Stress during pregnancy leads to abdominal obesity in mice offspring

ScienceDaily (July 31, 2012) — New research suggests that the neuropeptide Y in plasma and its Y2 receptor in visceral fat play an important role in obesity.

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A new report involving mice suggests that a relationship exists between maternal metabolic or psychological stress and the development of obesity, type 2 diabetes, and metabolic syndrome in her offspring. What's more, the report shows that if the stress cannot be reduced or eliminated, manipulating the neuropeptide Y (NPY) system in visceral fat may prevent maternal stress-induced obesity from occurring in the next generation. This discovery is reported in the August 2012 issue of The FASEB Journal.

"Obesity is a worldwide disease. Here we found that maternal stress, psychologically and metabolically, increases abdominal obesity and glucose intolerance in the next generation in a sex-specific manner, which is mediated by the NPY system in visceral fat," said Ruijun Han, a researcher involved in the work from the Department of Integrative Biology and Physiology, Stress Physiology Center at the University of Minnesota. "Our study suggested that NPY in the platelet-rich plasma and its Y2 receptor in the visceral fat, play an important role in maternal stress-programmed abdominal obesity and metabolic syndrome in offspring."

To make this discovery, Young and colleagues fed different groups of pregnant mice a low protein diet during pregnancy and lactation; a normal protein diet during pregnancy and lactation; or a low protein diet only during pregnancy. After weaning, all the pups were fed high fat diets for 18 weeks, and metabolic parameters and expression of NPY system in periphery tissues were monitored and measured.

"There are a lot of reasons why expectant mothers should not be under stress," said Gerald Weissmann, M.D., Editor-in-Chief of The FASEB Journal, "and this report adds yet another reason. What's most interesting, however, is that it provides some insight into how we can counter the negative effects of stress, even when it's not possible to reduce or eliminate the stressors themselves."

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Opioid receptors as a drug target for stopping obesity

ScienceDaily (July 31, 2012) — New research demonstrates that blocking the delta opioid receptor in mice created resistance to weight gain and stimulated gene expression promoting non-shivering thermogenesis.

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Imagine eating all of the sugar and fat that you want without gaining a pound. Thanks to new research published in The FASEB Journal, the day may come when this is not too far from reality. That's because researchers from the United States and Europe have found that blocking one of three opioid receptors in your body could turn your penchant for sweets and fried treats into a weight loss strategy that actually works. By blocking the delta opioid receptor, or DOR, mice reduced their body weight despite being fed a diet high in fat and sugar. The scientists believe that the deletion of the DOR gene in mice stimulated the expression of other genes in brown adipose tissue that promoted thermogenesis.

"Our study provided further evidence that opioid receptors can control the metabolic response to diets high in fat and sugar, and raise the possibility that these gene products (or their respective pathways) can be targeted specifically to treat excess weight and obesity," said Traci A. Czyzyk, Ph.D., a researcher involved in the work from the Department of Physiology at the Mayo Clinic in Scottsdale, Arizona.

Scientists studied mice lacking the delta opioid receptor (DOR KO) and wild type (WT) control mice who were fed an energy dense diet (HED), high in fat and sugar, for three months. They found that DOR KO mice had a lean phenotype specifically when they were fed the HED. While WT mice gained significant weight and fat mass on this diet, DOR KO mice remained lean even though they consumed more food. Researchers then sought to determine how DOR might regulate energy balance and found that DOR KO mice were able to maintain their energy expenditure levels, in part, due to an increase in non-shivering thermogenesis. This was evidenced by an increase in thermogenesis-promoting genes in brown adipose tissue, an increase in body surface temperature near major brown adipose tissue depots, and the ability of DOR KO mice to maintain higher core body temperatures in response to being in a cold environment.

"Don't reach for the ice cream and doughnuts just yet," said Gerald Weissmann, M.D., Editor-in-Chief of The FASEB Journal. "We don't know how all this works in humans, and of course, a diet of junk food causes other health problems. This exciting research identifies genes that activate brown adipose tissue to increase our burning of calories from any source. It may lead to a safe diet pill in the future."

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In-utero exposure to magnetic fields associated with increased risk of obesity in childhood

ScienceDaily (July 27, 2012) — In-utero exposure to relatively high magnetic field levels was associated with a 69 percent increased risk of being obese or overweight during childhood compared to lower in-utero magnetic field levels, according to a Kaiser Permanente study that appears in the current online version of Nature's Scientific Reports.

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Researchers conducted the prospective cohort study, in which participating women in Kaiser Permanente's Northern California region carried a meter measuring magnetic field levels during pregnancy and 733 of their children were followed up to 13 years, to collect clinically recorded information on growth patterns. On average, 33 weight measurements per child were collected.

Researchers noted a dose response relationship with increasing in-utero magnetic field levels being associated with further increased risk of obesity or being overweight. The observed association and supporting evidence provide the first epidemiologic findings that link increasing exposure to environmental magnetic fields, especially in-utero exposure, over the last few decades with the rapid rise in childhood obesity during the corresponding decades, according to the authors.

"Pregnancy is a critical developmental stage that is among the most vulnerable periods to environmental exposures," said De-Kun Li, MD, PhD, a perinatal epidemiologist with the Kaiser Permanente Northern California Division of Research in Oakland, Calif., and the lead author of the study. "These findings indicate that electromagnetic fields, from microwave ovens to countless wireless devices, may be contributing to childhood obesity risk. This finding could have implications for possibly reducing childhood obesity and better understanding the obesity epidemic. Like any scientific discoveries, the results need to be replicated by other studies."

After controlling for a child's age at each weight measurement, child gender, maternal age at delivery, pre-pregnancy BMI, race, education level, smoking during pregnancy and breastfeeding, researchers reported a 50 percent increase of participants being obese or overweight for medium in-utero levels (1.5-2.5 mG), and an 84 percent increased risk for high in-utero levels (more than 2.5mG). An mG, or milligauss, represents a unit of magnetic field level or strength as measured using a gaussmeter.

