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2.
Sci Rep ; 9(1): 7927, 2019 05 28.
Artigo em Inglês | MEDLINE | ID: mdl-31138824

RESUMO

Obesity has become a worldwide epidemic. We have previously reported that systemic administration of pNaKtide which targets the Na/K-ATPase oxidant amplification loop (NKAL) was able to decrease systemic oxidative stress and adiposity in mice fed a high fat and fructose supplemented western diet (WD). As adipocytes are believed to play a central role in the development of obesity and its related comorbidities, we examined whether lentiviral-mediated adipocyte-specific expression of NaKtide, a peptide derived from the N domain of the alpha1 Na/K-ATPase subunit, could ameliorate the effects of the WD. C57BL6 mice were fed a WD, which activated Na/K-ATPase signaling in the adipocytes and induced an obese phenotype and caused an increase in plasma levels of leptin, IL-6 and TNFα. WD also decreased locomotor activity, expression of the D2 receptor and tyrosine hydroxylase in brain tissue, while markers of neurodegeneration and neuronal apoptosis were increased following the WD. Selective adipocyte expression of NaKtide in these mice fed a WD attenuated all of these changes including the brain biochemical alterations and behavioral adaptations. These data suggest that adipocyte derived cytokines play an essential role in the development of obesity induced by a WD and that targeting the adipocyte NKAL loop may serve as an effective therapeutic strategy.


Assuntos
Adipócitos/metabolismo , Dieta Ocidental/efeitos adversos , Obesidade/genética , Fragmentos de Peptídeos/genética , ATPase Trocadora de Sódio-Potássio/genética , Adiposidade , Animais , Modelos Animais de Doenças , Ativação Enzimática , Expressão Gênica , Lentivirus/genética , Masculino , Camundongos Endogâmicos C57BL , Obesidade/metabolismo , Estresse Oxidativo , Fragmentos de Peptídeos/metabolismo , Transdução de Sinais , ATPase Trocadora de Sódio-Potássio/metabolismo
3.
Perspect Health Inf Manag ; 14(Spring): 1a, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28566984

RESUMO

Obesity is the largest driver of chronic preventable diseases, accounting for an estimated $147 billion or 10 percent of total US healthcare costs in 2008. It has been forecasted that 42 percent of Americans will be obese by 2030. Mobile health (mHealth) technologies target and may modify the behavioral factors that lead to obesity to promote a healthy lifestyle. These technologies could potentially reduce the cost and the morbidity and mortality burden of obesity because of their inexpensive and portable nature. This study aimed to analyze the efficacy and cost-effectiveness of mHealth interventions for adult obesity in the United States. The methodology used in this study was a literature review of 54 articles. Weight, body mass index (BMI), waist circumference reductions, and favorable lifestyle behavior changes were noted across most studies. Existing data and research on efficacy and linked costs indicated that mHealth technologies were more effective than other methods and could be inexpensively delivered remotely to manage adult obesity, offering significant benefits over conventional care. Further studies on the costs and benefits of adapting such mHealth interventions in clinical settings are needed.


Assuntos
Obesidade/prevenção & controle , Obesidade/terapia , Telemedicina/métodos , Índice de Massa Corporal , Pesos e Medidas Corporais , Comunicação , Análise Custo-Benefício , Humanos , Estilo de Vida , Obesidade/etnologia , Educação de Pacientes como Assunto/métodos , Grupos Raciais , Sistemas de Alerta , Autocuidado/métodos , Grupos de Autoajuda , Telemedicina/economia , Estados Unidos
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