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Energy constraint on human health.

Publication ,  Journal Article
Behnke, A; Shaulson, E; Pontzer, H; Kempes, CP; Picard, M
Published in: Trends in endocrinology and metabolism: TEM
April 2026

Evolved constraints to human energy transformation force the body-brain system to operate an economy of energy. To survive and thrive, an organism's finite internal energy resources must be dynamically reallocated, forcing trade-offs from organelle to organism. Building on an energy trade-off framework integrating life history theory and cellular biology, we propose that energy trade-offs occur between three main classes of processes relevant to health: (i) vital, (ii) stress, and (iii) growth, maintenance, and repair (GMR). Competing demands for these processes exist within a hierarchy of energy needs where more 'urgent' vital- and stress-related functions are prioritized by suppressing longevity-promoting growth, maintenance, and repair processes. The energy constraint model of human health provides an energy-based framework to address health/disease dynamics across the lifespan.

Duke Scholars

Published In

Trends in endocrinology and metabolism: TEM

DOI

EISSN

1879-3061

ISSN

1043-2760

Publication Date

April 2026

Start / End Page

S1043-2760(26)00045-7

Related Subject Headings

  • Endocrinology & Metabolism
  • 3215 Reproductive medicine
 

Citation

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Behnke, A., Shaulson, E., Pontzer, H., Kempes, C. P., & Picard, M. (2026). Energy constraint on human health. Trends in Endocrinology and Metabolism: TEM, S1043-2760(26)00045-7. https://doi.org/10.1016/j.tem.2026.02.010
Behnke, Alexander, Evan Shaulson, Herman Pontzer, Christopher P. Kempes, and Martin Picard. “Energy constraint on human health.Trends in Endocrinology and Metabolism: TEM, April 2026, S1043-2760(26)00045-7. https://doi.org/10.1016/j.tem.2026.02.010.
Behnke A, Shaulson E, Pontzer H, Kempes CP, Picard M. Energy constraint on human health. Trends in endocrinology and metabolism: TEM. 2026 Apr;S1043-2760(26)00045-7.
Behnke, Alexander, et al. “Energy constraint on human health.Trends in Endocrinology and Metabolism: TEM, Apr. 2026, pp. S1043-2760(26)00045-7. Epmc, doi:10.1016/j.tem.2026.02.010.
Behnke A, Shaulson E, Pontzer H, Kempes CP, Picard M. Energy constraint on human health. Trends in endocrinology and metabolism: TEM. 2026 Apr;S1043-2760(26)00045–7.
Journal cover image

Published In

Trends in endocrinology and metabolism: TEM

DOI

EISSN

1879-3061

ISSN

1043-2760

Publication Date

April 2026

Start / End Page

S1043-2760(26)00045-7

Related Subject Headings

  • Endocrinology & Metabolism
  • 3215 Reproductive medicine