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Weight Regain Prevention

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https://www.readbyqxmd.com/read/27916987/weight-loss-induced-cellular-stress-in-subcutaneous-adipose-tissue-and-the-risk-for-weight-regain-in-overweight-and-obese-adults
#1
N J T Roumans, R G Vink, F G Bouwman, P Fazelzadeh, M A van Baak, E C M Mariman
BACKGROUND/OBJECTIVE: Weight loss is often followed by weight regain after the dietary intervention (DI). Cellular stress is increased in adipose tissue of obese individuals. However, the relation between cellular stress and weight regain is unclear. Previously, we observed increased adipose tissue cellular stress of participants regaining weight compared to participants maintaining weight loss. In the current study, we further investigated the relation between weight regain and changes in the expression of stress-related genes and stress protein levels to determine possible predictors of weight regain...
December 5, 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27910718/substituting-poly-and-mono-unsaturated-fat-for-dietary-carbohydrate-reduces-hyperinsulinemia-in-women-with-polycystic-ovary-syndrome
#2
Dalia Perelman, Nicole Coghlan, Cindy Lamendola, Susan Carter, Fahim Abbasi, Tracey McLaughlin
OBJECTIVE: Hyperinsulinemia is a prevalent feature of polycystic ovary syndrome (PCOS), contributing to metabolic and reproductive manifestations of the syndrome. Weight loss reduces hyperinsulinemia but weight regain is the norm, thus preventing long-term benefits. In the absence of weight loss, replacement of dietary carbohydrate (CHO) with mono/polyunsaturated fat reduces ambient insulin concentrations in non-PCOS subjects. The current study evaluated whether this dietary intervention could ameliorate hyperinsulinemia in women with PCOS...
December 2, 2016: Gynecological Endocrinology
https://www.readbyqxmd.com/read/27903153/management-of-obesity
#3
Naji Alamuddin, Zayna Bakizada, Thomas A Wadden
This review examines weight loss and accompanying improvements in obesity-related comorbidities produced by intensive lifestyle intervention, pharmacotherapy, and bariatric surgery. Obese individuals lose approximately 6 to 8 kg (approximately 6% to 8% of initial weight) with 6 months of participation in a high-intensity lifestyle intervention (≥ 14 treatment visits) consisting of diet, physical activity, and behavior therapy. Such losses reduce progression to type 2 diabetes in at-risk people and decrease blood pressure and triglyceride levels...
December 10, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/27902660/preventing-long-term-poor-outcomes-in-the-bariatric-patient-postoperatively
#4
Melissa Cooley
The obesity epidemic in America continues to rise. People are desperately trying to find ways to lose weight successfully and keep the weight off, and many people are turning to bariatric surgery as the only remaining option for morbid obesity. Bariatric surgery is considered to be a viable treatment option for morbid obesity. However, long-term data are revealing that many postsurgical bariatric patients are regaining the weight after 5 years. The purpose of lifelong follow-up appointments in the bariatric patient is to prevent weight regain and poor outcomes...
January 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/27891267/marginal-zone-lymphoma-complicated-by-protein-losing-enteropathy
#5
Nadine Stanek, Peter Bauerfeind, Guido Herzog, Henriette Heinrich, Matthias Sauter, Daniela Lenggenhager, Cäcilia Reiner, Markus G Manz, Jeroen S Goede, Benjamin Misselwitz
Protein losing enteropathy (PLE) refers to excessive intestinal protein loss, resulting in hypoalbuminemia. Underlying pathologies include conditions leading to either reduced intestinal barrier or lymphatic congestion. We describe the case of a patient with long-lasting diffuse abdominal problems and PLE. Repetitive endoscopies were normal with only minimal lymphangiectasia in biopsies. Further evaluations revealed an indolent marginal zone lymphoma with minor bone marrow infiltration. Monotherapy with rituximab decreased bone marrow infiltration of the lymphoma but did not relieve PLE...
