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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
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THE INTERPLAY BETWEEN

ENVIRONMENTAL CHEMICAL
EXPOSURES AND OBESITY

Proceedings of a Workshop

Robert Pool, Rapporteur

Roundtable on Environmental Health Sciences, Research,
and Medicine

Board on Population Health and Public Health Practice

Health and Medicine Division

images

THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and the ExxonMobil Foundation (unnumbered), The Kresge Foundation (245367), the National Institutes of Health (HHSN26300033), Shell International B.V. (unnumbered), the U.S. Environmental Protection Agency (EP-15-D-000016), and the U.S. Geological Survey (G14AC00448). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-38924-2
International Standard Book Number-10: 0-309-38924-0
Digital Object Identifier: 10.17226/21880

Additional copies of this report are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2016 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Cover design: Anna Martin.

Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2016. The interplay between environmental chemical exposures and obesity: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×

Image

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.national-academies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×

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Reports document the evidence-based consensus of an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and committee deliberations. Reports are peer reviewed and are approved by the National Academies of Sciences, Engineering, and Medicine.

Proceedings chronicle the presentations and discussions at a workshop, symposium, or other convening event. The statements and opinions contained in proceedings are those of the participants and are not necessarily endorsed by other participants, the planning committee, or the National Academies of Sciences, Engineering, and Medicine.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×

PLANNING COMMITTEE FOR THE WORKSHOP ON THE INTERPLAY BETWEEN ENVIRONMENTAL CHEMICAL EXPOSURES AND OBESITY1

HENRY A. ANDERSON, Wisconsin Division of Public Health, Madison, WI

LINDA S. BIRNBAUM, National Institutes of Health, Research Triangle Park, NC

GWEN W. COLLMAN, National Institutes of Health, Research Triangle Park, NC

LYNN R. GOLDMAN, George Washington University, Washington, DC

PATRICIA VERDUIN, Colgate-Palmolive Company, Piscataway, NJ

NSEDU OBOT WITHERSPOON, Children’s Environmental Health Network, Washington, DC

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×

ROUNDTABLE ON ENVIRONMENTAL HEALTH SCIENCES, RESEARCH, AND MEDICINE1

FRANK LOY (Chair), Washington, DC

LYNN R. GOLDMAN (Vice-Chair), George Washington University, Washington, DC

HENRY A. ANDERSON, Wisconsin Division of Public Health, Madison

JOHN M. BALBUS, National Institute of Environmental Health Sciences, Bethesda, MD

JAMES K. BARTRAM, University of North Carolina at Chapel Hill

FAIYAZ BHOJANI, Royal Dutch Shell, Amsterdam, Netherlands

LINDA S. BIRNBAUM, National Institute of Environmental Health Sciences, Research Triangle Park, NC

LUZ CLAUDIO, Mount Sinai School of Medicine, New York, NY

DENNIS J. DEVLIN, ExxonMobil Corporation, Irving, TX

RICHARD A. FENSKE, University of Washington, Seattle

DAVID D. FUKUZAWA, The Kresge Foundation, Troy, MI

LUIZ A. GALVÃO, Pan American Health Organization, Washington, DC

BERNARD D. GOLDSTEIN, University of Pittsburgh, PA

RICHARD J. JACKSON, University of California, Los Angeles

SUZETTE M. KIMBALL, U.S. Geological Survey, Reston, VA

JAY LEMERY, University of Colorado, Aurora

LINDA A. MCCAULEY, Emory University, Atlanta, GA

AL MCGARTLAND, U.S. Environmental Protection Agency, Washington, DC

DAVID M. MICHAELS, Occupational Safety and Health Administration, Washington, DC

CANICE NOLAN, European Commission, Brussels, Belgium

CHRISTOPHER J. PORTIER, International Agency for Research on Cancer, Lyon, France

PAUL SANDIFER, College of Charleston, Charleston, SC

SUSAN L. SANTOS, Rutgers School of Public Health, Piscataway, NJ

KIRK P. SMITH, University of California, Berkeley

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×

AGNES SOARES DA SILVA, Pan American Health Organization, Washington, DC

JOHN D. SPENGLER, Harvard T.H. Chan School of Public Health, Boston, MA

G. DAVID TILMAN, University of Minnesota, St. Paul

PATRICIA VERDUIN, Colgate-Palmolive Company, Piscataway, NJ

NSEDU OBOT WITHERSPOON, Children’s Environmental Health Network, Washington, DC

HAROLD ZENICK, Cary, NC

HMD Staff

KATHLEEN STRATTON, Study Director

ERIN RUSCH, Associate Program Officer (until May 2015)

