Response

This is not the published version.See the article "Resistance to exercise-induced weight loss: compensatory behavioral adaptations" here at http://hdl.handle.net/1808/24571

Resistance to exercise-induced weight loss: compensatory behavioral adaptations

This is not the published version.In many interventions that are based on an exercise program intended to induce weight loss, the mean weight loss observed is modest and sometimes far less than the individual expected. The individual responses are also widely variable, with some individuals losing a substantial amount of weight, others maintaining weight, and a few actually gaining weight. The media have focused on the sub-population that loses little weight, contributing to a public perception that exercise has limited utility to cause weight loss. The purpose of the symposium was to present recent, novel data that help explain how compensatory behaviors contribute to a wide discrepancy in exercise-induced weight loss. The presentations provide evidence that some individuals adopt compensatory behaviors, i.e. increased energy intake and/or reduced activity, that offset the exercise energy expenditure and limit weight loss. The challenge for both scientists and clinicians is to develop effective tools to identify which individuals are susceptible to such behaviors, and to develop strategies to minimize their impact

Validation of the doubly labeled water method using off-axis integrated cavity output spectroscopy and isotope ratio mass spectrometry

This work was supported by an NIH Small Business Innovation (SBIR) research Grant (R44 DK093362), as well as support from the Colorado Nutrition and Obesity Research Center (P30 DK048520) and the Colorado Clinical and Translational Science Institute (UL1 RR025780). Dr. Melanson is also supported by resources from the Geriatric Research, Education, and Clinical Center at the Denver VA Medical Center.Peer reviewedPostprin

Early Morning Food Intake as a Risk Factor for Metabolic Dysregulation

Increased risk of obesity and diabetes in shift workers may be related to food intake at adverse circadian times. Early morning shiftwork represents the largest proportion of shift workers in the United States, yet little is known about the impact of food intake in the early morning on metabolism. Eighteen participants (9 female) completed a counterbalanced 16 day design with two conditions separated by ~1 week: 8 h sleep opportunity at habitual time and simulated early morning shiftwork with 6.5 h sleep opportunity starting ~1 h earlier than habitual time. After wake time, resting energy expenditure (REE) was measured and blood was sampled for melatonin and fasting glucose and insulin. Following breakfast, post-prandial blood samples were collected every 40 min for 2 h and the thermic effect of food (TEF) was assessed for 3.25 h. Total sleep time was decreased by ~85 min (p &lt; 0.0001), melatonin levels were higher (p &lt; 0.0001) and post-prandial glucose levels were higher (p &lt; 0.05) after one day of simulated early morning shiftwork compared with habitual wake time. REE was lower after simulated early morning shiftwork; however, TEF after breakfast was similar to habitual wake time. Insufficient sleep and caloric intake during a circadian phase of high melatonin levels may contribute to metabolic dysregulation in early morning shift workers. </div

Increasing Dietary Fat Elicits Similar Changes in Fat Oxidation and Markers of Muscle Oxidative Capacity in Lean and Obese Humans

In lean humans, increasing dietary fat intake causes an increase in whole-body fat oxidation and changes in genes that regulate fat oxidation in skeletal muscle, but whether this occurs in obese humans is not known. We compared changes in whole-body fat oxidation and markers of muscle oxidative capacity differ in lean (LN) and obese (OB) adults exposed to a 2-day high-fat (HF) diet. Ten LN (BMI = 22.5±2.5 kg/m2, age = 30±8 yrs) and nine OB (BMI = 35.9±4.93 kg/m2, 38±5 yrs, Mean±SD) were studied in a room calorimeter for 24hr while consuming isocaloric low-fat (LF, 20% of energy) and HF (50% of energy) diets. A muscle biopsy was obtained the next morning following an overnight fast. 24h respiratory quotient (RQ) did not significantly differ between groups (LN: 0.91±0.01; OB: 0.92±0.01) during LF, and similarly decreased during HF in LN (0.86±0.01) and OB (0.85±0.01). The expression of pyruvate dehydrogenase kinase 4 (PDK4) and the fatty acid transporter CD36 increased in both LN and OB during HF. No other changes in mRNA or protein were observed. However, in both LN and OB, the amounts of acetylated peroxisome proliferator-activated receptor γ coactivator-1-α (PGC1-α) significantly decreased and phosphorylated 5-AMP-activated protein kinase (AMPK) significantly increased. In response to an isoenergetic increase in dietary fat, whole-body fat oxidation similarly increases in LN and OB, in association with a shift towards oxidative metabolism in skeletal muscle, suggesting that the ability to adapt to an acute increase in dietary fat is not impaired in obesity

A National Spinal Muscular Atrophy Registry for Real-World Evidence.

