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Is Insulin Sensitivity In Children And Their Mothers Programmed By Maternal Blood Glucose?
Funder
National Health and Medical Research Council
Funding Amount
$169,630.00
Summary
Glucose intolerance in pregnancy is associated with the birth of large-for-dates and macrosomic (>4000g) babies. The risk of type 2 diabetes is greater in babies who are small or large at birth compared to those with normal birth weight. This study will determine if treatment of mothers with glucose intolerance in pregnancy (which is intermediate between normal glucose tolerance and diabetes) alters the regulation of glucose tolerance in their children. The mothers were randomised to receive ....Glucose intolerance in pregnancy is associated with the birth of large-for-dates and macrosomic (>4000g) babies. The risk of type 2 diabetes is greater in babies who are small or large at birth compared to those with normal birth weight. This study will determine if treatment of mothers with glucose intolerance in pregnancy (which is intermediate between normal glucose tolerance and diabetes) alters the regulation of glucose tolerance in their children. The mothers were randomised to receive normal antenatal care or to have their blood sugar measured and controlled by diet and insulin as for diabetics. We will measure the insulin sensitivity of the children to a glucose load. We will also measure blood pressure and lipids in these children. Treatment of the mother during pregnancy may alter the deposition of fat in the fetus the effect of which will continue into childhood. Thus the offspring of treated mothers may remain thinner throughout childhood. Each pregnancy increases a woman's chance of developing type 2 diabetes in later life. This risk is further increased by abnormal glucose tolerance during pregnancy. This study will test the long-term benefits of treatment during pregnancy of women with impaired glucose tolerance on the subsequent regulation of glucose tolerance. We shall invite women who took part in the Australian Carbohydrate Study in Pregnancy (ACHOIS) to return and have an intravenous glucose tolerance test. Insulin sensitivity and glucose tolerance will be determined and related to treatment of the impaired glucose tolerance in pregnancy. This study will be the first follow-up of a large randomised trial of treatments of impaired glucose tolerance in pregnancy. The potential long-term benefits are strategies to reduce the future chance of developing risk factors for type 2 diabetes, obesity and abnormal blood lipids in childhood and adult life. The study will establish the benefits or otherwise of tight control of blood glucose in pregnancy.Read moreRead less
The Nutritional Geometry Of Ageing In A Rodent Model
Funder
National Health and Medical Research Council
Funding Amount
$979,269.00
Summary
A central belief in ageing research is that eating fewer calories prolongs life, and that the source of calories (carbohydrate, fat or protein) is irrelevant. However, a critical assessment indicates that this conclusion is premature. We will use recent techniques in nutrition to define for the first time in mammals the relationship between diet and ageing in a normal and a prematurely ageing strain of mice. The project will provide a novel nutritional approach for promoting healthy ageing.
Genetic Dissection Of A QTL Influencing The Development Of Type 2 Diabetes And The Metabolic Syndrome.
Funder
National Health and Medical Research Council
Funding Amount
$129,875.00
Summary
Diabetes is usually associated with obesity and is often part of a wider disturbance affecting an individuals metabolism. These other factors include high blood pressure and the control of fats (eg cholesterol), and sugars (glucose) in the blood stream. Physicians have noted that these abnormalities often cluster together in individuals and have called it the metabolic syndrome, the main long term implication of which is to increase a persons risk of developing heart disease and disorders in blo ....Diabetes is usually associated with obesity and is often part of a wider disturbance affecting an individuals metabolism. These other factors include high blood pressure and the control of fats (eg cholesterol), and sugars (glucose) in the blood stream. Physicians have noted that these abnormalities often cluster together in individuals and have called it the metabolic syndrome, the main long term implication of which is to increase a persons risk of developing heart disease and disorders in blood circulation. The number of affected people with one the major components of the metabolic syndrome, type 2 diabetes, has trebled since 1981 in Australia and is still increasing. Apart from individual suffering, this presents a major public health burden for the country (approx $3 billion annually). Currently available lifestyle based and pharmaceutical therapies appear inadequate to control the increasing numbers of affected individuals. Unfortunately the cause of disease is poorly understood, although genetic factors are known to be important, in other words it runs in the family. This project proposes to identify some of these factors (genes) and how they contribute to the disease. Using molecular flags on the DNA (like DNA fingerprinting) we have previously found that a small region on chromosome 3 is likely to carry one or more of these disease genes. But there are over 100 genes in the region, so to help choose the most likely candidates first for testing, we have developed an automated computer database searching program that narrowed the list to the six most likely genes. This project will determine which if any of these genes are involved. A successful finding means we will know more about the mechanism of disease development and be able to better develop new therapies for treatment and prevention. If none of these genes are the culprit, we would continue examination of the next set of genes likely to be involved and so on until we are successful.Read moreRead less
Is A Higher Intake Of Omega-3 Fatty Acids Advantageous For Weight Loss?
