This describes the body’s physiological opposition to sustained changes in body weight, both loss and gain, often manifesting as a powerful, hormonally-driven push to return to a pre-established set-point, even if that set-point is pathologically high. This resistance is a core challenge in weight management and is driven by complex neuroendocrine feedback loops that regulate energy balance. It is a state where the homeostatic mechanisms are defending a suboptimal body composition.
Origin
The term is derived from the “set-point theory” of body weight regulation, which posits that the body maintains a preferred weight range through powerful regulatory mechanisms involving the hypothalamus. ‘Resistance’ describes the increased effort required to move away from this defended set-point. This phenomenon explains the high rate of weight regain after successful dieting.
Mechanism
Resistance is mediated by coordinated hormonal shifts: calorie restriction lowers circulating leptin and thyroid hormones, which in turn signals the hypothalamus to increase appetite and reduce resting energy expenditure. Concurrently, levels of hunger-promoting hormones like ghrelin increase significantly. This metabolic adaptation effectively lowers the energy required to sustain the body, making continued weight loss progressively more difficult and favoring weight regain.
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