Sunday, July 31, 2011

Set Point ~ Settling Point Part I: Just some thoughts

There's quite a bit of discussion going on over this topic in the comments HERE.

Archibald posted a link to Issues and Misconceptions About Obesity, the infamous Flatt paper.

Since this part was "hot" right now, I decided to blog on this, also because the issue has come up in other recent comments.

9. Conditions for body weight stability: “settling point” vs. “set point”
Although less obvious than the fact that energy intake must be equal to energy expenditure, weight stability also requires that the substrate mixture oxidized be equivalent, on average, to the composition of the nutrient mix consumed. When “substrate balance” is not achieved, changes in body composition occur, which in time are bound to elicit adjustments in food intake.  Weight maintenance thus tends to become established for a particular body composition in a given individual living under a particular set of circumstances. This corresponds to a “settling point”. Such a view accommodates the fact that circumstances cause weight stability to occur for various degrees of adiposity. Thus it seems to fit reality much better than the concept of a “set point” or “ponderostat” often invoked to explain weight stability. In fact, such a concept would seem to be utterly inconsistent with the rise in the preponderance of obesity, since set-points would have to be seen as preventing the impact of changing circumstances. It has sometimes been considered that “set-points” are reset for different conditions, but in effect this argument reduces the set-point phenomenon to a settling point.
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