Epidemic of obesity requires a new focus on controlling energy balance and preventing weight gain. In a paper published in the July 3 issue of the journal Circulation, James O. Hill, PhD. and colleagues at the Anschutz Health and Wellness Center take on the debate over whether excessive food intake or insufficient physical activity cause obesity, using the lens of energy balance – which combines food intake, energy expended through physical activity and energy (fat) storage – to advance the concept of a "regulated zone," where the mechanisms by which the body establishes energy balance are managed to overcome the body's natural defenses towards preserving existing body weight.