Funder
National Health and Medical Research Council
Funding Amount
$473,219.00
Summary
A 12 month dietary trial will be conducted to investigate whether a diet that is high in polyunsaturated fat (particularly long chain omega-3 fats found in fish oil) improves weight loss and metabolism, compared to a standard low fat weight-reducing diet. Other benefits of the diet, such as improvements in blood pressure, blood lipids and glucose, will be investigated. The findings will be used to refine dietary advice for weight loss and to develop food products enriched with fish oil.
The Role Of Seipin In Lipid Metabolism And Adipogenesis
Funder
National Health and Medical Research Council
Funding Amount
$397,749.00
Summary
The prevalence of obesity and its related disorders has reached an alarming level in Australia and other developed countries. Obesity is characterized by accumulation of fully-differentiated adipocytes loaded with lipid droplets (LDs). Therefore, understanding the cellular dynamics of LDs and the molecular mechanisms of adipogenesis (adipocyte differentiation) is of crucial importance in our battle against obesity. Our proposed study will help undertand the mechnisams of obesity.
Regulation Of SPAK By AMPK Links Salt Reabsorption To Energy Metabolism
Funder
National Health and Medical Research Council
Funding Amount
$524,820.00
Summary
Excessive salt and energy intake have emerged as major features of the unhealthy fast-food culture. Salt promotes high blood pressure, whereas high energy intakes increase obesity and diabetes. In this study, we aim to determine how energy availability and salt handling are linked in the kidney. This research will lead to new ways to treat high blood pressure by limiting salt reabsorption in the kidney.
Interaction Between Sleep Apnea And Metabolic Syndrome
Funder
National Health and Medical Research Council
Funding Amount
$423,650.00
Summary
In this proposal, we will study possible ways in which sleep disordered breathing (snoring sickness or sleep apnea) may cause or worsen metabolic syndrome. Sleep apnea is a common disorder frequently linked to metabolic syndrome. Metabolic syndrome is a cluster of health risk factors including increased risk of diabetes, high cholesterol, high blood pressure and excess fat around the abdomen. Metabolic syndrome is an important cause of increased death from cardiovascular disease and affects abou ....In this proposal, we will study possible ways in which sleep disordered breathing (snoring sickness or sleep apnea) may cause or worsen metabolic syndrome. Sleep apnea is a common disorder frequently linked to metabolic syndrome. Metabolic syndrome is a cluster of health risk factors including increased risk of diabetes, high cholesterol, high blood pressure and excess fat around the abdomen. Metabolic syndrome is an important cause of increased death from cardiovascular disease and affects about 3 million Australians. Our theory is that lack of oxygen during sleep and disruption of normal sleep patterns leads to increased activity of the body stress handling systems and damage to the lining of the body's blood vessels. In turn, this may promote high blood fat levels and cause excess fat deposits in muscle and liver. We will measure blood, muscle and liver fat changes with treatment of sleep apnea. We believe that by damaging the lining of blood vessels, sleep apnea will also cause an inability of the body's arteries to relax properly. We will measure sleep apnea and the ability of the body's arteries to expand using novel techniques before and after treatment of sleep apnea. We will also take people off treatment to see if these changes get worse. Part of the proposal includes investigating whether snoring and lack of oxygen during sleep leads to increased blood fat levels. Finally, in another study, we will measure the change in metabolic syndrome related disorders in people with sleep apnea losing weight.Read moreRead less
Early Retinal Vessel Changes In Diabetes And The Metabolic Syndrome
Funder
National Health and Medical Research Council
Funding Amount
$212,500.00
Summary