BETTINA RITTER, Research Assistant

HOPE HARE, Administrative Assistant

ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
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REVIEWERS

This Proceedings of a Workshop has been reviewed in draft form by persons chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published Proceedings of a Workshop as sound as possible and to ensure that the Proceedings of a Workshop meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this Proceedings of a Workshop:

Marie Capdevielle, Colgate-Palmolive Company

Jerrold J. Heindel, National Institute of Environmental Health Sciences

Linda D. Meyers, Independent Nutrition Consultant

Winston F. Wong, Kaiser Permanente

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the Proceedings of a Workshop before its release. The review of this Proceedings of a Workshop was overseen by Elena Nightingale. She was responsible for making certain that an independent examination of this Proceedings of a Workshop was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this Proceedings of a Workshop rests entirely with the rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×
Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×

ACRONYMS AND ABBREVIATIONS

ACOG American Congress of Obstetricians and Gynecologists
Ad36 adenovirus type 36
ADI accepted daily intake
AhR aryl hydrocarbon receptor
ATP adenosine triphosphate
BCERP Breast Cancer and Environmental Research Program
BDE 47 brominated diphenyl ether 47
BMI body mass index
BPA bisphenol A
cAMP cyclic adenosine monophosphate
CDC Centers for Disease Control and Prevention
CREBP cAMP-responsive element-binding protein
DDE dichlorodiphenyldichloroethylene
DDT dichlorodiphenyltrichloroethane
DEHP diethylhexyl phthalate
DES diethylstilbestrol
EDC endocrine-disrupting chemical
EPA U.S. Environmental Protection Agency
FDA U.S. Food and Drug Administration
GLP1 glucagon-like peptide 1
HMD Health and Medicine Division
IOM Institute of Medicine
NCCG National Center for Chemical Genomics
NHANES National Health and Nutrition Examination Survey
NIEHS National Institute of Environmental Health Sciences
NTP National Toxicology Program (of the NIEHS)
OB-GYN obstetrician-gynecologist
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×
PBDE polybrominated diphenyl ether
PCB polychlorinated biphenyl
PFOA perfluorooctanoic acid
POP persistent organic pollutant
PPARγ peroxisome proliferator-activated receptor γ
PVC polyvinyl chloride
ROS reactive oxygen species
RXR retinoid X receptor
TCA tricarboxylic acid (cycle)
TCDD tetrachlorodibenzodioxin
Tox21 Toxicology in the 21st Century (project)
TSCA Toxic Substances Control Act
USGS U.S. Geological Survey
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
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Page R4
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
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Page R5
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×
Page R6
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×
Page R7
Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×
Page R8
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×
Page R9
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×
Page R10
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×
Page R11
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
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Page R12
Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
×
Page R13
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. The Interplay Between Environmental Chemical Exposures and Obesity: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/21880.
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Page R14
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In March 2015, the National Academies of Sciences, Engineering, and Medicine held a workshop to explore the role that chemical exposures may play in the development of obesity. The obesity epidemic that has gripped the United States and much of the developed world for the past several decades has proved remarkably resistant to the various approaches tried by clinicians and public health officials to fight it. This raises the possibility that, in addition to the continued exploration of consumer understanding and behavior, new approaches that go beyond the standard focus on energy intake and expenditure may also be needed to combat the multifactorial problem of obesity.

The speakers at the workshop discussed evidence from both studies with animal models and human epidemiological studies that exposure to environmental chemicals is linked both to weight gain and to glucose tolerance, insulin sensitivity, inflammation, and other aspects of the metabolic syndrome. In addition to conventional environmental chemical exposures, this workshop also included one panel to discuss the potential role of other exposures, including sugar, artificial sweeteners, and antibiotics, in aiding or causing obesity. The participants also examined possible biological pathways and mechanisms underlying the potential linkages. This publication summarizes the presentations and discussions from the workshop.

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