BACKGROUND: Spinal muscular atrophy (SMA) is a devastating rare disease that affects individuals regardless of ethnicity, gender, and age. The first-approved disease-modifying therapy for SMA, nusinursen, was approved by Health Canada, as well as by American and European regulatory agencies following positive clinical trial outcomes. The trials were conducted in a narrow pediatric population defined by age, severity, and genotype. Broad approval of therapy necessitates close follow-up of potential rare adverse events and effectiveness in the larger real-world population. METHODS: The Canadian Neuromuscular Disease Registry (CNDR) undertook an iterative multi-stakeholder process to expand the existing SMA dataset to capture items relevant to patient outcomes in a post-marketing environment. The CNDR SMA expanded registry is a longitudinal, prospective, observational study of patients with SMA in Canada designed to evaluate the safety and effectiveness of novel therapies and provide practical information unattainable in trials. RESULTS: The consensus expanded dataset includes items that address therapy effectiveness and safety and is collected in a multicenter, prospective, observational study, including SMA patients regardless of therapeutic status. The expanded dataset is aligned with global datasets to facilitate collaboration. Additionally, consensus dataset development aimed to standardize appropriate outcome measures across the network and broader Canadian community. Prospective outcome studies, data use, and analyses are independent of the funding partner. CONCLUSION: Prospective outcome data collected will provide results on safety and effectiveness in a post-therapy approval era. These data are essential to inform improvements in care and access to therapy for all SMA patients

Heart rate variability: Relationship to physical activity level, response to training, and effect of maturation

Reduced heart rate variability (HRV) is related to an increased risk of mortality. The primary aim of this dissertation was to determine the independent effects of regular exercise and maturation on HRV. It was hypothesized that (1) regular exercise increases HRV in adults and (2) HRV declines as a result of maturation. Resting HRV was measured using the (1) average change in HR (ΔHR) during each breathing cycle; (2) standard deviation of HR (HRSD); (3) root of mean squared differences of successive interbeat intervals (rMSSD); and (4) proportion of adjacent intervals that differed by more than 50 ms (pNN50). Spectral analysis was used to determine the power of oscillations in HR occurring at low (LF, 0.04–0.12 Hz), and high (HF, 0.12–0.40 Hz) frequencies, which are believed to represent cardiac sympathetic and parasympathetic influences, respectively. In Study I, HRV was compared in 40 adult males grouped according to their physical activity level (LOW, MOD, and HIGH). HRV appeared to be greater in the active groups (LOW \u3c MOD = HIGH), but only pNN50 achieved statistical significance. Study II examined the effects of a 16 week moderate intensity endurance training program on HRV. Twelve adult males that exercised three times weekly, thirty minutes per session (EXP) were compared to a non-exercising control group (CON, N = 5). Aerobic capacity, pNN50, and rMSSD increased significantly in EXP (∼14%, 75%, and 37%, respectively) but not controls. There were no changes in ΔHR or LF power, but HF power increased in both EXP and CON. In Study III, HRV was compared between the adults from Study I and twelve boys. HRSD and ΔHR were greater in boys. All other measures of HRV appeared to be greater in boys, but none of these comparisons achieved statistical significance. It is concluded that (1) participation in regular aerobic exercise training appears to augment HRV; and (2) HRV declines as a result of maturation. When the data from studies I and II are considered in light of the existing literature, it appears that significant increases in HRV occur only after many weeks or months of endurance training

Resting heart rate variability in men varying in habitual physical activity

Une étude des variations de la fréquence cardiaque entre les temps de repos et les temps d'activité, chez des hommes en bonne santé. Les résultats sont ensuite confrontés à ceux des personnes inactives et sédentaire