• I am a Professor and Chair of the Department of Health Behavior in the School of Public Health at the University of Alabama at Birmingham (UAB) and the Antoine Lavoisier Endowed Professor of Energetics and Healthy Lifestyles. I also serve as the Associate Director of the Physical Activity and Exercise Core of UAB’s Nutrition and Obesity Research Center (NORC) and as an adjunct faculty member in the Division of Clinical and Molecular Rheumatology at the Johns Hopkins University School of Medicine and in the Department of Health, Behavior, and Society at the Johns Hopkins University Bloomberg School of Public Health. I have over 20 years of experience conducting obesity-related lifestyle modification trials, serving as PI, Co-PI, co-Investigator or interventionist on numerous private foundation and NIH grants.
  • Selected Publications

    Academic Article

    Year Title Altmetric
    2019 The effect of expectation on transcranial direct current stimulation (tDCS) to suppress food craving and eating in individuals with overweight and obesityAppetite.  136:1-7. 2019
    2019 Association of community food environment and obesity among US adults: A geographical information system analysisJournal of Epidemiology and Community Health.  73:148-155. 2019
    2019 Dietary R, S-1,3-butanediol diacetoacetate reduces body weight and adiposity in obese mice fed a high-fat dietFederation proceedings.  33:2409-2421. 2019
    2018 Favorable effects of a ketogenic diet on physical function, perceived energy, and food cravings in women with ovarian or endometrial cancer: A randomized, controlled trialNutrients.  10. 2018
    2018 Higher carbohydrate intake is associated with increased risk of all-cause and disease-specific mortality in head and neck cancer patients: results from a prospective cohort studyInternational Journal of Cancer.  143:1105-1113. 2018
    2018 Two-Year Follow-Up of Impaired Range of Motion in Chronic Fatigue SyndromeJournal of Pediatrics.  200:249-253.e1. 2018
    2018 Body Composition and Mortality in Mexican American Adults: Results from the National Health and Nutrition Examination SurveyObesity Research.  26:1372-1380. 2018
    2018 Awareness and Beliefs About Cervical Cancer, the HPV Vaccine, and Cervical Cancer Screening Among Ghanaian Women with Diverse Education LevelsJournal of Cancer Education.  1-7. 2018
    2018 Dyslipidemia is associated with pediatric nonalcoholic fatty liver diseaseJournal of Clinical Lipidology.  12:981-987. 2018
    2018 Metabolic syndrome in adults with a history of juvenile arthritisOpen Access Rheumatology : Research and Reviews.  10:67-72. 2018
    2018 Randomization to randomization probability: Estimating treatment effects under actual conditions of usePsychological Methods.  23:337-350. 2018
    2018 A qualitative study of cervical cancer and cervical cancer screening awareness among nurses in GhanaHealth Care for Women International.  39:584-594. 2018
    2018 Effectiveness of a carbohydrate restricted diet to treat non-alcoholic fatty liver disease in adolescents with obesity: Trial design and methodologyControlled Clinical Trials.  68:95-101. 2018
    2018 Methodological and clinical implications of a three-in-one Russian doll design for tracking health trajectories and improving health and function through innovative exercise treatments in adults with disabilityBMC Medical Research Methodology.  18. 2018
    2018 Open-Label Placebo Treatment for Cancer-Related Fatigue: A Randomized-Controlled Clinical Trial.Scientific Reports.  8:2784. 2018
    2018 Body Mass Index and Subjective Social Status: The Coronary Artery Risk Development in Young Adults StudyObesity Research.  26:426-431. 2018
    2018 A ketogenic diet reduces central obesity and serum insulin in women with ovarian or endometrial cancerJournal of Nutrition.  148:1253-1260. 2018
    2017 The development of scientific evidence for health policies for obesity: Why and how?International Journal of Obesity.  41:840-848. 2017
    2017 Maximum lifetime body mass index and mortality in Mexican American adults: The national health and nutrition examination survey III (1988-1994) and NHANES 1999-2010Preventing Chronic Disease.  14. 2017
    2016 Role of a plausible nuisance contributor in the declining obesity-mortality risks over timeExperimental Gerontology.  86:14-21. 2016
    2016 Abnormal body composition, cardiovascular endurance, and muscle strength in pediatric SLEPediatric Rheumatology.  14. 2016
    2016 Neuromuscular strain increases symptom intensity in chronic fatigue syndromePLoS ONE.  11. 2016
    2016 Placebo effects in obesity researchObesity Research.  24:769-771. 2016
    2015 Weighing the Evidence of Common Beliefs in Obesity ResearchCRC critical reviews in food science and nutrition.  55:2014-2053. 2015
    2015 Conclusion of Nordic walking for geriatric rehabilitation: A randomized pilot trial is based on faulty statistical analysis and is inaccurateDisability and Rehabilitation.  37:1692-1693. 2015
    2015 Feasibility, acceptability, and characteristics associated with adherence and completion of a culturally relevant internet-enhanced physical activity pilot intervention for overweight and obese young adult African American women enrolled in collegeBMC Research Notes2015