This study follows previous work from Dr. Li (and others) that showed electromagnetic fields may impact pregnancy outcomes and childhood diseases including asthma. Higher EMF levels have also been associated with diabetes in humans, being overweight and high glucose levels in animals, and ADHD in mice offspring, explained Dr. Li.

In the current study, among those children with longer follow-up time (to the end of the study), the observed association was stronger (2.35 times the risk of childhood obesity/overweight for in-utero MF level > 1.5 mG vs. ≤ 1.5 mG). Similarly, if the study only considered those who were persistently obese/overweight through childhood during the follow-up, the association was also much stronger (almost five-fold increased risk of obesity/overweight for in-utero MF level > 1.5 mG vs. < 1.5 mG).

"EMF exposure during pregnancy could impact the fetal development, including endocrine and metabolic systems, predisposing offspring to higher risk of obesity," Dr. Li said. He added that environmental impacts tend to be amplified during fetal development, both in terms of affecting multiple organ systems and having long-lasting changes to physiology, such as to the endocrine systems and hormone receptors.

Researchers examined maternal factors, prenatal factors, childhood factors, outcome measures and other factors that could be confounders. Among 18 factors examined, only family income and childhood habits of eating fruits and vegetables varied among the three maternal MF exposure groups. However, there was not a consistent pattern of MF exposure with family income: women with either low or high family income had lower MF exposure level than women with medium family income. Children eating more fruits and vegetables tended to have a mother who had higher MF exposure during pregnancy. There was no difference among the three MF exposure groups in the average number of weight measurements per child. The proportion of children who remained in the Kaiser Permanente Northern California integrated care delivery system at the end of the study (11 years and older) was almost identical in all three groups. None of the 18 factors examined could explain the observed association.

"Expectant mothers should take this new research into account, but they should not panic," said Ruth Shaber, MD, medical director of the Center for Healthcare Delivery at the Kaiser Permanente Care Management Institute. "We still have a lot more to learn about the impact of the environment on pregnancy and young children."

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Childhood obesity linked to cancer risk

ScienceDaily (July 23, 2012) — Parents are increasingly conscious of the dangers of childhood obesity. There is a growing recognition of health problems associated with extra pounds, including the risk of diabetes, heart disease, and joint and muscle pain.

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New research from Tel Aviv University has revealed another significant reason for children to maintain a healthy weight. Dr. Ari Shamiss and Dr. Adi Leiba of TAU's Sackler Faculty of Medicine and the Sheba Medical Center and his fellow researchers found that obesity in adolescence, defined as a Body Mass Index (BMI) in the 85th percentile and above, has a direct link to the incidence of urothelial (bladder and urinary tract) and colorectal cancers in adulthood. According to the American Heart Association, one in three children and teenagers are now considered overweight or obese.

Children above the 84th percentile in BMI have a 1.42% greater chance, representing a 50% higher risk, of developing urothelial or colorectal cancers in adulthood compared to those beneath it, explains Dr. Shamiss, whose research has been published in the journals Cancer Epidemiology, Biomarkers and Prevention and Obesity.

Understanding the connection

To examine the relationship between obesity and cancers, the researchers conducted a longitudinal study of a cohort of 1.1 million males in the Israeli Defense Forces. Their health information was gathered by the army, with a follow-up period of 18 years. When they controlled for factors such as year of birth and education, the researchers discovered a clear link between childhood BMI and those who were diagnosed with urothelial or colorectal cancers later in life.

While the researchers have so far uncovered risk in two different types of cancer, Dr. Shamiss believes that further research will reveal connections between childhood obesity and a wide range of other cancers, including pancreatic cancer, which he is currently researching.

These findings show a distinct need for more research in this field, he notes. "We need to examine the questions of whether obesity is a direct risk factor for cancer or a confounding factor for a genetic variation, for example," he explains, pointing out that basic research could help researchers to understand the connection between obesity and cancer on a deeper level.

The role of weight loss

One of the crucial questions, says Dr. Shamiss, is whether or not a successful weight loss attempt can reduce a child's risk of developing urothelial or colorectal cancer in adulthood. Their current sample looks at children who were obese and those who were of normal weight, but does not reveal whether weight loss makes a significant difference.

New research should focus on researching the pathogenetic link between obesity and cancer, and whether losing weight in adulthood could lower the risk, Dr. Shamiss says. Although healthcare professionals are already stressing the importance of preventing childhood obesity, this finding certainly adds to the urgency.

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Fighting obesity with thermal imaging

ScienceDaily (July 18, 2012) — Scientists at The University of Nottingham believe they've found a way of fighting obesity -- with a pioneering technique which uses thermal imaging. This heat-seeking technology is being used to trace our reserves of brown fat -- the body's 'good fat' -- which plays a key role in how quickly our body can burn calories as energy.

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This special tissue known as Brown Adipose Tissue, or brown fat, produces 300 times more heat than any other tissue in the body. Potentially the more brown fat we have the less likely we are to lay down excess energy or food as white fat.

Michael Symonds, Professor of Developmental Physiology in the School of Clinical Sciences, led a team of scientists and doctors at The University of Nottingham who have pioneered the thermal imaging process so we can assess how much brown fat we've got and how much heat it is producing. Their research has just been published in the Journal of Pediatrics.

The University of Nottingham's Early Life Nutrition Research Unit is at the forefront of ground-breaking international research into managing brown adipose tissue using nutrition, exercise, and environmental and therapeutic interventions.

Thermogenic index for food labels

Professor Symonds said: "Potentially the more brown fat you have or the more active your brown fat is you produce more heat and as a result you might be less likely to lay down excess energy or food as white fat.

"This completely non-invasive technique could play a crucial role in our fight against obesity. Potentially we could add a thermogenic index to food labels to show whether that product would increase or decrease heat production within brown fat. In other words whether it would speed up or slow down the amount of calories we burn."

