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Clinical Obesity in Adults and Children


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and manipulated within the rarefied experimental environment. This was initially done in studies with insects, using synthetic foods formulated to differ systematically in specific nutritional dimensions while holding all others constant. An analytical framework called Nutritional Geometry was invented to disentangle the individual and interactive roles of the different nutrients in dietary regulation [1,2,13,20] (Fig. 6.1).

Schematic illustration of basic concepts in the Nutritional Geometry framework.

      Schematic illustration of homeostatic regulation of dietary balance by insects. Schematic illustration of homeostatic regulation of dietary balance by insects.

      Source: Modified from Jensen et al. [26].

      The selection of intake targets has been demonstrated in laboratory studies not only for insects but also many vertebrate species [13]. In general, animals compose diets that contain the balance of macronutrients characteristic of the foods they normally eat – carnivores select diets with a high ratio of protein to fats and carbohydrates, omnivores an intermediate ratio, and herbivores the lowest ratio. It might, at first sight, appear unsurprising, even circular, that animals select the diets that they usually eat, but in fact, it is not. Bearing in mind that these experiments are done using synthetic foods – mixtures that the species in question have never encountered in their evolutionary history, and in many cases also their lifetimes – this shows that the proximal driver of diet selection is not the foods themselves, but the nutrients they contain. In effect, it provides a window into how the nutrient‐specific appetite systems are calibrated through evolution to direct animals to eat diets that satisfy their specific nutrient needs.

      Natural food environments are not always the idyllic Gardens of Eden they are sometimes assumed to be, but regularly present animals with situations where the relative availability of different