Published online by Cambridge University Press: 11 May 2017
We reflect on the major issues raised by a thoughtful and diverse set of commentaries on our target article. We draw attention to the need to differentiate between ultimate and proximate explanation; the insurance hypothesis (IH) needs to be understood as an ultimate-level argument, although we welcome the various suggestions made about proximate mechanisms. Much of this response is concerned with clarifying the interrelationships between adaptationist explanations like the IH, constraint explanations, and dysfunction explanations, in understanding obesity. We also re-examine the empirical evidence base, concurring that it is equivocal and only partially supportive. Several commentators offer additional supporting evidence, whereas others propose alternative explanations for the evidence we reviewed and suggest ways that our current knowledge could be strengthened. Finally, we take the opportunity to clarify some of the assumptions and predictions of our formal model.
Target article
Food insecurity as a driver of obesity in humans: The insurance hypothesis
Related commentaries (25)
A game theory appraisal of the insurance hypothesis: Specific polymorphisms in the energy homeostasis network as imprints of a successful minimax strategy
A life-history theory perspective on obesity
Anorexia: A perverse effect of attempting to control the starvation response
Anti-fat discrimination in marriage more clearly explains the poverty–obesity paradox
Appraising food insecurity
Children respond to food restriction by increasing food consumption
Committed to the insurance hypothesis of obesity
Eating and body image: Does food insecurity make us feel thinner?
Epidemiological foundations for the insurance hypothesis: Methodological considerations
Episodic memory as an explanation for the insurance hypothesis in obesity
Expanding the insurance hypothesis of obesity with physiological cues
Future research directions for the insurance hypothesis regarding food insecurity and obesity
Household-level financial uncertainty could be the primary driver of the global obesity epidemic
Implicit attitudes, eating behavior, and the development of obesity
Mapping multiple drivers of human obesity
Obesity as self-regulation failure: A “disease of affluence” that selectively hits the less affluent?
Obesity is not just elevated adiposity, it is also a state of metabolic perturbation
Potential psychological accounts for the relation between food insecurity and body overweight
Predicting human adiposity – sometimes – with food insecurity: Broaden the model for better accuracy
Social nature of eating could explain missing link between food insecurity and childhood obesity
The life history model of the insurance hypothesis
Toward a mechanistic understanding of the impact of food insecurity on obesity
Towards a behavioural ecology of obesity
Using food insecurity in health prevention to promote consumer's embodied self-regulation
“It's a bit more complicated than that”: A broader perspective on determinants of obesity
Author response
Adaptive principles of weight regulation: Insufficient, but perhaps necessary, for understanding obesity