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Query: UMLS:C0028754 (obesity)
 124,988 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Meal-induced thermogenesis is reported to be reduced in obese patients and the purpose of this study was to find out whether thermogenesis after a mixed meal differs between previously obese (post-obese) subjects and non-obese controls. Nine post-obese patients (body mass index 27 +/- 1) and nine age- and sex-matched non-obese volunteers (body mass index 22 +/- 1) were studied with continuous indirect calorimetry in the basal state and after the ingestion of a standardized test meal. Following treatment with vertical banded gastroplasty for the obesity, the weight of the patients had decreased by an average of 44 +/- 5 kg. Basal oxygen uptake and energy expenditure did not differ between the post-obese and the controls. After the meal, energy expenditure increased rapidly, becoming relatively constant after 60 min; the average increase above basal was in the post-obese 30.5 +/- 1.8% and in the non-obese controls 29.5 +/- 2.3% (NS). In absolute terms, the increments above basal were also similar in the two groups. The heart rate was higher in the post-obese group throughout the study period. It is concluded that the thermogenic response to a mixed meal is much the same in post-obese subjects and in non-obese controls. These findings support the notion that a decreased meal-induced thermogenesis is a secondary phenomenon rather than a primary pathogenic factor in human obesity.
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PMID:Meal-induced thermogenesis in previously obese patients. 230 39

Weight loss through caloric restriction produces compensatory reductions in the whole body energy expenditure of normal rats. The present experiment determined whether rats who had become obese after ventromedial hypothalamic (VMH) lesions displayed this metabolic defense of body weight. Obese VMH-lesioned and normal-weight control female rats were assigned to one of three weight maintenance conditions (100, 90, and 80% of previously maintained body weight). Postabsorptive oxygen consumption was then measured by open-circuit respirometery while, simultaneously, behavioral activity was measured by stabilimeter. A marked decline in resting energy expenditure and behavioral activity, seen in control rats after weight loss, was absent in VMH-lesioned rats. These results suggest that VMH lesions impair the ability to adjust energy expenditure in response to alterations in nutritional status, a response that normally serves to stabilize body weight at a regulated level.
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PMID:Ventromedial hypothalamic lesions abolish compensatory reduction in energy expenditure to weight loss. 230 37

Mice selected for high body weight (QL522) had increased food intake, body weight gain, and fat deposition relative to mice without weight selection (QL521). Brown adipose tissue (BAT) thermogenic capacity, as determined by the tissue content of protein, DNA, and succinate dehydrogenase and by mitochondrial uncoupling protein content was similar or slightly higher in 2- and 10-mo-old QL522 mice relative to age-matched QL521 mice. When food intake of QL522 mice was restricted to the level of QL521 mice, body weight gain and fat deposition over 28 days were then comparable to those of QL521 mice. Food restriction had no effect on BAT composition of QL522 mice. Both QL521 and QL522 mice increased calorie intake by 40-50% when offered a palatable high-fat supplement (HF), but only QL522 mice increased weight gain and fat deposition significantly. QL521 mice fed a high-fat supplement showed a significant increase in brown fat succinate dehydrogenase content, whereas QL522 mice showed significant increases in brown fat weight, protein, and succinate dehydrogenase content relative to mice fed stock diet. Nonshivering thermogenic capacity, as assessed by norepinephrine-stimulated oxygen uptake in anesthetized animals at 30 degrees C was similar between QL521 and QL522 mice eating stock diet and was significantly increased by the high-fat supplement in both strains. Thus mice selected for high body weight are very susceptible to diet-induced obesity, and we have no evidence that a reduction in brown fat thermogenic capacity contributes to the increased fat deposition of QL522 mice as they grow old or when they are offered palatable energy-dense supplements.
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PMID:Weight gain and brown fat composition of mice selected for high body weight fed a high-fat diet. 231 10

