Primary Causes

Genetic causes

Monogenic disorders

Melanocortin-4 receptor mutation

Leptin deficiency

Proopiomelanocortin deficiency

Syndromes

Prader-Willi

Bardet-Biedl

Cohen

Alström

Froehlich

Secondary Causes

Neurological

Brain injury

Brain tumour

Consequences of cranial irradiation

Hypothalamic obesity

Drug-Induced

Psychiatric medications (tricyclic antidepressants, antipsychotics, anticonvulsants)

Anti-diabetes drugs (sulfonylureas, glitazones, thiazolidinediones, insulin)

Other (glucocorticoids, oral contraceptives, beta-blockers)

Endocrine

Hypothyroidism

Cushing syndrome

Growth hormone deficiency

Pseudo-hypoparathyroidism

Polycystic ovary syndrome

Socioeconomic

Urban environment

Work and school exercise opportunity

Psychological

Eating disorders

Depression associated with eating disorders

Sleep disorders