    2015 Feasibility, acceptability, and characteristics associated with adherence and completion of a culturally relevant internet-enhanced physical activity pilot intervention for overweight and obese young adult African American women enrolled in collegeBMC Research Notes.  8. 2015
    2015 Hope thinking and past trauma mediate the relationships of body mass index with perceived mental health treatment need and mental health treatment useClinical Obesity.  5:31-37. 2015
    2015 Randomized controlled trial examining expectancy effects on the accuracy of weight measurementClinical Obesity.  5:38-41. 2015
    2015 Desire resistance and desire reduction in public health approaches to obesityNutrition Today.  50:258-262. 2015
    2015 Feasibility, acceptability, and characteristics associated with adherence and completion of a culturally relevant internet-enhanced physical activity pilot intervention for overweight and obese young adult African American women enrolled in college.BMC Research Notes.  8. 2015
    2015 Improvements in Body Satisfaction Among Obese Preadolescent African American Girls After Participation in a Weight-Loss InterventionICAN: Infant, Child, and Adolescent Nutrition.  7:148-153. 2015
    2015 Improvements in body satisfaction among obese pre-adolescent African American girls after participation in a weight loss intervention.ICAN: Infant, Child, & Adolescent Nutrition2015
    2015 Packet randomized experiments for eliminating classes of confoundersEuropean Journal of Clinical Investigation.  45:45-55. 2015
    2015 Prevalence and correlates of family meals among families of 3rd gradersArchives of Community Medicine and Public Health.  1:7-11. 2015
    2014 Changes in body mass index in children with juvenile idiopathic arthritis treated with tumor necrosis factor inhibitorsJournal of Rheumatology.  41:113-118. 2014
    2014 Hallucinogen use predicts reduced recidivism among substance-involved offenders under community corrections supervisionJournal of Psychopharmacology.  28:62-66. 2014
    2014 Impaired range of motion of limbs and spine in chronic fatigue syndromeJournal of Pediatrics.  165:360-366. 2014
    2014 Obesity and mortality: Are the risks declining? Evidence from multiple prospective studies in the United StatesObesity Reviews.  15:619-629. 2014
    2013 Neuromuscular strain as a contributor to cognitive and other symptoms in chronic fatigue syndrome: Hypothesis and conceptual modelFrontiers in Physiology.  4 MAY. 2013
    2013 Does obesity associate with mortality among hispanic persons? Results from the national health interview surveyObesity Research.  21:1474-1477. 2013
    2013 Mortality rate and overweight: Overblown or underestimated? A commentary on a recent meta-analysis of the associations of BMI and mortalityMolecular Metabolism.  2:65-68. 2013
    2013 Myths, presumptions, and facts about obesityNew England Journal of Medicine.  368:446-454. 2013
    2012 Changes in pain catastrophizing predict later changes in fibromyalgia clinical and experimental pain report: Cross-lagged panel analyses of dispositional and situational catastrophizingArthritis Research.  14. 2012
    2012 Body mass index and mortality rate among Hispanic adults: A pooled analysis of multiple epidemiologic data setsInternational Journal of Obesity.  36:1121-1126. 2012
    2012 Muscle density in rheumatoid arthritis: Associations with disease features and functional outcomesArthritis and Rheumatism.  64:2438-2450. 2012
    2012 Is funding source related to study reporting quality in obesity or nutrition randomized control trials in top-tier medical journalsInternational Journal of Obesity.  36:977-981. 2012
    2011 Is socioeconomic status of the rearing environment causally related to obesity in the offspring?PLoS ONE.  6. 2011
    2011 Effects of lifestyle physical activity in adults with fibromyalgia: Results at follow-upJCR: Journal of Clinical Rheumatology.  17:64-68. 2011
    2011 Use of self-reported height and weight biases the body mass index-mortality associationInternational Journal of Obesity.  35:401-408. 2011
    2011 Exercise and physical activity for FibromyalgiaThe Journal of Musculoskeletal Medicine.  28:310-316. 2011
    2010 Effects of lifestyle physical activity on perceived symptoms and physical function in adults with fibromyalgia: Results of a randomized trialArthritis Research.  12. 2010
    2009 Cardiac magnetic resonance imaging with pharmacological stress perfusion and delayed enhancement in asymptomatic patients with systemic sclerosisJournal of Rheumatology.  36:106-112. 2009
    2009 Ten putative contributors to the obesity epidemicCRC critical reviews in food science and nutrition.  49:868-913. 2009
    2008 Population projection of US adults with lifetime experience of depressive disorder by age and sex from year 2005 to 2050International Journal of Geriatric Psychiatry.  23:1266-1270. 2008
    2008 Association of body composition with disability in rheumatoid arthritis: Impact of appendicular fat and lean tissue massArthritis Care and Research.  59:1407-1415. 2008
