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Printable Handouts
Navigable Slide Index
- Introduction
- Obesity is caused by long-term positive energy balance (1)
- Obesity is caused by long-term positive energy balance (2)
- Modern changes lead to decrease in energy expenditure
- Changes in women’s household management energy expenditure
- Energy balance equation
- Has energy balance changed in modern society?
- Reported food intake has decreased in Canada
- Total energy expenditure may not have changed over time
- Secular changes in how caloric intake (kcal/kg) relates with BMI
- Secular changes in how physical activity relates with BMI in women
- Obesity treatment pyramid
- Who is trying to lose weight?
- Past weight loss efforts in clinical obesity management patients
- Weight loss expectations in patients attending a clinical obesity management program
- Success of long-term weight loss research interventions
- Successful of real-world clinical weight management?
- Success of equivalent diet and exercise induced weight loss
- Dose-response of exercise on body weight in women
- Caloric intake matches physical activity to maintain body weight
- Weight loss is associated with increases in skeletal muscle work efficiency
- The math of successful weight loss maintainers: National weight registry
- Predictors of weight change over time
- Pharmacotherapy of obesity
- Weight loss with surgical versus non-surgical intervention
- No increased all-cause mortality risk in obesity without metabolic risk factors
- Changes in how obesity relates with health risk factors over time
- Summary
- Thank You
- Financial disclosures
Topics Covered
- Obesity is caused by long-term positive energy balance
- Caloric intake in relation with BMI
- Obesity treatment pyramid
- Long-term weight loss research interventions
- Surgical vs. non-surgical interventions
- Obesity in relation with health risk factors
Links
Series:
Categories:
Therapeutic Areas:
External Links
Talk Citation
Kuk, J. (2026, June 30). Exercise interventions and epidemiological approaches in obesity [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved July 1, 2026, from https://doi.org/10.69645/SFJB4170.Export Citation (RIS)
Publication History
- Published on June 30, 2026
Financial Disclosures
- Dr. Kuk is an unpaid research consultant for the Wharton Medical Clinic Obesity Management Program and has had unpaid research collaborations with Eli Lilly Canada Inc.
A selection of talks on Clinical Practice
Transcript
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0:00
I am Professor Jennifer Kuk
from York University,
and today I will be
talking about exercise
interventions and
epidemiological
approaches in obesity.
0:12
We all know that
obesity is caused by
a long-term positive
energy balance.
What this means is that
your energy intake
is greater than
your energy expenditure,
which leads to
the storage of energy
in the form of fat.
0:28
Traditionally, things
like portion sizes,
processed foods,
food insecurity,
and foods that are
high in calories are
thought to be
responsible for this
positive energy balance
that we see over time.
0:42
However, on the other
side of the equation,
we know that there have been
modern changes to
our environment that
has led to decreases in
our energy expenditure,
such as cars, modern-day
conveniences, screens,
sedentary jobs such
as desk jobs, and
then the lack of access to
physical activity options.
Then there's the large
dislike of physical activity
that we see in many
individuals, leading people
to not be physically active
if they are not forced to.
1:16
When we take a look at
women's household management
energy expenditures,
we can see that over time, from
the 1960s to 2010 onwards,
we can see that the energy
expenditure that women use
just to manage the
household has declined.
This is true for women who
are not employed or employed,
and so we see this
universal decline
in energy expenditure,
and we could
apply this to many facets
of our life as well,
in terms of transport,
leisure activity.
We're seeing that because of
these modern-day conveniences,
things are requiring
less energy to do.