Impact of exercise-nutritional state interactions in patients with type 2 diabetes

Introduction This study examines the role of nutritional status during exercise training in patients with type 2 diabetes mellitus by investigating the effect of endurance-type exercise training in the fasted versus the fed state on clinical outcome measures, glycemic control, and skeletal muscle characteristics in male type 2 diabetes patients. Methods Twenty-five male patients (glycated hemoglobin (HbA1c), 57 ± 3 mmol·mol−1 (7.4% ± 0.3%)) participated in a randomized 12-wk supervised endurance-type exercise intervention, with exercise being performed in an overnight-fasted state (n = 13) or after consuming breakfast (n = 12). Patients were evaluated for glycemic control, blood lipid profiles, body composition and physical fitness, and skeletal muscle gene expression. Results Exercise training was well tolerated without any incident of hypoglycemia. Exercise training significantly decreased whole-body fat mass (−1.6 kg) and increased high-density lipoprotein concentrations (+2 mg·dL−1), physical fitness (+1.7 mL·min−1·kg−1), and fat oxidation during exercise in both groups (PTIME 0.05). HbA1c concentrations significantly decreased after exercise training (PTIME < 0.001), with a significant greater reduction after consuming breakfast (−0.30% ± 0.06%) compared with fasted state (−0.08% ± 0.06%; mean difference, 0.21%; PTIME × GROUP = 0.016). No interaction effects were observed for skeletal muscle genes related to lipid metabolism or oxidative capacity. Conclusions Endurance-type exercise training in the fasted or fed state do not differ in their efficacy to reduce fat mass, increase fat oxidation capacity, and increase cardiorespiratory fitness and high-density lipoprotein concentrations or their risk of hypoglycemia in male patients with type 2 diabetes. HbA1c seems to be improved more with exercise performed in the postprandial compared with the postabsorptive state

HUBUNGAN USIA, JENIS KELAMIN DAN STATUS NUTRISI DENGAN KEJADIAN ANEMIA PADA PASIEN TUBERKULOSIS DI RSUP DR. KARIADI SEMARANG

Background: One – third of the populations in the world are being infected by tuberculosis. In 2010, Indonesia was proven to be the 4th country in terms of the amount of people that are being infected by tuberculosis. Actually TB is a chronic disease that leads to anemia. Anemia itself can cause the extension of patients’ length of stay in hospital and also has a major impact to the patient’s quality of life. Anemia that impacted to tuberculosis’ patients is a result of bad nutrition consumed by the patient, therefore it is presumed that the serum albumin concentration, which is used as a parameter of the nutrition, is also a risk factor of anemia in tuberculosis. Goal: To find out whether gender, age, and nutritional state are related to anemia in tuberculosis. Method: This study was an observational study with cross sectional design. The subjects were 73 medical records of tuberculosis patients. The data consisted of identity, age, gender, and laboratory test that included hemoglobin and serum albumin concentration as the parameter of nutritional state. The statistic test used was Chi Square test. Result: Age could not be concluded related to anemia in tuberculosis (RP=1,0; CI 95 %=0,6-1,5). Gender could not be concluded related to anemia in tuberculosis (RP=0,8; CI 95%=0,6-1). The nutritional state could be concluded related to anemia in tuberculosis (RP=1,3; CI 95%=1,09 – 1,7). Conclusion: According to the analysis of the research; age and gender can not be concluded related to anemia in tuberculosis. Nutritional state is related to anemia in tuberculosis. Keywords: tuberculosis, anemia, age, gender, nutritional state, serum albumin concentration

Factors affecting breeding status of wading birds in the Everglades.

This goals of this research and monitoring effort are to document nesting effort and roughly categorize success of nesting by wading birds in the central Everglades of Florida, and to investigate the causes of nonbreeding in a high proportion of the adult wading birds in the ecosystem The latter goal has focused on breeding of White Ibises (Eudocimus albus) and has been approached through 1) understanding the nutritional, behavioral, and hormonal aspects of normal breeding in a captive colony ofScarlet Ibises (considered conspecific to White Ibises) in central Florida, and 2) comparing breeding and nonbreeding wild White Ibises in the Everglades, in their physiology, nutritional state, breeding phenology, contaminant load, and hormonal status. This report covers work on this project between January and November, 2000. (81 page docoument

Salicylic acid produced by the rhizobacterium Pseudomonas aeruginosa 7NSK2 induces resistance to leaf infection by Botrytis cinerea on bean