The anti-obesity drug fenfluramine, promotes loss of weight by reducing food intake; however, there is controversy as to whether the drug can also elevate expenditure of energy. Resting consumption of oxygen (VO2) was measured in conscious rats to determine whether the injection of fenfluramine increased metabolic rate and whether prior fasting, or ambient temperature altered the response. Regardless of whether the rats were fed or had been fasted for 22 hr, in a thermoneutral environment (28 degrees C), the intraperitoneal injection of dl-fenfluramine (20 mg/kg) caused a raised oxygen consumption. This elevation was sustained to the end of the 60-min period of measurement after the injection, at which point the colonic temperature was found to be increased. This metabolic response to fenfluramine was largely attenuated when the drug was administered at 23 degrees C, and the colonic temperature of the rats was decreased by 60 min after the injection. At 4 degrees C, the injection of fenfluramine inhibited thermogenesis against cold, the oxygen consumption fell and the rats exhibited hypothermia. It was concluded that fenfluramine can increase the metabolic rate, but that this effect is not conditional on associated food intake, as has been reported. Rather, the ambient temperature governs whether stimulation or inhibition of thermogenesis will be evoked. These metabolic effects of fenfluramine explain, in part, its divergent effects on body temperature, reported previously.
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PMID:Ambient temperature modulation of fenfluramine-induced thermogenesis in the rat. 232 33

The purposes of this study were to document the prevalence of cardiovascular disease risk factors in twenty black children to compare methods of measurement of blood pressure, body composition, and smoking; and to evaluate the effects of a ten week aerobic exercise training programme on blood pressure, cholesterol, smoking behaviour, and oxygen consumption. At pretest 25% of the children had blood pressures above the 90th percentile for their age or gender, 60% had a total cholesterol above 180 mg/dl and 35% exceeded 28% body fat. The mean difference score between systolic blood pressure and diastolic blood pressure measurements using a standard mercury sphygmomanometer and the Dinamap manometer was 1.5 (P less than 0.01) and 14.9 (P less than 0.0001) respectively. There was no significant difference in any of the methods used to measure body composition. Finally, there was no significant difference between the groups with regard to the dependent variables. Although the investigators identified the presence of elevated blood pressure, elevated total cholesterol, and obesity in this sample, the aerobic exercise training programme did not alter the risk profile. The authors urge caution in interpreting these results. Selection of the method for measurement of BP should be made with caution. A clear understanding of how each instrument works and its precision must be considered. Selection of the method for measurement of body composition can be based upon factors such as availability of equipment, cost, convenience, and subject preference.
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PMID:Exercise and cardiovascular risk in black children. 233 83

The role of weight loss in the therapy of obstructive sleep apnea syndrome (OSAS) was investigated in 23 affected patients with various degrees of obesity (body mass index range 26.6-61.0) free of cranio-facial malformations. Weight loss resulted 18.5 +/- 14.7 (s.d.) kg and was significantly correlated with baseline BMI value (r = 0.94; P less than 0.0001). Weight loss significantly reduced the number of apneas + hypopneas per hour of sleep ((A + H)I) from 66.5 +/- 23.0 to 33.0 +/- 26.2 (P less than 0.0001) and improved the mean of oxygen desaturation peaks during apneas (mSaO2) from 81.9 +/- 6.9 to 87.6 +/- 3.9; P less than 0.001). A significant correlation was found between weight loss and changes in the (A + H)I (r = -0.55; P less than 0.01) and the mSaO2 (r = 0.46; P less than 0.05). The (A + H)I significantly improved in both patients who lost more than 10 kg (basal BMI: 42.3 +/- 10.0) and in those who lost less than 10 kg (basal BMI: 30.2 +/- 2.3), whereas the mSaO2 improved only in the former. Obese patients with moderate to heavy ORL pathological findings had worse pretreatment and final OSAS parameters than those with absent or mild ORL lesions. However, both groups showed a significant, although quantitatively different, improvement of the (A + H)I and mSaO2 after weight loss. Compared to those who were cured or improved after the treatment, patients who failed to obtain significant effects on OSAS clinical presentation also had a significantly higher prevalence of ORL pathology. It is concluded that: (1) weight loss improves parameters and clinical presentation of OSAS in the majority of affected obese patients; (2) a relationship exists between the entity of weight loss and that of improvement of the syndrome; (3) weight loss must be encouraged even in patients with mild to moderate overweight; (4) the presence of ORL pathology may represent a confusing factor in the interpretation of the results obtained after weight loss.
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PMID:Treatment of obese patients with obstructive sleep apnea syndrome (OSAS): effect of weight loss and interference of otorhinolaryngoiatric pathology. 234 Dec 27