The obesity threat

Obesity is one of the biggest challenges we face in Europe and America as our children grow older. It affects 155 million children worldwide. In the UK the number of overweight children doubled in the 1990s.

Dr Helen Budge, Clinical Associate Professor and Reader in Neonatology, said: "Babies have a larger amount of brown fat which they use up to keep warm soon after birth making our study's finding that this healthy fat can also generate heat in childhood and adolescence very exciting."

Professor Symonds and his team say their ground-breaking research could lead to a better understanding of how brown fat balances the energy from the food we eat with the energy our bodies actually use up.

Professor Symonds, together with Dr Budge and their team from the University's School of Clinical Sciences has shown that the neck region in healthy children produces heat. With the help of local school children they found that this region, which is known to contain brown adipose tissue, rapidly switches on to produce heat. This capacity is much greater in young children compared with adolescents and adults. The researchers are now using their findings to explore interventions designed to promote energy use as heat and, thus, prevent excess weight gain in both children and adults.

Non-invasive technology

Professor Symonds said: "Using our imaging technique we can locate brown fat and assess its capacity to produce heat. It avoids harmful techniques which use radiation and enables detailed studies with larger groups of people. This may provide new insights into the role of brown fat in how we balance energy from the food we eat, with the energy our bodies use up.

This research goes to the heart of the University's biggest ever fund raising appeal, Impact: The Nottingham Campaign, which is supporting lifelong health for children. Additional funding will allow more innovative approaches to be researched, developed and introduced across the globe. Find out more about our research and how you can support us at http://tiny.cc/UoNImpact.

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New metric for obesity strongly correlated to premature death

ScienceDaily (July 18, 2012) — Researchers have developed a new metric to measure obesity, called A Body Shape Index, or ABSI, that combines the existing metrics of Body Mass Index (BMI) and waist circumference and shows a better correlation with death rate than do either of these individual measures.

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The full results are reported July 18 in the open access journal PLoS ONE, and the work was led by Nir Krakauer of City College of New York.

The authors analyzed data from over 14,000 US adults taken as part of the National Health and Nutrition Examination Survey and conclude that the new measure, which has little correlation with height, weight, or BMI, appears to be a substantial risk factor for premature death.

"Measuring body dimensions is straightforward compared to other most medical tests, but it's been challenging to link these with health," Krakauer comments. "Our results give evidence that the power-law scaling of waist circumference, weight, and other body measurements can be used to develop body shape indices that point to added risk."

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In utero exposure to diesel exhaust a possible risk factor for obesity

ScienceDaily (July 19, 2012) — Pregnant mice exposed to high levels of air pollution gave birth to offspring with a significantly higher rate of obesity and insulin resistance in adulthood than those that were not exposed to air pollution. This effect seemed especially prevalent in male mice, which were heavier regardless of diet. These findings, published online in the FASEB Journal, suggests a link between diesel exhaust exposure in utero and bulging waistlines in adulthood.

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"It is becoming clearer that our environment profoundly affects our health in ways that are little understood," said Jessica L. Bolton, Ph.D., a researcher involved in the work from the Department of Psychology and Neuroscience at Duke University in Durham, NC. "We believe these data have important implications for health disparities as a consequence of socioeconomic conditions, in which low income neighborhoods tend to be disproportionately exposed to high levels of pollution, which we hope will inform policy and regulation decisions."

To make this discovery, Bolton and colleagues used two groups of pregnant female mice, one of which was exposed to diesel exhaust during the latter half of pregnancy. The second group was exposed to filtered air for the same time period. The mice lived in specialized chambers for four hours each day breathing polluted air and then were returned to normal housing after these exposures. Prior to birth, some of the fetal brains of the mice from both groups were analyzed to measure immune proteins and to get a "snap shot" of the fetal brain immune response to the in utero condition. Once the offspring were adults, they were placed on either a low-fat diet (10% saturated fat) or a high-fat diet (45% saturated fat). All other nutritional aspects of the diets were identical.

Scientists measured food intake, body weight and activity levels before putting the mice on their diets, and then weekly throughout the experiment. At the end of six weeks, metabolic hormones were assessed. They found that males from diesel-exposed moms were heavier than the males from clean air-exposed moms regardless of their diet as adults. In contrast, females from diesel-exposed moms were heavier than control females only if they were fed a high-fat diet as adults, and they never developed signs of insulin resistance.

"If you're pregnant and have a long drive into work, you might think twice about opening the car windows," said Gerald Weissmann, M.D., Editor-in-Chief of the FASEB Journal. "It's already been established that risk factors for obesity (junk food, high fat-high cholesterol diets, etc.) begin as early as the womb. This important study shows that the air a mother breathes is also one of those risk factors."

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Greater diet-induced obesity in rats consuming sugar solution during the inactive period

ScienceDaily (July 10, 2012) — New research presented at the Annual Meeting of the Society for the Study of Ingestive Behavior (SSIB) suggests that, not only the amount and type of food eaten but the time of day it is eaten is important in contributing to obesity.

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Previous studies have shown that when mice consumed all of their calories during their inactive period they gained more weight than when they consumed the same amount of calories during their active period. A team led by Drs. Susanne la Fleur and Andries Kalsbeek at the Academic Medical Center of the University of Amsterdam wished to investigate how certain components of the diet, such as sugar or fat, contributed to differences in weight gain during different times of the day.

To address this question Dr. Joelle Oosterman gave rats either rodent chow or chow plus either saturated fat or a sugar solution. One group was allowed to consume the diets freely whereas the other groups were only allowed to eat either the fat or sugar during their inactive period. They found that rats consuming all of their sugar solution in the inactive period gained more weight than rats consuming all their sugar solution during the active period, even though their total caloric intake was the same. They also gained more weight than rats consuming the saturated fat solely during the inactive period. The greater body weight gain in rats consuming sugar in the inactive period was associated with less heat production.

