Obesity PPM’s Etiological Framework: The Twelve Pillars®

• The Twelve Pillars® model is an etiological framework for obesity that defines and describes the complex interchange of shifting factors impacting individuals and populations. We seek to clearly define challenges and solutions in the obesity treatment space through the lens of this model.
   

• Every person suffering from obesity is, to varying degrees, impacted by each of the six individual pillars, and must successfully address each of them to maximize his or her likelihood of achieving and maintaining a healthy weight. They must also successfully navigate their environment, as defined by the six population pillars.
   

• We believe that reversing the obesity pandemic will require careful balancing of education, personal accountability and motivation with highly-individualized and multidisciplinary clinical medicine, all in an environmental context that supports, rather than burdens, people with obesity.