Selected strains of nonpathogenic rhizobacteria can induce a systemic resistance in plants that is effective against various pathogens. In an assay with bean plants, we investigated which determinants of the rhizobacterium Pseudomonas aeruginosa 7NSK2 are important for induction of resistance to Botrytis cinerea. By varying the iron nutritional state of the bacterium at inoculation, it was demonstrated that induced resistance by P. aeruginosa 7NSK2 was iron-regulated. As P. aeruginosa 7NSK2 produces three siderophores under iron limitation, pyoverdin, pyochelin, and salicylic acid, we investigated the involvement of these iron-regulated metabolites in induced resistance by using mutants deficient in one or more siderophores. Results demonstrated that salicylic acid production was essential for induction of resistance to B. cinerea by Fl aeruginosa 7NSK2 in bean and did not exclude a role for pyochelin. A role for pyoverdin, however, could not be demonstrated. Transcriptional activity of salicylic acid and pyochelin biosynthetic genes was detected during P. aeruginosa 7NSK2 colonization of bean. Moreover, the iron nutritional state at inoculation influenced the transcriptional activity of salicylic acid and pyochelin biosynthetic genes in the same way as it influenced induction of systemic resistance to B. cinerea

Persistent organic pollutant burden, experimental POP exposure and tissue properties affect metabolic profiles of blubber from grey seal pups

Persistent organic pollutants (POPs) are toxic, ubiquitous, resist breakdown, bioaccumulate in living tissue and biomagnify in food webs. POPs can also alter energy balance in humans and wildlife. Marine mammals experience high POP concentrations, but consequences for their tissue metabolic characteristics are unknown. We used blubber explants from wild, grey seal (Halichoerus grypus) pups to examine impacts of intrinsic tissue POP burden and acute experimental POP exposure on adipose metabolic characteristics. Glucose use, lactate production and lipolytic rate differed between matched inner and outer blubber explants from the same individuals and between feeding and natural fasting. Glucose use decreased with blubber dioxin-like PCBs (DL-PCB) and increased with acute experimental POP exposure. Lactate production increased with DL-PCBs during feeding, but decreased with DL-PCBs during fasting. Lipolytic rate increased with blubber dichlorodiphenyltrichloroethane (DDT) and its metabolites (DDX) in fasting animals, but declined with DDX when animals were feeding. Our data show that POP burdens are high enough in seal pups to alter adipose function early in life, when fat deposition and mobilisation are vital. Such POP-induced alterations to adipose glucose use may significantly alter energy balance regulation in marine top predators with the potential for long term impacts on fitness and survival

New anthropometric classification scheme of preoperative nutritional status in children: A retrospective observational cohort study

Objective: WHO uses anthropometric classification scheme of childhood acute and chronic malnutrition based on low body mass index (BMI) (\u27wasting\u27) and height for age (\u27stunting\u27), respectively. The goal of this study was to describe a novel two-axis nutritional classification scheme to (1) characterise nutritional profiles in children undergoing abdominal surgery and (2) characterise relationships between preoperative nutritional status and postoperative morbidity. Design: This was a retrospective observational cohort study. Setting: The setting was 50 hospitals caring for children in North America that participated in the American College of Surgeons National Surgical Quality Improvement Program Paediatric from 2011 to 2013. Participants: Children \u3e28 days who underwent major abdominal operations were identified. Interventions/main predictor: The cohort of children was divided into five nutritional profile groups based on both BMI and height for age Z-scores: (1) underweight/short, (2) underweight/tall, (3) overweight/short, (4) overweight/tall and (5) non-outliers (controls). Main outcome measures: Multiple variable logistic regressions were used to quantify the association between 30-day morbidity and nutritional profile groups while adjusting for procedure case mix, age and American Society of Anaesthesiologists class. Results: A total of 39 520 cases distributed as follows: underweight/short (656, 2.2%); underweight/tall (252, 0.8%); overweight/short (733, 2.4%) and overweight/tall (1534, 5.1%). Regression analyses revealed increased adjusted odds of composite morbidity (35%) and reintervention events (75%) in the underweight/short group, while overweight/short patients had increased adjusted odds of composite morbidity and healthcare-associated infections (43%), and reintervention events (79%) compared with controls. Conclusion: Stratification of preoperative nutritional status using a scheme incorporating both BMI and height for age is feasible. Further research is needed to validate this nutritional risk classification scheme for other surgical procedures in children