This research suggests that there are differences in the impact sugar drinking can have on body weight gain, depending on when in the day it is consumed. Dr. Oosterman commented, "In today's society where snacks containing saturated fat and beverages containing lots of sugar are readily available to people, it is important to understand the impact these food components have on energy balance. Although there is a lot of attention for the content of the food people consume, little attention is been given to the best or worst timing for certain foods to be consumed."

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Obesity, larger waist size associated with better outcomes in heart failure patients

ScienceDaily (July 3, 2012) — A slim waist and normal weight are usually associated with better health outcomes, but that's not always the case with heart failure patients, according to a new UCLA study.

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Researchers found that in both men and women with advanced heart failure, obesity -- as indicated by a high body mass index (BMI) -- and a higher waist circumference were factors that put them at significantly less risk for adverse outcomes.

The study findings are published in the July 1 online issue of the American Journal of Cardiology.

Heart failure affects 5.8 million people, including 2.5 million women. Approximately one-half to two-thirds of heart failure patients are overweight or obese.

Women and men are known to have differences in body composition and body-fat distribution, and this study is one of the first to specifically assess the impact of BMI and waist circumference on women and compare it with men.

The findings also offer further insight into an observed phenomenon in chronic heart failure known as the "obesity paradox": Obesity is a known risk factor for developing heart disease and heart failure, but once heart failure has manifested, being overweight may provide some protective benefits.

"The study provides us with more insight about how both genders of heart failure patients may be impacted by the obesity paradox," said senior author Dr. Tamara Horwich, an assistant professor of cardiology at the David Geffen School of Medicine at UCLA. "Heart failure may prove to be one of the few health conditions where extra weight may prove to be protective."

For the study, researchers analyzed data on advanced heart failure patients treated at UCLA Medical Center from 1983 to 2011. The team assessed 2,718 patients who had their BMI measured at the beginning of heart failure treatment and 469 patients who had their waist circumference measured at the beginning of treatment.

Using standardized measures, the researchers identified men or women as having a high BMI if they were greater or equal to 25 kg/m² -- this included both overweight patients (25 to 29.9 kg/m²) and obese patients (30 kg/m² or greater).

For men, a high waist circumference was considered 40 inches (102 cm) or greater, and for women, 37 inches (88 cm) or greater. This assessment also included patients who were either overweight or obese.

At the two-year follow-up, researchers used statistical analysis and found that in men, a high waist circumference and high BMI were associated with event-free survival from adverse outcomes like death, the need for a heart transplant, or the need for ventricular assist device placement.

Women with a higher BMI also had better outcomes than their normal-weight counterparts, and women with a high waist circumference also trended toward improved outcomes.

Both men and women with a normal BMI and waist circumference were at a substantially higher risk for these adverse outcomes. In fact, a normal BMI was associated with significantly worse outcomes -- a 34 percent higher risk in men and a 38 percent higher risk in women -- than a high BMI.

Normal waist circumference was also associated with an increased risk of adverse outcomes in both genders, with men's risk doubling and women's risk tripling.

"We knew that obesity might provide a protective benefit for heart failure patients, but we didn't know whether this obesity paradox applied specifically to women with heart failure, as well as men -- and it does," Horwich said.

BMI measurement has been used for years as a surrogate measure of body fat. Since it measures all mass -- including lean muscle, which weighs more than fat -- the measurement may not be specific for total body fat. Waist circumference is a newer addition that may provide a more direct connection to body fat, since it measures the fat accumulated around the belly.

"The study also demonstrates how BMI and waist circumference can be used together to provide a more accurate measure of fat in the body to help determine obesity and assess risk," said the study's first author, Adrienne L. Clark, a resident in the department of medicine at the Geffen School of Medicine.

According to Horwich, no one knows exactly why the obesity paradox exists for heart failure patients, but there are several possible explanations.

Being underweight is traditionally associated with a poorer prognosis in heart failure patients. Obesity may be at the other end of the spectrum, and patients may thereby benefit from increased muscle mass, as well as metabolic reserves in the form of fatty tissue. In addition, increased levels of serum lipoproteins that are associated with increased body fat may play an anti-inflammatory role, neutralizing circulating toxins and inflammation-related proteins.

Obese patients also present at an earlier stage of heart failure due to increased symptoms and functional impairment caused by excess body weight, so they may be getting help sooner, which also could improve outcomes, the researchers said.

The next steps in research will include larger studies with longer follow-up times, as well as a closer look at the physiology behind the obesity paradox.

The study was funded by the National Heart, Lung and Blood Institute, part of the National Institutes of Health (grant 1K23HL085097).

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Why current strategies for fighting obesity are not working

ScienceDaily (July 3, 2012) — As the United States confronts the growing epidemic of obesity among children and adults, a team of University of Colorado School of Medicine obesity researchers concludes that what the nation needs is a new battle plan -- one that replaces the emphasis on widespread food restriction and weight loss with an emphasis on helping people achieve "energy balance" at a healthy body weight.

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In a paper published in the July 3 issue of the journal Circulation, James O. Hill, PhD. and colleagues at the Anschutz Health and Wellness Center take on the debate over whether excessive food intake or insufficient physical activity cause obesity, using the lens of energy balance -- which combines food intake, energy expended through physical activity and energy (fat) storage -- to advance the concept of a "regulated zone," where the mechanisms by which the body establishes energy balance are managed to overcome the body's natural defenses towards preserving existing body weight. This is accomplished by strategies that match food and beverage intake to a higher level of energy expenditure than is typical in America today, enabling the biological system that regulates body weight to work more effectively. Additional support for this concept comes from many studies showing that higher levels of physical activity are associated with low weight gain whereas comparatively low levels of activity are linked to high weight gain over time.

