The Maintenance Of Energy Balance Is Compromised After Weight Loss | 14838
Journal of Obesity & Weight Loss Therapy
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Available literature reveals that of the majority of individuals who are able to lose weight, only a small number are able to
maintain their weight loss over time. Effective weight maintenance strategies after weight loss are illusive, which is most
likely the result of a number of yet poorly understood factors. In fact, both appetite and energy expenditure are profoundly
altered in response to reductions in body energy reserves. Weight reduction leads to decreased energy needs, but to an augmented
drive to eat, thus compromising the maintenance of energy balance in the weight-reduced state by widening the theoretical gap
between the 2 components of energy balance. This review first provides a summary of the factors related to the control of feeding
and energy expenditure during weight stability. More specifically related to the topic of this review, the bulk of the literature
presented depicts the post weight-loss control of appetite and energy expenditure. The integration of the literature presented in
this paper reveals that body weight loss seems to orchestrate a coordinated response to resist further energy depletion, which
would seem to create a state of increased vulnerability of weight regain. It is argued that these changes are largely responsible for
the more than apparent difficulty in maintaining weight maintenance after weight loss.
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