Evidence map›Paper›PMID 35458158›Full record

ReviewNutrients2022

Time to Consider the "Exposome Hypothesis" in the Development of the Obesity Pandemic.

Victoria Catalán, Iciar Avilés-Olmos, Amaia Rodríguez, Sara Becerril, José Antonio Fernández-Formoso, Dimitrios Kiortsis, Piero Portincasa, Javier Gómez-Ambrosi, Gema Frühbeck

Abstract readReview
In one paragraph

Review in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed.

  1. EndoBridge 2025: pearls and highlights.Hormones (Athens, Greece) · 2026
    Review
  2. Article
  3. Obesity is always a clinically relevant chronic disease.Eating and weight disorders : EWD · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. The evolution of the understanding of obesity over the last 100 years.International journal of obesity (2005) · 2025
    Review
  15. EndoCompass Project: Environmental Endocrinology.Hormone research in paediatrics · 2025
    Review
  16. Article
  17. Article
  18. Observational
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Victoria CatalánMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-7513-7509
Iciar Avilés-OlmosDepartment of Neurology, Clínica Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-1645-7406
Amaia RodríguezMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-2180-461X
Sara BecerrilMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-3441-1970
José Antonio Fernández-FormosoCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), ISCIII, 31008 Pamplona, Spain.
Dimitrios KiortsisDepartment of Nuclear Medicine, Medical School, University of Ioannina, 45110 Ioannina, Greece.
Piero PortincasaClinica Medica "A. Murri", Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, 70124 Bari, Italy.ORCID 0000-0001-5359-1471
Javier Gómez-AmbrosiMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0001-5601-1604
Gema FrühbeckMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-8305-7154

Funding

Instituto de Salud Carlos III PI19/00785, PI19/00990, PI20/00080, PI20/00927 and CIBEROBN
6 · The paper itself

Abstract

The obesity epidemic shows no signs of abatement. Genetics and overnutrition together with a dramatic decline in physical activity are the alleged main causes for this pandemic. While they undoubtedly represent the main contributors to the obesity problem, they are not able to fully explain all cases and current trends. In this context, a body of knowledge related to exposure to as yet underappreciated obesogenic factors, which can be referred to as the "exposome", merits detailed analysis. Contrarily to the genome, the "exposome" is subject to a great dynamism and variability, which unfolds throughout the individual's lifetime. The development of precise ways of capturing the full exposure spectrum of a person is extraordinarily demanding. Data derived from epidemiological studies linking excess weight with elevated ambient temperatures, in utero, and intergenerational effects as well as epigenetics, microorganisms, microbiota, sleep curtailment, and endocrine disruptors, among others, suggests the possibility that they may work alone or synergistically as several alternative putative contributors to this global epidemic. This narrative review reports the available evidence on as yet underappreciated drivers of the obesity epidemic. Broadly based interventions are needed to better identify these drivers at the same time as stimulating reflection on the potential relevance of the "exposome" in the development and perpetuation of the obesity epidemic.

Indexed as

Endocrine DisruptorsExposomeEnvironmental ExposureHumansObesityPandemicsWeight GainEndocrine Disruptorsantibioticsbrown adipose tissueendocrine disruptorsenvironmentepigenetics“exposome”microbiotaobesogenssleepthermogenesisviral infection

Identifiers

PMID35458158
PMCPMC9032727

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.