"A healthy body weight is best maintained with a higher level of physical activity than is typical today and with an energy intake that matches," explained Hill, professor of pediatrics and medicine and executive director of the Anschutz Health and Wellness Center at the University of Colorado Anschutz Medical Campus and the lead author of the paper. "We are not going to reduce obesity by focusing only on reducing food intake. Without increasing physical activity in the population we are simply promoting unsustainable levels of food restriction. This strategy hasn't worked so far and it is not likely to work in the future.

As Dr. Hill explains, "What we are really talking about is changing the message from 'Eat Less, Move More" to 'Move More, Eat Smarter.' "

The authors argue that preventing excessive weight gain is a more achievable goal than treating obesity once it is present. Here, the researchers stress that reducing calorie intake by 100 calories a day would prevent weight gain in 90 percent of the adult population and is achievable through small increases in physical activity and small changes in food intake.

People who have a low level of physical activity have trouble achieving energy balance because they must constantly use food restriction to match energy intake to a low level of energy expenditure. Constant food restriction is difficult to maintain long-term and when it cannot be maintained, the result is positive energy balance (when the calories consumed are greater than the calories expended) and an increase in body mass, of which 60 percent to 80 percent is usually body fat. The increasing body mass elevates energy expenditure and helps reestablish energy balance. In fact, the researchers speculate that becoming obese may be the only way to achieve energy balance when living a sedentary lifestyle in a food-abundant environment.

Using an exhaustive review of the energy balance literature as the basis, the researchers also refuted the popular theory that escalating obesity rates can be attributed exclusively to two factors -- the change in the American diet and the rise in overall energy intake without a compensatory increase in energy expenditure. Using rough estimates of increases in food intake and decreases in physical activity from 1971 to 2000, the researchers calculated that were it not for the physiological processes that produce energy balance, American adults would have experienced a 30 to 80 fold increase in weight gain during that period, which demonstrates why it is not realistic to attribute obesity solely to caloric intake or physical activity levels. In fact, energy expenditure has dropped dramatically over the past century as our lives now require much less physical activity just to get through the day. The authors argue that this drop in energy expenditure was a necessary prerequisite for the current obesity problem, which necessitates adding a greater level of physical activity back into our modern lives.

"Addressing obesity requires attention to both food intake and physical activity, said co-author John Peters, PhD., assistant director of the Anschutz Health and Wellness Center. "Strategies that focus on either alone will not likely work."

In addition, the researchers conclude that food restriction alone is not effective in reducing obesity, explaining that although caloric restriction produces weight loss, this process triggers hunger and the body's natural defense to preserve existing body weight, which leads to a lower resting metabolic rate and notable changes in how the body burns calories. As a result, energy requirements after weight loss can be reduced from 170 to 250 calories for a 10 percent weight loss and from 325 to 480 calories for a 20 percent weight loss. These findings provide insight concerning weight loss plateau and the common occurrence of regaining weight after completing a weight loss regimen.

Recognizing that energy balance is a new concept for to the public, the researchers call for educational efforts and new information tools that will teach Americans about energy balance and how food and physical activity choices affect energy balance.

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Abuse during childhood may contribute to obesity in adulthood

ScienceDaily (July 2, 2012) — Investigators from Boston University School of Medicine (BUSM) and Boston University's Slone Epidemiology Center report research findings that may shed light on influences on obesity during adulthood. Appearing in the journal Pediatrics, the study found an association of severity of sexual and physical abuse during childhood and adolescence with obesity during adulthood.

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The findings were based on the ongoing Black Women's Health Study, which has followed a large cohort of African-American women since 1995. Information provided in 2005 by more than 33,000 participants on early life experiences of abuse was assessed in relation to two measures of obesity: body mass index of 30 kg/m2 or more as a measure of overall obesity and waist circumference greater than 35 inches as a measure of central obesity.

The risk of obesity in 2005 by either measure was estimated to be approximately 30 percent greater among women in the highest category of physical and sexual abuse than in women who reported no abuse. The association was dampened but not fully explained by allowance for reproductive history, diet, physical activity and depressive symptoms, which might have been intermediates between abuse and weight gain.

According to the researchers, the findings add to growing evidence that experiences during childhood may have long-term health consequences. "Abuse during childhood may adversely shape health behaviors and coping strategies, which could lead to greater weight gain in later life," explained Renee Boynton-Jarrett, MD, the lead investigator of the study and a pediatric primary care physician at Boston Medical Center. She also noted that metabolic and hormonal disruptions resulting from abuse could have that effect and that childhood abuse could be a marker for other adversities. "Ultimately, greater understanding of pathways between early life abuse and adult weight status may inform obesity prevention and treatment approaches." Boynton-Jarrett cautioned that further studies are needed to clarify just which factors are responsible for the association of abuse with obesity and noted there is a consensus that pediatric providers should screen for abuse.

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Phthalate, environmental chemical is linked to higher rates of childhood obesity

ScienceDaily (June 26, 2012) — Obese children show greater exposure than nonobese children to a phthalate, a chemical used to soften plastics in some children's toys and many household products, according to a new study, which found that the obesity risk increases according to the level of the chemical found in the bloodstream.

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The study will be presented Saturday at The Endocrine Society's 94th Annual Meeting in Houston.

The chemical, di-ethylhexyl phthalate (DEHP), is a common type of phthalate, a group of industrial chemicals that are suspected endocrine disruptors, or hormone-altering agents.

In the study, children with the highest DEHP levels had nearly five times the odds of being obese compared with children who had the lowest DEHP levels, study co-author Mi Jung Park, MD, PhD, said.

"Although this study cannot prove causality between childhood obesity and phthalate exposure, it alerts the public to recognize the possible harm and make efforts to reduce this exposure, especially in children," said Park, a pediatric endocrinologist in Seoul, Korea, at Sanggye Paik Hospital and professor at Inje University College of Medicine.

Phthalates are found in some pacifiers, plastic food packages, medical equipment and building materials such as vinyl flooring, and even in nonplastic personal care products, including soap, shampoo and nail polish.