    2008 Association of body fat with C-reactive protein in rheumatoid arthritisArthritis and Rheumatism.  58:2632-2641. 2008
    2008 Abnormal body composition phenotypes in older rheumatoid arthritis patients: Association with disease characteristics and pharmacotherapiesArthritis Care and Research.  59:807-815. 2008
    2008 Effects of glucocorticoids on weight change during the treatment of Wegener's granulomatosisArthritis Care and Research.  59:746-753. 2008
    2008 Reply to Flegal et al.International Journal of Obesity.  32:876-877. 2008
    2008 BMI and headache among women: Results from 11 epidemiologic datasetsObesity Research.  16:377-383. 2008
    2007 Putative biases in estimating mortality attributable to obesity in the US populationInternational Journal of Obesity.  31:1449-1455. 2007
    2007 Projected prevalence of US adults with self-reported doctor-diagnosed arthritis, 2005 to 2050Clinical Rheumatology.  26:772-774. 2007
    2007 Effects of lifestyle physical activity on health status, pain, and function in adults with fibromyalgia syndromeJournal of Musculoskeletal Pain.  15:3-9. 2007
    2007 Toward the reduction of population obesity: Macrolevel environmental approaches to the problems of food, eating, and obesityPsychological Bulletin.  133:205-226. 2007
    2007 Are overweight and obese adults with arthritis being advised to lose weight?JCR: Journal of Clinical Rheumatology.  13:12-15. 2007
    2006 Putative contributors to the secular increase in obesity: Exploring the roads less traveledInternational Journal of Obesity.  30:1585-1594. 2006
    2006 Tumor necrosis factor inhibitor therapy and risk of serious postoperative orthopedic infection in rheumatoid arthritisArthritis Care and Research.  55:333-337. 2006
    2006 Risk factors for lack of recent exercise in adults with self-reported, professionally diagnosed arthritisJCR: Journal of Clinical Rheumatology.  12:66-69. 2006
    2006 Depressive mood and obesity in US adults: Comparison and moderation by sex, age, and raceInternational Journal of Obesity.  30:513-519. 2006
    2006 Citrus aurantium and synephrine alkaloids in the treatment of overweight and obesity: An updateObesity Reviews.  7:79-88. 2006
    2005 Obesity and prostate cancer screening in the USAPublic Health.  119:694-698. 2005
    2005 Are health care professionals advising adults with arthritis to become more physically active?Arthritis Care and Research.  53:279-283. 2005
    2005 The effects of intentional weight loss as a latent variable problemStatistics in Medicine.  24:941-954. 2005
    2005 Changes in the prevalence of US adults with arthritis who meet physical activity recommendations, 2001-2003JCR: Journal of Clinical Rheumatology.  11:13-16. 2005
    2004 Overweight, obesity, and colorectal cancer screening: Disparity between men and womenBMC Public Health.  4. 2004
    2004 Are US Adults with Arthritis Meeting Public Health Recommendations for Physical Activity?Arthritis and Rheumatism.  50:624-628. 2004
    2004 Weight loss and health-related quality of life: Results at 1-year follow-upEating Behaviors.  5:85-88. 2004
    2003 Results of soy-based meal replacement formula on weight, anthropometry, serum lipids & blood pressure during a 40-week clinical weight loss trialNutrition Journal.  2:1-7. 2003
    2003 Comparison of proximal and distal placements of electrodes to assess body composition by bioelectrical impedance in obese adultsJournal of Strength and Conditioning Research.  17:522-526. 2003
    2003 Methods of Estimating Years of Life Lost Due to Obesity [2] (multiple letters)Journal of the American Medical Association.  289:2941-2942. 2003
    2003 Obesity and Years of Life Lost [1] (multiple letters)Journal of the American Medical Association.  289:1777-1778. 2003
    2003 A novel soy-based meal replacement formula for weight loss among obese individuals: A randomized controlled clinical trialEuropean Journal of Clinical Nutrition.  57:514-522. 2003
    2003 Weight loss causes increased mortality: ConsObesity Reviews.  4:9-16. 2003
    2003 Years of life lost due to obesityJournal of the American Medical Association.  289:187-193. 2003
    2003 Obesity and quality of life: Mediating effects of pain and comorbiditiesObesity Research.  11:209-216. 2003
    2003 Relationship between body weight gain and significant knee, hip, and back pain in older AmericansObesity Research.  11:1159-1162. 2003
    2002 Physiologic changes after diet combined with structured aerobic exercise or lifestyle activityMetabolism.  51:1528-1533. 2002
    2002 Quantitative prediction of body diameter in severely obese individualsErgonomics.  45:49-60. 2002
    2002 A meta-analytic investigation of linkage and association of common leptin receptor (LEPR) polymorphisms with body mass index and waist circumferenceInternational Journal of Obesity.  26:640-646. 2002
    2002 Correlates of exercise adherence in an African American church communityCultural Diversity and Ethnic Minority Psychology.  8:389-394. 2002
    2002 Health-related quality of life among obese subgroups.Obesity Research.  10:854-855. 2002
