We continue to develop mathematical models of human metabolism and body weight dynamics. Our mathematical model was recently used to provide the first quantification of feedback control of appetite in humans. We found that as people lose weight, appetite increases by about 100 kcal/d above baseline for every kilogram of lost weight. This feedback control mechanism helps explain why weight loss interventions typically result in a plateau within the first year and why it is so difficult to lose weight and keep it off over the long term.

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11
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2017
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U.S. National Inst Diabetes/Digst/Kidney
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Guo, Juen; Brager, Danielle C; Hall, Kevin D (2018) Simulating long-term human weight-loss dynamics in response to calorie restriction. Am J Clin Nutr 107:558-565
Hall, Kevin D; Kahan, Scott (2018) Maintenance of Lost Weight and Long-Term Management of Obesity. Med Clin North Am 102:183-197
Hall, Kevin D; Schoeller, Dale A; Brown, Andrew W (2018) Reducing Calories to Lose Weight. JAMA 319:2336-2337
Hall, Kevin D; Sanghvi, Arjun; Göbel, Britta (2017) Proportional Feedback Control of Energy Intake During Obesity Pharmacotherapy. Obesity (Silver Spring) 25:2088-2091
Hall, Kevin D; Guo, Juen (2017) Obesity Energetics: Body Weight Regulation and the Effects of Diet Composition. Gastroenterology 152:1718-1727.e3
Katan, Martijn B; de Ruyter, Janne C; Kuijper, Lothar D J et al. (2016) Impact of Masked Replacement of Sugar-Sweetened with Sugar-Free Beverages on Body Weight Increases with Initial BMI: Secondary Analysis of Data from an 18 Month Double-Blind Trial in Children. PLoS One 11:e0159771
MacLeod, Erin L; Hall, Kevin D; McGuire, Peter J (2016) Computational modeling to predict nitrogen balance during acute metabolic decompensation in patients with urea cycle disorders. J Inherit Metab Dis 39:17-24
Polidori, David; Sanghvi, Arjun; Seeley, Randy J et al. (2016) How Strongly Does Appetite Counter Weight Loss? Quantification of the Feedback Control of Human Energy Intake. Obesity (Silver Spring) 24:2289-2295
Freedhoff, Yoni; Hall, Kevin D (2016) Weight loss diet studies: we need help not hype. Lancet 388:849-51
Vandevijvere, Stefanie; Chow, Carson C; Hall, Kevin D et al. (2015) Increased food energy supply as a major driver of the obesity epidemic: a global analysis. Bull World Health Organ 93:446-56

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