{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:41:07Z","timestamp":1791895267797,"version":"4.3.4"},"reference-count":90,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Glucagon\u2010like peptide\u20101 (GLP\u20101) receptor agonists represent a major therapeutic advancement, producing substantial weight loss and rapidly reshaping clinical practice, commercial markets, and policy discussions. Their accelerating adoption, however, is unfolding alongside decades of public health progress to address the complex drivers of obesity. Without integration into a broader systems\u2010based approach, growing reliance on GLP\u20101 therapies risks reinforcing a reactive, treatment\u2010driven model of obesity management that is costly, difficult to sustain, insufficient for addressing root causes, and likely perpetuating existing health inequities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Drawing on a synthesis of existing literature and emerging clinical evidence, we apply\n                      <jats:italic>Habits of a Systems Thinker<\/jats:italic>\n                      to examine: (1) the promises and pitfalls of growing dependence on GLP\u20101 therapies; (2) how a systems thinking lens can illuminate unintended consequences and reveal overlooked leverage points; and (3) how dietitians and other healthcare providers can strengthen systems\u2010based dietetic practice to promote health equity, enhance obesity care delivery, and support lasting health outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified dominant mental models, gaps in system connections, and feedback loops that shape both obesity management and the integration of GLP\u20101 therapies. We also highlight potential unintended consequences and outline opportunities to adapt and act strategically within the obesity care system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dietitians hold a critical yet underutilized role, constrained by structural barriers. Fully leveraging their expertise will require system\u2010level changes, including integrating training on a systems approach to GLP\u20101 therapies; strengthening connections to local and regional food resources to improve access to healthy foods; advocating for reimbursement reforms that support dietitians' contributions to comprehensive, systems\u2010oriented obesity care; and elevating dietitians' roles as citizens to advance equitable obesity care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70300","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T09:59:46Z","timestamp":1782467986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Seeing Beyond GLP\u20101: A Systems View of Sustainable Obesity Care"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5101-4096","authenticated-orcid":false,"given":"Yeeli","family":"Mui","sequence":"first","affiliation":[{"name":"Human Nutrition Program, Department of International Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"},{"name":"Center for a Livable Future Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8567-145X","authenticated-orcid":false,"given":"Megan R.","family":"Winkler","sequence":"additional","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences Emory University Rollins School of Public Health Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Becky","family":"Ramsing","sequence":"additional","affiliation":[{"name":"Center for a Livable Future Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7299-8592","authenticated-orcid":false,"given":"Anne","family":"Palmer","sequence":"additional","affiliation":[{"name":"Center for a Livable Future Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"},{"name":"Department of Health, Behavior, and Society Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphene","family":"Altema\u2010Johnson","sequence":"additional","affiliation":[{"name":"Center for a Livable Future Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Obesity Federation [Internet] 2025 Prevalence of Obesity https:\/\/www.worldobesity.org\/about\/about-obesity\/prevalence-of-obesity."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12551"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13679-023-00495-3"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-014-0243-x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.68376"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(25)00260-0"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.19897"},{"key":"e_1_2_9_9_1","unstructured":"U.S. Food and Drug Administration [Internet]. 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