Evidence map›Paper›PMID 39856371›Full record

ReviewCurrent obesity reports2025

Defining Hyperphagia for Improved Diagnosis and Management of MC4R Pathway-Associated Disease: A Roundtable Summary.

Steven B Heymsfield, Karine Clément, Beatrice Dubern, Anthony P Goldstone, Andrea M Haqq, Peter Kühnen, Jesse Richards, Christian L Roth, Erica L T van den Akker, Martin Wabitsch and 1 more

Erratum issuedAbstract readReview
In one paragraph

Review in Current obesity reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Steven B HeymsfieldPennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA, USA. Steven.Heymsfield@pbrc.edu.ORCID http://orcid.org/0000-0003-1127-9425
Karine ClémentNutrition Department, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France.ORCID http://orcid.org/0000-0002-2489-3355
Beatrice DubernSorbonne Université, Inserm, Nutrition and Obesities, Systemic Approaches, NutriOmique Research Group, Paris, France.ORCID http://orcid.org/0000-0002-0065-5344
Anthony P GoldstonePsychoNeuroEndocrinology Research Group, Division of Psychiatry, Department of Brain Sciences, Faculty of Medicine, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-8179-7071
Andrea M HaqqDepartment of Pediatrics, Division of Pediatric Endocrinology, University of Alberta, Edmonton, AB, Canada.ORCID http://orcid.org/0000-0002-6256-4982
Peter KühnenDepartment of Pediatric Endocrinology and Diabetology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin und Humboldt-Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-0211-176X
Jesse RichardsDepartment of Internal Medicine, University of Oklahoma at Tulsa, Tulsa, OK, USA.ORCID http://orcid.org/0009-0004-7985-8882
Christian L RothSeattle Children's Research Institute, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-3037-4057
Erica L T van den AkkerErasmus University Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0001-5352-9328
Martin WabitschDivision of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, University of Ulm, Ulm, Germany.ORCID http://orcid.org/0000-0001-6795-8430
Jack A YanovskiSection on Growth and Obesity, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.ORCID http://orcid.org/0000-0001-8542-1637

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewHyperphagia is a condition associated with rare obesity-related diseases, presenting as a pathologic, insatiable hunger accompanied by abnormal food-seeking behaviors. In October 2023, a group of researchers and clinicians with expert knowledge on hyperphagia convened at the annual ObesityWeek meeting to discuss the need for a unified definition of hyperphagia and key items necessary to improve the identification, assessment, and treatment of hyperphagia in patients with melanocortin 4 receptor (MC4R) pathway-associated diseases. RECENT

findingsThe definition of hyperphagia proposed by this group is a pathologic, insatiable hunger accompanied by abnormal food-seeking behaviors. Suggested methods to accurately identify patients with hyperphagia include increased physician and parent/caregiver education and standardized efficient screening procedures for use in the clinic. The etiology of hyperphagia as related to abnormal MC4R signaling was also reviewed and proposed as a central cause of the condition across several underlying diseases. Given this potential unified underlying pathology, the expert group recommends that patients with hyperphagia undergo genetic testing and that treatment include comprehensive weight-management strategies incorporating lifestyle and pharmacotherapies targeted at addressing hyperphagia.

Indexed as

HyperphagiaObesityReceptor, Melanocortin, Type 4Feeding BehaviorHumansSignal TransductionMC4R protein, humanReceptor, Melanocortin, Type 4HungerHyperphagiaMC4RMelanocortin-4 receptorObesity

Identifiers

PMID39856371
PMCPMC11762201

What OpenQuestion holds

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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.