Frequently Asked Questions
What is adaptive thermogenesis?
Adaptive thermogenesis refers to the body's ability to reduce energy expenditure below expected levels during caloric restriction. This metabolic adaptation occurs through decreases in resting metabolic rate, reduced dietary thermogenesis, and diminished spontaneous physical activity.
Why does body weight regain occur so frequently?
Weight regain reflects the integration of multiple physiological and behavioural mechanisms activated by energy restriction. Metabolic adaptation, hormonal changes, alterations in appetite regulation, and behavioural compensation patterns combine to promote weight restoration toward the defended range.
How long do these adaptive responses persist?
Research indicates that metabolic adaptation and hormonal changes persist for months to years post-restriction. The timeline for normalisation varies considerably between individuals and correlates with restriction severity and duration.
Is the set-point theory universally accepted?
Whilst set-point theory provides a useful framework for understanding weight regulation, contemporary obesity research recognises multiple regulatory mechanisms beyond a single defended point. The evidence supports the concept of a defended weight range with biological processes resisting sustained displacement.
What percentage of weight is typically regained?
Meta-analyses of longitudinal studies demonstrate considerable variability, with approximately 50-70% of lost weight regained within 12 months. Longer-term follow-up reveals continued regain, though the rate of weight recovery diminishes over time.