    2001 Weight loss and health-related quality of lifeAmerican Journal of Managed Care.  7:926-927. 2001
    2001 Body weight and cancer screening among womenJournal of Womens Health and Gender Based Medicine.  10:463-470. 2001
    2001 Does intentional weight loss affect mortality rate?Eating Behaviors.  2:87-95. 2001
    2001 Estimating the consequences of anti-psychotic induced weight gain on health and mortality ratePsychiatry Research.  101:277-288. 2001
    2001 Alternative treatments for weight loss: A critical reviewCRC critical reviews in food science and nutrition.  41:1-28. 2001
    2001 Body mass index and effects of refeeding on liver tests in drug-dependent adults in a residential research unitJournal of The American Dietetic Association.  101:1467-1469. 2001
    2001 Metabolic disharmony and mortalityMedical Hypotheses.  56:604-609. 2001
    2001 Obesity and health-related quality of lifeObesity Reviews.  2:173-182. 2001
    2001 Weight loss and exercise walking reduce pain and improve physical functioning in overweight postmenopausal women with knee osteoarthritisJCR: Journal of Clinical Rheumatology.  7:219-223. 2001
    2000 Access and use of medical care among obese personsObesity Research.  8:403-406. 2000
    2000 Behavioral approaches to the problems of obesityBehavior Modification.  24:459-493. 2000
    2000 Health-related quality of life among obese persons seeking and not currently seeking treatmentInternational Journal of Eating Disorders.  27:101-105. 2000
    2000 Physical activity improves mental healthPhysician and Sportsmedicine.  28:83-84. 2000
    1999 Is the prevalence of successful weight loss and maintenance higher in the general community than the research clinic?Obesity Research.  7:407-413. 1999
    1999 Annual deaths attributable to obesity in the United StatesJournal of the American Medical Association.  282:1530-1538. 1999
    1999 Impact of weight loss on Health-Related Quality of LifeQuality of Life Research.  8:275-277. 1999
    1999 Predicting treatment seeking for overweightJournal of Nervous and Mental Disease.  187:248-250. 1999
    1999 Dieting readiness test fails to predict enrollment in a weight loss programJournal of The American Dietetic Association.  99:664. 1999
    1999 Optimism and obesity treatment outcomesJournal of Clinical Psychology.  55:141-143. 1999
    1999 The distribution of body mass index among individuals with and without schizophreniaJournal of Clinical Psychiatry.  60:215-220. 1999
    1999 Use of preventive health care services by patients with obesity.Obesity Research.  7:223-226. 1999
    1998 Can inexpensive signs encourage the use of stairs? Results from a community interventionAnnals of Internal Medicine.  129:363-369. 1998
    1998 Estimating health related quality of life in obese individualsDisease Management and Health Outcomes.  3:61-70. 1998
    1998 Do psychogenic dysphagia patients have an eating disorder?Dysphagia.  13:24-27. 1998
    1998 Body Weight and Health Care among Women in the General PopulationArchives of Family Medicine.  7:381-384. 1998
    1998 Body mass index, smoking, and mortality among older American womenJournal of women's health / the official publication of the Society for the Advancement of Women's Health Research.  7:1257-1261. 1998
    1997 Self-efficacy, attendance, and weight loss in obesity treatmentAddictive Behaviors.  22:567-570. 1997
    1997 Support group membership and perceptions of control over health in HIV+ menJournal of Clinical Psychology.  53:249-252. 1997
    1997 Predictors of quality of life for obese personsJournal of Nervous and Mental Disease.  185:120-122. 1997
    1997 Optimism, social support, and premenstrual dysphoriaJournal of Clinical Psychology.  53:243-247. 1997
    1997 Pain in the obese: Impact on health-related quality-of-lifeAnnals of Behavioral Medicine.  19:408-410. 1997
    1997 Predicting treatment attendance and weight loss: Assessing the psychometric properties and predictive validity of the Dieting Readiness TestJournal of Personality Assessment.  68:173-183. 1997
    1997 Self-esteem, optimism, and postpartum depressionJournal of Clinical Psychology.  53:59-63. 1997
    1996 Health-related quality of life in obese persons seeking treatmentJournal of Family Practice.  43:265-270. 1996
    1996 Improved detection of malnutrition by medical housestaff following focused-teaching interventionJournal of General Internal Medicine.  11:548-550. 1996
    1996 “how i practice”solution-focused brief therapy of a binge eaterEating Disorders.  4:266-270. 1996
    1995 Effects of self-efficacy and dispositional optimism on adherence to step aerobic exercise classes.Perceptual and Motor Skills.  81:251-255. 1995
    1995 Optimistic bias in cancer risk perception: a cross-national study.Psychological Reports.  77:143-146. 1995
    1994 Effect of dispositional optimism on comparative risk perceptions for developing AIDS.Psychological Reports.  74:843-846. 1994
    1994 Personality correlates of sexual risk-taking among menPersonality and Individual Differences.  17:693-694. 1994
    1993 Optimism, perceived control over stress, and copingEuropean Journal of Personality.  7:267-281. 1993


