Oral Presentation Australian and New Zealand Obesity Society Annual Scientific Conference 2023

Protein appetite as an integrator in the obesity system across the lifecourse: the Protein Leverage Hypothesis     (99130)

Stephen Simpson 1 , David Raubenheimer 2
  1. University of Sydney, Sydney, NSW, Australia
  2. University of Sydney, Sydney, NSW, Australia

Despite the large volume and extensive range of obesity research, there is substantial disagreement on the causes and effective preventative strategies. We suggest the field will benefit from greater emphasis on integrative approaches that examine how various potential contributors interact across the lifecourse, rather than regarding them as competing explanations. We demonstrate the application of nutritional geometry, a multi-nutrient integrative framework developed in the ecological sciences, to obesity research. Such studies have shown that humans, like many other species, regulate protein intake more strongly than other dietary components, and consequently if dietary protein is diluted there is a compensatory increase in food intake – a process called protein leverage. The Protein Leverage Hypothesis proposes that the dilution of protein in modern food supplies by fat and carbohydrate-rich highly processed foods has resulted in increased energy intake through protein leverage. We present evidence for the protein leverage hypothesis from a variety of sources (mechanistic, experimental, and observational), and show that this mechanism is compatible with many other findings and theories in obesity research.