Prior research has shown that phthalates may change gene expression associated with fat metabolism, according to Dr. Park. Because past research suggested a link between concentrations of phthalate metabolites and increased waist size in adults, her group studied a possible connection with childhood obesity.

Dr.Park and colleagues measured serum levels of DEHP in 204 children: 105 obese and 99 healthy-weight youth ages 6 to 13 years. The researchers divided these DEHP measurements into four groups from the lowest detectable level (40.2 nanograms per milliliter, or ng/mL) to the highest (69.7 to 177.1 ng/mL).

They found that the obese children had a significantly higher average DEHP level than did the nonobese controls (107 versus 53.8 ng/mL, respectively). In particular, a high DEHP level correlated with body mass index and percentage of fat mass. This increased risk of obesity with elevation of DEHP levels was independent of factors such as physical activity and daily calorie intake, according to the authors.

"More research in people is needed to determine whether DEHP exposure contributes to childhood obesity," Dr.Park said.

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FDA approves Arena obesity drug; first in 13 years

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Plastics Chemical Linked to Obesity in Kids

HealthDay – 48 mins ago SATURDAY, June 23 (HealthDay News) -- It's hard to imagine a pacifier or a rubber ducky making your child fat.

But new research suggests that chemicals called phthalates, which are found in the plastics that pacifiers and toys are typically made of, may be linked to higher rates of obesity in children.

The chemical, called di-ethylhexyl phthalate (DEHP), is suspected of being able to alter biological functions involved in fat metabolism. In the study, children with the highest DEHP levels had nearly five times the chance of being obese compared with those who had the lowest DEHP levels.

How could a chemical used to soften plastics trigger fat development in a child?

"It may trigger the master regulator of fat creation and lipid metabolism," explained study co-author Dr. Mi-Jung Park, a pediatric endocrinologist and professor at Inje University College of Medicine, in Seoul, South Korea.

DEHP may do two different things that increase fat development, Park said. It may reduce the effect of androgen -- a male sex hormone -- which lowers body-mass index (BMI). It may also disrupt thyroid function, which plays a role in weight gain. Interfering with androgen or thyroid hormones can affect appetite or a person's rate of metabolizing food, she explained.

Other studies have linked phthalates to breast growth in boys, reproductive problems in men and low birth weight.

The researchers measured blood levels of DEHP in 204 children ranging from 6 to 13 years old; 105 were considered obese and 99 were of normal weight.

Children with a higher BMI, a measurement of body fat, had higher DEHP levels. The increased risk of obesity with elevated DEHP levels was not related to the amount of physical activity they got or their daily calorie intake.

The study, scheduled for presentation Saturday at the Endocrine Society's annual meeting in Houston, did not demonstrate a causal relationship between blood levels of DEHP and obesity.

Park said parents should understand that phthalates are virtually everywhere -- in food, water, plastic bags and packaging wraps, cosmetics, lotions, shampoo and toys. Pregnant women, premature infants and young children may be particularly sensitive to the chemical, she said. "Putting hot water or hot food into a plastic container may be dangerous," she added.

Johanna Congleton, senior scientist and toxicologist at the Environmental Working Group in Washington, D.C., recommends avoiding exposure to phthalates. "It's a good precautionary measure, and consumer product manufacturers should phase out the use of such compounds," she said.

Research presented at medical meetings should be viewed as preliminary until published in a peer-reviewed medical journal.

More information

For more on phthalates, go to the Environmental Working Group.

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Apple peel compound boosts brown fat, reduces obesity in mice

ScienceDaily (June 20, 2012) — Obesity and its associated problems such as diabetes and fatty liver disease are increasingly common global health concerns. A new study by University of Iowa researchers shows that a natural substance found in apple peel can partially protect mice from obesity and some of its harmful effects.

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The findings suggest that the substance known as ursolic acid reduces obesity and its associated health problems by increasing the amount of muscle and brown fat, two tissues recognized for their calorie-burning properties.

The study, which was published June 20 in the journal PLoS ONE, was led by Christopher Adams, M.D., Ph.D., UI associate professor of internal medicine and a Faculty Scholar at the Fraternal Order of Eagles Diabetes Research Center at the UI.

"From previous work, we knew that ursolic acid increases muscle mass and strength in healthy mice, which is important because it might suggest a potential therapy for muscle wasting," Adams says. "In this study, we tested ursolic acid in mice on a high-fat diet -- a mouse model of obesity and metabolic syndrome. Once again, ursolic acid increased skeletal muscle. Interestingly, it also reduced obesity, pre-diabetes and fatty liver disease.

"Since muscle is very good at burning calories, the increased muscle in ursolic acid-treated mice may be sufficient to explain how ursolic acid reduces obesity. However, we were surprised to find that ursolic acid also increased brown fat, a fantastic calorie burner. This increase in brown fat may also help protect against obesity."

Until quite recently, researchers believed that only infants had brown fat, which then disappeared during childhood. However, improved imaging techniques have shown that adults do retain a very small amount of the substance mostly in the neck and between the shoulder blades. Some studies have linked increased levels of brown fat with lower levels of obesity and healthier levels of blood sugar and blood lipid, leading to the suggestion that brown fat may be helpful in preventing obesity and diabetes.

The UI team, which also included Steven Kunkel, Christopher Elmore, Kale Bongers, Scott Ebert, Daniel Fox, Michael Dyle, and Steven Bullard, studied mice on a high-fat diet over a period of several weeks. Half of the animals also received ursolic acid in their high-fat food. Interestingly, mice whose diet included ursolic acid actually ate more food than mice not getting the supplement, and there was no difference in activity between the two groups. Despite this, the ursolic acid-treated mice gained less weight and their blood sugar level remained near normal. Ursolic acid-treated mice also failed to develop obesity-related fatty liver disease, a common and currently untreatable condition that affects about one in five American adults.