Arterial hemoglobin oxygen saturation was prospectively monitored in 103 consecutive patients undergoing office colonoscopy to determine the incidence of any clinical characteristics which might predict arterial desaturation to less than 90%. Baseline saturations were obtained prior to premedications and continuously during the examination using a finger mounted pulse oximeter. Intravenous premedication regimens varied from none to a maximal dose of 50 mg of meperidine and 10 mg of diazepam. All colonoscopies included cecal intubation and were performed by one investigator employing a video colonoscope. The incidence of desaturation was 41% without significant variation among the sedation groups. Age was positively correlated with desaturation (p less than 0.05). Sex, obesity, history of lung or heart disease, chronic cardiac medications, and baseline saturation percentage failed to be sensitive predictors of desaturation. No parameter could be correlated with prolongation of desaturation below 90%. No adverse outcomes or complications were noted during the periendoscopy period, suggesting that oximetry monitoring during outpatient colonoscopy may not be clinically useful.
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PMID:Arterial oxygen desaturation during ambulatory colonoscopy: predictability, incidence, and clinical insignificance. 235 Dec 56

Overnight monitoring using pulse oximeter was performed on 10 patients with Duchenne muscular dystrophy (mean age, 22; mean %FVC, 26.6%; mean PaCO2, 54.1 Torr; mean PaO2 76.6 Torr). At the same time, spinal deformity and obesity were examined. In 4 patients, the measurement of the chest and abdominal wall movements were performed by using a respisomnograph. In 5 patients, nocturnal desaturation below 95% occurred despite normal daylight blood gas tension. In the other 5 patients with hypercapnea of over 50 Torr, nocturnal desaturation below 85% occurred, and 3 patients required oxygen supplementation treatment using a low concentration of oxygen. In 4 patients with hypercapnea over 50 Torr, cuirass-assisted respirators were used and they prevented mild nocturnal desaturation, but did not have much effect on severe nocturnal desaturation. Nocturnal desaturation was associated not only with hypopnea and hypoventilation, but with normal chest and abdominal wall movement using cuirass-assisted respirators. It seemed that desaturation with normal respiratory pattern can be attributed to ventilation-perfusion mismatching. The severity of the desaturation did not always correlate to the spinal deformity and the obesity.
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PMID:[Nocturnal hypoxia and treatment in the patients with Duchenne muscular dystrophy]. 237 59

To test whether or not the onset of obesity in fatty (fa/fa) Zucker rats is caused by decreased thermoregulatory thermogenesis, pups were artificially reared above their lower critical temperature from 3 or 4 days of age. Littermates were continuously fed identical amounts of synthetic rat milk while body temperature (Tc) and oxygen consumption rate (VO2) were continuously recorded. When the daily mean Tc of all pups was held greater than 37 degrees C, neither Tc nor VO2 differed between fa/fa and genetically lean (Fa/-) pups during the first 2 wk of life. Tc and VO2 were significantly elevated in Fa/- pups during the third postnatal week. At both 16 and 21 days of age, fa/fa pups were identified by their low Tc during a brief cold exposure. Body fat and fat-free dry mass of fa/fa and Fa/- littermates differed at 21 but not at 16 days of age. The excess energy deposited as fat was partly derived from decreased nonthermoregulatory energy expenditure and decreased synthesis of lean body mass. Calculations support the speculation that a greater extraction of energy from the synthetic diet additionally supports the excess fat deposition. Decreased thermoregulatory thermogenesis and excess fat storage appear to be secondary and independent consequences of the primary genetic lesion.
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PMID:Defective thermoregulatory thermogenesis does not cause onset of obesity in Zucker rats. 237 52

We have studied the predictive importance of neck circumference, obesity, and several radiographic pharyngeal dimensions for obstructive sleep apnoea (OSA), in 66 patients. OSA was quantified as the mean hourly number of greater than 4% dips in arterial oxygen saturation during sleep. Neck circumference (correlation coefficient (r) = 0.63, 95% confidence interval (C.I.) 0.46-0.76), obesity index (r = 0.54, 95% C.I. 0.39-0.69), hyoid position (r = 0.40, 95% C.I. 0.17-0.59), soft palate length (r = 0.31, 95% C.I. 0.08-0.51), and hard palate-to-spine angle (r = 0.29, 95% C.I. 0.04-0.49), correlated significantly with saturation dips in single regression analysis. In stepwise multiple linear regression analysis (saturation dip rate as the dependent variable), only neck size and retroglossal space were significant independent correlates (total r2 = 0.42, 95% C.I. 0.22-0.61, p less than 0.0001). We conclude that the relationships between general obesity, hyoid position, soft palate length, and OSA are probably secondary to variation in neck circumference.
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PMID:The relationship between neck circumference, radiographic pharyngeal anatomy, and the obstructive sleep apnoea syndrome. 237 47


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