    Year Title Altmetric
    2011 Biology for Bodybuilders 2011
    2011 The Anti-Terrorist 2011
    2003 Living the Fruit of the Spirit: Life Lessons from Barney Rubble 2003
    The Jesus Cure: The Four Keys to Living a Life of Integrity, Significance and Peace


    Year Title Altmetric
    2010 Obesity's final toll: Influence on mortality rate, attributable deaths, years of life lost, and population life expectancy.  1085-1105. 2010
    2010 Physical Activity and Mortality Rates in Obesity.  264-267. 2010
    2009 Assessment of Health-Related Quality of Life in Obesity and Eating Disorders.  33-78. 2009
    2006 Statistical Issues for Longevity Studies in Animal Models.  153-164. 2006
    2003 Obesity and mortality rates.  767-785. 2003
    1999 Estimating health-related quality of life of obese individuals..  101-110. 1999
    Functional ability, health status, and quality of life

    Research Overview

  • My obesity-related research has focused on in the association of obesity to mortality, clinical obesity treatment, relation of obesity to cancer screening and preventive care, and the quality of life among obese persons. He has also conducted hundreds of intervention groups with overweight and obese adults to promote lifestyle changes.

    My other research has focused on the role of lifestyle physical activity in improving health status, symptoms, and body composition in adults with Fibromyalgia and Chronic Fatigue Syndrome.

    Recent interests include modifying the body composition in patients with rheumatic disease through strength exercise, the role of low carbohydrate diets on inflammation, the effects of ketogenic diets on type 2 diabetes, Parkinson’s and cancer, the effects of non-deceptive placebos to improve patient-reported outcomes such as pain and fatigue, and the use of classical conditioning to promote dose extension in drugs with toxic side effects.
  • Teaching Overview

  • I teach a variety of courses for both undergraduate and graduate students related to health behavior, obesity, healing and research methods and clinical trials.
  • Full Name

  • Kevin Fontaine