Obesity is an increasingly prevalent and important health problem. Alt
hough treatment is available, the long-term maintenance of medically s
ignificant weight loss (5 to 10 percent of initial body weight) is rar
e. Since 1995 there has been an explosion of research focused on the r
egulation of energy balance and fat mass. Characterization of obesity-
associated gene products has revealed new biochemical pathways and mol
ecular targets for pharmacological intervention that will likely lead
to new treatments. Ideally, these treatments will be viewed as adjunct
s to behavioral and lifestyle changes aimed at maintenance of weight l
oss and improved health.