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. 2018 Dec 12;48(2):332–342. doi: 10.1093/ije/dyy274

Table 2.

Non-exhaustive list of determinants of obesity in individuals vs those of obese populations in most high-income countries

Causes of cases: individual risk Why do some individuals in a population become obese? Causes of incidence: population risk Why do some populations become obese whereas others do not?
Common causes Quantitative and qualitative imbalance in diet Lack of physical activity
Distinctive causes
  • Genetic predisposition

  • Diseases, metabolic and endocrine disorders

  • Medications associated with weight gain

  • Lack of richness and diversity in gut microbiota

  • Age

  • Lack of food and nutrition literacy

  • Psychological factors

  • Food markets making high-energy and ultra-processed foods widely available, low-priced, delivered in large portion sizes, and/or prominently marketed

  • Agricultural policies and subsidies promoting the production of less healthy foods

  • Built environment and transportation policies promoting physical inactivity

  • School and workplace environment not encouraging healthy eating and physical activity

  • Loss of traditional culture around food, cooking and meals

  • Values associated with slimness and fatness