The effects of parasitism and body length on positioning within wild fish shoals

The influence of body length and parasitism on the positioning behaviour of individuals in wild fish shoals was investigated by a novel means of capturing entire shoals of the banded killifish (Fundulus diaphanus, Lesueur) using a grid-net that maintained the two-dimensional positions of individuals within shoals. Fish in the front section of a shoal were larger than those in the rear. Individuals parasitized by the digenean trematode (Crassiphiala bulboglossa, Haitsma) showed a tendency to occupy the front of shoals. Parasitized fish were also found more in peripheral positions than central ones in a significant number of shoals. Shoal geometry was affected by the overall parasite prevalence of shoal members; shoals with high parasite prevalence displayed increasingly phallanx-like shoal formations, whereas shoals with low prevalence were more elliptical. There was no relationship between body length and parasite abundance or prevalence in the fish population which suggests body length and parasite status are independent predictors of positioning behaviour. Solitary individuals found outside shoals were both more likely to be parasitized and had higher parasite abundance than individuals engaged in shoaling. Differences in the shoaling behaviour of parasitized and unparasitized fish are discussed in the context of the adaptive manipulation hypothesis

El estado nutritivo de la población española 1900-1970. Análisis de las necesidades y disponibilidades de nutrientes

This article studies the evolution of the nutritional state of the Spanish population between 1900 and 1970, comparing its needs with the consumption of nutrients. The nutritional state is a basic indicator of the well-being and the economic potential of any society. In the Spanish case, we conclude, that an important part of its population, during most of the time span of this study, will ingest insufficient quantities of the analysed nutrients. This will be translated into high levels of mal-nutrition and chronic under nourishment which in tum will influence the physical and economic development of this population, particularly during the Civil War and the post-war. Comparison with other countries of Western Europe also indicates Spanish delay in this area, which was not corrected until the 1960s. Other indicators such as anthropometrical data fully confirm the afore-mentioned statements

Cloning of the Neurodegeneration Gene \u3cem\u3eDrop-Dead\u3c/em\u3e and Characterization of Additional Phenotypes of its Mutation

Mutations in the Drosophila gene drop-dead (drd) result in early adult lethality and neurodegeneration, but the molecular identity of the drd gene and its mechanism of action are not known. This paper describes the characterization of a new X-linked recessive adult-lethal mutation, originally called lot\u27s wife (lwf1) but subsequently identified as an allele of drd (drdlwf); drdlwf mutants die within two weeks of eclosion. Through mapping and complementation, the drd gene has been identified as CG33968, which encodes a putative integral membrane protein of unknown function. The drdlwf allele is associated with a nonsense mutation that eliminates nearly 80% of the CG33968 gene product; mutations in the same gene were also found in two previously described drd alleles. Characterization of drdlwf flies revealed additional phenotypes of drd, most notably, defects in food processing by the digestive system and in oogenesis. Mutant flies store significantly more food in their crops and defecate less than wild-type flies, suggesting that normal transfer of ingested food from the crop into the midgut is dependent upon the DRD gene product. The defect in oogenesis results in the sterility of homozygous mutant females and is associated with a reduction in the number of vitellogenic egg chambers. The disruption in vitellogenesis is far more severe than that seen in starved flies and so is unlikely to be a secondary consequence of the digestive phenotype. This study demonstrates that mutation of the drd gene CG33968 results in a complex phenotype affecting multiple physiological systems within the fly

Using blubber explants to investigate adipose function in grey seals:glycolytic, lipolytic and gene expression responses to glucose and hydrocortisone

Adipose tissue is fundamental to energy balance, which underpins fitness and survival. Knowledge of adipose regulation in animals that undergo rapid fat deposition and mobilisation aids understanding of their energetic responses to rapid environmental change. Tissue explants can be used to investigate adipose regulation in wildlife species with large fat reserves, when opportunities for organismal experimental work are limited. We investigated glucose removal, lactate, glycerol and NEFA accumulation in media, and metabolic gene expression in blubber explants from wild grey seals. Glycolysis was higher in explants incubated in 25 mM glucose (HG) for 24 h compared to controls (C: 5.5 mM glucose). Adipose-derived lactate likely contributes to high endogenous glucose production in seals. Lipolysis was not stimulated by HG or high hydrocortisone (HC: 500 nM hydrocortisone) and was lower in heavier animals. HC caused NEFA accumulation in media to decrease by ~30% relative to C in females, indicative of increased lipogenesis. Lipolysis was higher in males than females in C and HG conditions. Lower relative abundance of 11-β-hydroxysteroid dehydrogenase 1 mRNA in HG explants suggests glucose involvement in blubber cortisol sensitivity. Our findings can help predict energy balance responses to stress and nutritional state in seals, and highlight the use of explants to study fat tissue function in wildlife