Further study showed that ursolic acid consumption increased skeletal muscle, increasing the animals' strength and endurance, and also boosted the amount of brown fat. Because both muscle and brown fat burn calories, the researchers investigated energy expenditure in the mice and showed that ursolic acid-fed mice burned more calories than mice that didn't get the supplement.

"Our study suggests that ursolic acid increases skeletal muscle and brown fat leading to increased calorie burning, which in turn protects against diet-induced obesity, pre-diabetes and fatty liver disease," Adams says. "Brown fat is beneficial and people are trying to figure out ways to increase it. At this point, we don't know how ursolic acid increases brown fat, or if it increases brown fat in healthy mice. And, most importantly, we don't know if ursolic acid will benefit people. Our next step is to determine if ursolic acid can help patients."

The research was supported by funding from the Fraternal Order of Eagles Diabetes Research Center at the University of Iowa, the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health (grant 5R01AR059115-03), the Department of Veterans Affairs, and the University of Iowa Research Foundation.

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AMA supports requiring obesity education for kids

The American Medical Association on Wednesday put its weight behind requiring yearly instruction aimed at preventing obesity for public schoolchildren and teens.

The nation's largest physicians group agreed to support legislation that would require classes in causes, consequences and prevention of obesity for first through 12th graders. Doctors will be encouraged to volunteer their time to help with that under the new policy adopted on the final day of the AMA's annual policymaking meeting.

Another new policy adopted Wednesday says the AMA supports the idea of using revenue from taxes on sugar-sweetened sodas as one way to help pay for obesity-fighting programs. But the group stopped short of fully endorsing such taxes.

Some doctors think soda taxes would disproportionately hurt the poor and disadvantaged. Others said taxes shouldn't be used to force people to make healthful decisions they should be making on their own.

Doctors at the meeting shared sobering statistics and personal stories in urging the AMA to sharpen its focus on obesity prevention.

"I can't tell you the number of 40-pound 1-year-olds I see every day," Dr. Melissa Garretson, a Stephensville, Texas pediatrician, told the delegates before Wednesday's vote. She said requiring obesity education "is a great idea."

The measure was drafted by the AMA's Pennsylvania delegation. It cited data showing that more than 300 million people worldwide are obese and said requiring nutrition education to prevent obesity has never been proposed.

Obesity affects more than one-third of U.S. adults and almost one in five children, or more than 12 million kids. Recent evidence suggests those numbers may have stabilized, but doctors say that's small consolation when so many people are still too fat.

Excess weight is strongly linked with diabetes, heart disease and some cancers, and weight loss of just 5 percent can help improve health, the Pennsylvania doctors' measure said.

Dr. Bruce Wilder, a delegation member, said he will ask Pennsylvania legislators to introduce legislation to enact that requirement in schools.

In other action at the meeting, the AMA voted to:

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Childhood obesity linked to math performance, researcher says

ScienceDaily (June 14, 2012) — Childhood obesity has increased dramatically throughout the past 40 years and has been tied to many health problems. Now, a University of Missouri researcher has found that children's weight is associated with their math performance.

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"The findings illustrate the complex relationships among children's weight, social and emotional well-being, academics and time," said Sara Gable, associate professor in the MU Department of Nutrition and Exercise Physiology, who led the study.

Gable looked at more than 6,250 children from the Early Childhood Longitudinal Study-Kindergarten Cohort, a nationally representative sample. The children were followed from the time they started kindergarten through fifth grade. At five points in time, parents provided information about their families, teachers reported on the children's interpersonal skills and emotional well-being, and children were weighed and measured; they also took academic tests.

When compared with children who were never obese, boys and girls whose obesity persisted from the start of kindergarten through fifth grade performed worse on the math tests, starting in first grade. Their lower performance continued through fifth grade. For boys whose obesity emerged later -- in third or fifth grade -- no such differences were found. For girls who became obese later, poorer math performance was temporary.

In addition, for girls who were persistently obese, having fewer social skills explained some part of their poorer math performance. For both boys and girls who were persistently obese, feeling sadder, lonelier and more anxious also explained some of their poorer math performance.

"Our study suggests that childhood obesity, especially obesity that persists throughout the elementary grades, can harm children's social and emotional well-being and academic performance," Gable said.

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Soft drink consumption not the major contributor to childhood obesity, study says

ScienceDaily (June 14, 2012) — Most children and youth who consume soft drinks and other sweetened beverages, such as fruit punch and lemonade, are not at any higher risk for obesity than their peers who drink healthy beverages, says a new study published in the October issue of Applied Physiology, Nutrition, and Metabolism. The study examined the relationship between beverage intake patterns of Canadian children and their risk for obesity and found sweetened beverage intake to be a risk factor only in boys aged 6-11.

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"We found sweetened drinks to be dominant beverages during childhood, but saw no consistent association between beverage intake patterns and overweight and obesity," says lead author Susan J. Whiting. "Food and beverage habits are formed early in life and are often maintained into adulthood. Overconsumption of sweetened beverages may put some children at increased risk for overweight and obesity. Indeed, boys aged 6-11 years who consumed mostly soft drinks were shown to be at increased risk for overweight and obesity as compared with those who drank a more moderate beverage pattern."

The authors determined beverage consumption patterns among Canadian children aged 2-18 years using cluster analysis where sociodemographics, ethnicity, household income, and food security were significantly different across the clusters. Data were divided into different age and gender groups and beverage preferences were studied. For this study the sweetened, low-nutrient beverages, categorized according to Canada's Food Guide, consisted of fruit-flavoured beverages, beverages with less than 100% fruit juice, lemonades, regular soft drinks, and sweetened coffees or teas.

The authors found the main predictors of childhood obesity in Canadian children were household income, ethnicity, and household food security.

The study "Beverage patterns among Canadian children and relationship to overweight and obesity" appears in the October issue of Applied Physiology, Nutrition, and Metabolism.

