populations, ranging from hunter-gatherers to urban dwellers, spanning six continents. They measured their total energy expenditure (TEE), basal energy expenditure (BEE), and activity energy expenditure (AEE), alongside body fat percentage, body mass index (BMI,) and grouped results by countriesā level of development.
Initially, people in more developed countries showed higher energy expenditure across all variables, as well as higher rates of obesity. However, after adjusting for age, s*x, and body size, TEE and BEE were slightly lower in industrialised nations. AEE remained higher, suggesting people in developed countries arenāt necessarily exercising less.
The findings revealed that increased energy expenditure only explained a small portion (about 10%) of the rise in obesity. Conversely, the researchers pointed to the growing consumption of ultra-processed foods (UPFs), such as packaged snacks and ready meals, as a stronger contributor. Diets high in UPFs were positively linked to greater body fat % gained and explained >90% of the obesity crisis in developed and developing countries.
Ultra-processed foods can be categorised as:
- Sauces, spreads, and condiments
- Packaged sweets, snacks, and desserts
- Artificially or sugar-sweetened beverages
- Processed meat and fish products
- Yoghurt or dairy-based desserts
- Packaged savoury snacks
In summary, while physical activity remains an important modifiable lifestyle factor for overall health independent of bodyweight, the study robustly suggests the greater impact on obesity by reducing UPF intake, not increasing physical activity. UPFs may lead to weight gain by overriding satiety cues and increasing calorie absorption, highlighting the need to better understand how food processing affects metabolism and obesity risk.
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