2016: Case Reports in Hematology
https://www.readbyqxmd.com/read/27783610/-vaccines-history-and-stories-between-reality-and-imagination
#6
Elisa Terracciano, Ermanno Zorzoli, Gian Loreto D'Alò, Laura Zaratti, Elisabetta Franco
Vaccinations and the controversy around them always go in parallel. We identified four categories blending in various amounts of truth and imagination: history, myths, shams and frauds. Over the years, they have alternated and sometimes transformed into one another. This sharp separation into categories is certainly academic and forced. In fact, the line between these aspects is not clear enough to allow a rigid and well-defined division. Our work starts from the category containing the most truthfulness: history, and goes on to analyze two categories that add fantasy to facts: myths and shams (or better, "old wives' tales")...
July 2016: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/27771313/food-cravings-and-food-consumption-after-roux-en-y-gastric-bypass-versus-cholecystectomy
#7
Reena Sudan, Ranjan Sudan, Elizabeth Lyden, Jon S Thompson
BACKGROUND: Food cravings and consumption of craved foods after Roux-en-Y gastric bypass (RYGB) are poorly understood. Food cravings after bariatric surgery may explain why some patients fail to change eating behaviors after RYGB, and understanding these cravings may provide better information for nutritional counseling to either enhance weight loss or prevent weight regain. OBJECTIVES: To study cravings in RYGB patients and compare them with cholecystectomy (CC) control patients...
September 9, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27716209/effects-of-testosterone-treatment-on-body-fat-and-lean-mass-in-obese-men-on-a-hypocaloric-diet-a-randomised-controlled-trial
#8
Mark Ng Tang Fui, Luke A Prendergast, Philippe Dupuis, Manjri Raval, Boyd J Strauss, Jeffrey D Zajac, Mathis Grossmann
BACKGROUND: Whether testosterone treatment has benefits on body composition over and above caloric restriction in men is unknown. We hypothesised that testosterone treatment augments diet-induced loss of fat mass and prevents loss of muscle mass. METHODS: We conducted a randomised double-blind, parallel, placebo controlled trial at a tertiary referral centre. A total of 100 obese men (body mass index ≥ 30 kg/m(2)) with a total testosterone level of or below 12 nmol/L and a median age of 53 years (interquartile range 47-60) receiving 10 weeks of a very low energy diet (VLED) followed by 46 weeks of weight maintenance were randomly assigned at baseline to 56 weeks of 10-weekly intramuscular testosterone undecanoate (n = 49, cases) or matching placebo (n = 51, controls)...
October 7, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27689013/roux-en-y-gastric-bypass-surgery-is-effective-in-fibroblast-growth-factor-21-deficient-mice
#9
Christopher D Morrison, Zheng Hao, Michael B Mumphrey, R Leigh Townsend, Heike Münzberg, Jianping Ye, Hans-Rudolf Berthoud
OBJECTIVE: The mechanisms by which bariatric surgeries so effectively and lastingly reduce body weight and normalize metabolic dysfunction are not well understood. Fibroblast growth fator-21 (FGF21) is a key regulator of metabolism and is currently considered for treatment of obesity. Although elevated by acute food deprivation, it is downregulated after weight loss induced by chronic calorie restriction but not after Roux-en-Y gastric bypass surgery. Therefore, the goal of the present study was to assess the role of FGF21-signaling in the beneficial effects of Roux-en-Y gastric bypass surgery (RYGB)...