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Wild almond tree oil may combat obesity, diabetes

ScienceDaily (June 18, 2012) — A future weapon in the battle against obesity and diabetes could come in the form of an oil derived from the seeds of wild almond trees, according to researchers at Missouri University of Science and Technology.

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The key to the oil's potential lies in its ability to affect certain microorganisms living in our bellies.

In a study presented June 18 at the American Society for Microbiology's general meeting in San Francisco, Missouri S&T researchers reported that adding sterculic oil to the diets of obese laboratory mice increased their sensitivity to insulin. This was due to the oil's effect on three types of microorganisms that live in the guts of the mice.

As a result, the researchers saw a "statistically significant improvement in glucose tolerance and insulin sensitivity in the obese mice," says Shreya Ghosh, a Ph.D. student in environmental engineering at Missouri S&T. The sterculic oil had no adverse affects on lean mice fed the same diet.

Sterculic oil is extracted from the seeds of the wild almond tree known as Sterculia foetida.

The research by Ghosh and her advisor, Dr. Daniel Oerther, builds upon previous studies conducted at the University of Missouri-Columbia. In those studies, sterculic oil was found to suppress the bodily enzyme stearoyl-CoA desaturase 1 (SCD1). SCD1 is associated with insulin resistance, a condition that can lead to diabetes and obesity.

Other studies have shown that obese mice deficient in the hormone leptin have a different composition of "gut microbiota" than do lean mice. (Those studies are referenced in a 2011 article in Nature Reviews Microbiology) Leptin helps regulate metabolism, and a deficiency of the hormone can contribute to obesity, says Oerther, the John and Susan Mathes Chair of Environmental Engineering at Missouri S&T.

In the Missouri S&T study, a diet supplemented by sterculic oil also correlated with lower levels of three types of gut microbiota -- Actinobacteria, Bacilli and Erysipelotrichia -- in the obese mice. It isn't clear, however, whether the lower levels of those microbiota led to the improvement of glucose tolerance and insulin sensitivity among the obese mice, Oerther says.

To perform her experiments, Ghosh studied 28 male mice -- 14 of them obese and 14 normal, and each of them five weeks old at the beginning of the study. She separated the mice into four groups and for nine weeks, fed a standard diet to one group of obese mice and one group of non-obese mice. Over the same period, she fed the same diet, supplemented with 0.5 percent of sterculic oil, to one group of obese mice and one group of non-obese mice. Ghosh recorded the weights, food consumption and glucose levels of the mice during the nine-week period.

After the nine weeks, researchers conducted a DNA analysis of the gut microbiota at King Abdullah Institute of Science and Technology in Saudi Arabia. The results confirmed correlations between the diet, improved glucose tolerance and groups of microbes. Even though the mice fed a diet with sterculic oil did not experience weight loss, both Ghosh and Oerther believe their findings could lead to new insights into controlling diabetes and weight gain.

Ghosh's research poster presentation at the ASM meeting is titled "Responses of Gut Microbiota to Sterculic Oil Supplemented Diet in Lean and Obese Mice." Her co-authors were Oerther; Dr. James W. Perfield II, assistant professor of food science at the University of Missouri-Columbia; and Dr. Pascal Saikaly, assistant professor of environmental science and engineering at King Abdullah University of Science and Technology in Saudi Arabia.

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Peaches, plums, nectarines give obesity, diabetes slim chance

ScienceDaily (June 18, 2012) — Peaches, plums and nectarines have bioactive compounds that can potentially fight-off obesity-related diabetes and cardiovascular disease, according to new studies by Texas AgriLife Research.

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The study, which will be presented at the American Chemical Society in Philadelphia next August, showed that the compounds in stone fruits could be a weapon against "metabolic syndrome," in which obesity and inflammation lead to serious health issues, according to Dr. Luis Cisneros-Zevallos, AgriLife Research food scientist.

"In recent years obesity has become a major concern in society due to the health problems associated to it," said Cisneros-Zevallos, who also is an associate professor at Texas A&M University. "In the U.S., statistics show that around 30 percent of the population is overweight or obese, and these cases are increasing every year in alarming numbers."

While he acknowledged that lifestyle, genetic predisposition and diet play a major role in one's tendency toward obesity, "the major concern about obesity is the associated disease known as metabolic syndrome.

"Our studies have shown that stone fruits -- peaches, plums and nectarines -- have bioactive compounds that can potentially fight the syndrome," Cisneros-Zevallos said. "Our work indicates that phenolic compounds present in these fruits have anti-obesity, anti-inflammatory and anti-diabetic properties in different cell lines and may also reduce the oxidation of bad cholesterol LDL which is associated to cardiovascular disease."

What is unique to these fruits, he said, is that their mixture of the bioactive compounds work simultaneously within the different components of the disease.

"Our work shows that the four major phenolic groups -- anthocyanins, clorogenic acids, quercetin derivatives and catechins -- work on different cells -- fat cells, macrophages and vascular endothelial cells," he explained. "They modulate different expressions of genes and proteins depending on the type of compound.

"However, at the same time, all of them are working simultaneously in different fronts against the components of the disease, including obesity, inflammation, diabetes and cardiovascular disease," he explained.

Cisneros-Zevallos said this is believed to be the first time that "bioactive compounds of a fruit have been shown to potentially work in different fronts against a disease."

"Each of these stone fruits contain similar phenolic groups but in differing proportions so all of them are a good source of health promoting compounds and may complement each other," he said, adding that his team plans to continue studying the role of each type of compound on the molecular mechanisms and confirm the work with mice studies.

The studies on the health benefits of stone fruit are funded by the California Tree Fruit Agreement, The California Plum Board, the California Grape and Tree Fruit League and the Texas Department of Agriculture. The Cisneros-Zevallos lab team in this study included Freddy Ibanez, Paula Castillo, Paula Simons and Dr. Congmei Cao.

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