October 2016: Molecular Metabolism
https://www.readbyqxmd.com/read/27676744/shoulder-joint-moment-work-and-power-during-slow-underwater-scapular-plane-abduction-adduction
#10
Jessy Lauer, Stéphane Vigier, Frédéric Delage, Alain Meudec, Jean-Michel Pollet, João Paulo Vilas-Boas, Annie Rouard
OBJECTIVE: Aquatic shoulder exercises are widely implemented into rehabilitation programs to provide early muscle strengthening and improved joint mobility. However, since the drag - the force exerted by the water on the moving segments - is very hard to measure, an in-depth knowledge of internal joint load is lacking, which ultimately prevents healthcare professionals from understanding all clinical implications. For the first time, shoulder joint moment, work, and power were calculated through a novel, validated numerical approach coupling fluid flow simulations and inverse dynamics...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27621707/comparison-of-high-protein-intermittent-fasting-low-calorie-diet-and-heart-healthy-diet-for-vascular-health-of-the-obese
#11
Li Zuo, Feng He, Grant M Tinsley, Benjamin K Pannell, Emery Ward, Paul J Arciero
AIM: It has been debated whether different diets are more or less effective in long-term weight loss success and cardiovascular disease prevention among men and women. To further explore these questions, the present study evaluated the combined effects of a high-protein, intermittent fasting, low-calorie diet plan compared with a heart healthy diet plan during weight loss, and weight loss maintenance on blood lipids and vascular compliance of obese individuals. METHODS: The experiment involved 40 obese adults (men, n = 21; women, n = 19) and was divided into two phases: (a) 12-week high-protein, intermittent fasting, low-calorie weight loss diet comparing men and women (Phase 1) and (b) a 1-year weight maintenance phase comparing high-protein, intermittent fasting with a heart healthy diet (Phase 2)...
2016: Frontiers in Physiology
https://www.readbyqxmd.com/read/27601660/infiltrating-monocytes-promote-brain-inflammation-and-exacerbate-neuronal-damage-after-status-epilepticus
#12
Nicholas H Varvel, Jonas J Neher, Andrea Bosch, Wenyi Wang, Richard M Ransohoff, Richard J Miller, Raymond Dingledine
The generalized seizures of status epilepticus (SE) trigger a series of molecular and cellular events that produce cognitive deficits and can culminate in the development of epilepsy. Known early events include opening of the blood-brain barrier (BBB) and astrocytosis accompanied by activation of brain microglia. Whereas circulating monocytes do not infiltrate the healthy CNS, monocytes can enter the brain in response to injury and contribute to the immune response. We examined the cellular components of innate immune inflammation in the days following SE by discriminating microglia vs...
September 20, 2016: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27583709/overview-on-nutritional-issues-in-bariatric-surgery
#13
Ronan Thibault, Claude Pichard
PURPOSE OF REVIEW: In the context of the worldwide obesity epidemic, bariatric surgery is the only therapy associated with a sustainable weight loss and to midterm prevention of obesity-related complications. However, nutritional and behavioral multidisciplinary medical preparation, as well as long-term postoperative nutritional follow-up, is strongly advised to avoid postoperative surgical, nutritional, or psychiatric complications. RECENT FINDINGS: Due to a long history of restrictive diets and large body weight fluctuations, preoperative nutritional assessment and correction of vitamin and trace elements deficiencies are mandatory...
November 2016: Current Opinion in Clinical Nutrition and Metabolic Care
https://www.readbyqxmd.com/read/27559319/preview-behavior-modification-intervention-toolbox-premit-a-study-protocol-for-a-psychological-element-of-a-multicenter-project
#14
Daniela Kahlert, Annelie Unyi-Reicherz, Gareth Stratton, Thomas Meinert Larsen, Mikael Fogelholm, Anne Raben, Wolfgang Schlicht
BACKGROUND: Losing excess body weight and preventing weight regain by changing lifestyle is a challenging but promising task to prevent the incidence of type-2 diabetes. To be successful, it is necessary to use evidence-based and theory-driven interventions, which also contribute to the science of behavior modification by providing a deeper understanding of successful intervention components. OBJECTIVE: To develop a physical activity and dietary behavior modification intervention toolbox (PREMIT) that fulfills current requirements of being theory-driven and evidence-based, comprehensively described and feasible to evaluate...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27543408/return-to-play-following-ankle-sprain-and-lateral-ligament-reconstruction
#15
REVIEW
Scott B Shawen, Theodora Dworak, Robert B Anderson
Ankle sprains are the most common musculoskeletal injury occurring during athletics. Proper initial treatment with supportive pain control, limited immobilization, early return to weight bearing and range of motion, and directed physical therapy are essential for preventing recurrent injury. Reconstruction of the lateral ligaments is indicated for patients with continued instability and dysfunction despite physical therapy. Return to athletic activity should be reserved for athletes who have regained strength, proprioception, and range of motion of the injured ankle...
October 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27471877/changes-in-leptin-signaling-by-socs3-modulate-fasting-induced-hyperphagia-and-weight-regain-in-mice
#16
João A B Pedroso, Marina A Silveira, Leandro B Lima, Isadora C Furigo, Thais T Zampieri, Angela M Ramos-Lobo, Daniella C Buonfiglio, Pryscila D S Teixeira, Renata Frazão, Jose Donato
Weight regain frequently follows interventions that reduce body weight, leading to a failure in long-term obesity treatment. Inhibitory proteins of the leptin signaling pathway, such as the suppressor of cytokine signaling 3 (SOCS3), have been studied in conditions that predispose animals to obesity. However, whether SOCS3 modulates postrestriction hyperphagia and weight regain remains unknown. Mice lacking SOCS3 protein specifically in leptin receptor (LepR)-expressing cells (LepR SOCS3 knockout [KO]) were generated and studied in fasting and refeeding conditions...
October 2016: Endocrinology
https://www.readbyqxmd.com/read/27394394/acute-acalculous-cholecystitis-as-a-rare-manifestation-of-chronic-mesenteric-ischemia-a-case-report
#17
Ryan Melo, Luís M Pedro, Luís Silvestre, José P Freire, Cláudia Pereira, Ruy Fernandes E Fernandes, J Fernandes E Fernandes
INTRODUCTION: Symptomatic chronic mesenteric ischemia (CMI) is an uncommon condition that usually presents with intestinal angina, sitophobia and unintentional weight loss. Acute acalculous cholecystitis (AAC) has very rarely been described in the settings of CMI. PRESENTATION OF CASE: We describe a case of a 73year old man that developed an AAC as a complication of CMI. The patient underwent a simultaneous cholecystectomy and open aortic revascularization which was successful...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27356904/immunization-with-attenuated-equine-herpesvirus-1-strain-kya-induces-innate-immune-responses-that-protect-mice-from-lethal-challenge
#18
Seong K Kim, Akhalesh K Shakya, Dennis J O'Callaghan
UNLABELLED: Equine herpesvirus 1 (EHV-1) is a major pathogen affecting equines worldwide. The virus causes respiratory disease, abortion, and, in some cases, neurological disease. EHV-1 strain KyA is attenuated in the mouse and equine, whereas wild-type strain RacL11 induces severe inflammation of the lung, causing infected mice to succumb at 4 to 6 days postinfection. Our previous results showed that KyA immunization protected CBA mice from pathogenic RacL11 challenge at 2 and 4 weeks postimmunization and that KyA infection elicited protective humoral and cell-mediated immune responses...
September 15, 2016: Journal of Virology
https://www.readbyqxmd.com/read/27264054/obesity-treatment-environment-and-behavior-modification
#19
REVIEW
Maryanne Murphy
Obesity is commonly encountered in veterinary patients. Although there are various published dietary approaches to achieving weight loss, successful long-term prevention of weight regain has proven elusive. Adding environmental and behavioral treatment strategies to a weight loss plan may help the veterinary team, the pet, and the pet owner maximize the effectiveness of the program. Because the owner directly affects the environment and behavior of the pet undergoing a weight loss plan, treatment strategies with an emphasis on owner involvement is the focus of this review...
September 2016: Veterinary Clinics of North America. Small Animal Practice
https://www.readbyqxmd.com/read/27255281/obesity-prevention-and-weight-maintenance-after-loss
#20
REVIEW
Alexander James German
Obesity is one of the most prevalent medical diseases in pets. Outcomes are often disappointing; many animals either fail to reach target weight or regain weight. This article discusses managing obesity, focusing on prevention. It gives guidance on establishing monitoring programs that use regular body weight and condition assessments to identify animals at risk of inappropriate weight gain, enabling early intervention. Weight management in obese animals is a lifelong process. Regular weight and body condition monitoring are key to identifying animals that rebound early, while continuing to feed a therapeutic weight loss diet can help prevent it from happening...
September 2016: Veterinary Clinics of North America. Small Animal Practice
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