Diabetes mellitus affects a large proportion of adult Australians. Furthermore, many non-diabetic Australians are at high risk of developing diabetes (e.g., people with lesser glucose abnormalities, and those who are obese, have high blood pressure, or have high lipid levels). It has been suggested that diseases affecting small blood vessels (microvascular disease) in the body is closely related to the development of both diabetes and the pre-diabetes state. The current study will examine the re ....Diabetes mellitus affects a large proportion of adult Australians. Furthermore, many non-diabetic Australians are at high risk of developing diabetes (e.g., people with lesser glucose abnormalities, and those who are obese, have high blood pressure, or have high lipid levels). It has been suggested that diseases affecting small blood vessels (microvascular disease) in the body is closely related to the development of both diabetes and the pre-diabetes state. The current study will examine the relationship of microvascular disease in the retina (at the back of the eye) to diabetes, pre-diabetes status and diabetes complications. We will use a computer-imaging technique to measure the diameters of retinal blood vessel from digital photographs taken in 2,177 participants of the 1999-2000 Australian Diabetes, Obesity and Lifestyle (AusDiab) Study, a community-based survey of people aged 25 years and older examining risk factors and complications of diabetes. In the proposed study, we aim to answer the following questions: 1) Are changes in the retinal blood vessel diameter (e.g., narrowed or dilated vessels) associated with diabetes and pre-diabetes? 2) Are these retinal vessel changes related to obesity, high blood pressure and high lipid levels? 3) Are retinal vessel changes related to diabetes complications, such as heart disease, kidney disease, nerve problems and foot ulcers? 4) Do retinal vessel diameter changes predict people who will subsequently develop diabetes, irrespective of their risk factor profile? Using this well-characterized population, and existing digital retinal photographs, the proposed study will offer a unique and cost-effective opportunity to address important gaps in our understanding of how diabetes and pre-diabetes develop, and whether they are related to microvascular diseases. This may ultimately lead to new treatment and preventive approaches targeted at the small blood vessels in the body.Read moreRead less
The Effect Of Overexpression And Underexpression Of Beacon In Transgenic Mice
Funder
National Health and Medical Research Council
Funding Amount
$316,540.00
Summary
Overweight and Obesity are very prevalent in our society. Obesity is the cause of many medical problems including type 2 diabetes, high blood pressure, abnormal lipids, sleep apnoea, arthritis and some cancers. The idea that individuals can freely choose whether they eat or not eat is only true in the short term. Recent work has clearly shown that the desire to eat (hunger) and the decision to stop eating (satiety) are determined by the net level of many chemicals (neurotransmitters) in an area ....Overweight and Obesity are very prevalent in our society. Obesity is the cause of many medical problems including type 2 diabetes, high blood pressure, abnormal lipids, sleep apnoea, arthritis and some cancers. The idea that individuals can freely choose whether they eat or not eat is only true in the short term. Recent work has clearly shown that the desire to eat (hunger) and the decision to stop eating (satiety) are determined by the net level of many chemicals (neurotransmitters) in an area of the brain called the hypothalamus. Malfunction in some of these neurotransmitters has been shown to cause severe obesity in both animals and humans. A clear understanding of how the hypothalamus regulates body weight may lead to treatments for both severe obesity and anorexia. This project deals with investigating the role of a new hypothalamic protein in body weight regulation. This protein called beacon was discovered by one of the chief investigators (GC) who has shown that when it is injected in the brain it causes rats to overeat and put on excess weight. The aim of this project is to produce mice in which the amount of beacon is increased in the brain and other mice who do not have beacon and then to study the impact onthe regulation of body weight.Read moreRead less
Neurogenic Mechanisms Of Cardiovascular Risk In The Metabolic Syndrome: Benefits Of Lifestyle Interventions
Funder
National Health and Medical Research Council
Funding Amount
$328,194.00
Summary
One in four adult Australians has the 'metabolic syndrome' (MetS), a clustering of metabolic and heart disease risk factors associated with abdominal obesity. Sympathetic nervous system (SNS) activity is increased in the MetS resulting in enhanced release of the stress hormone 'noradrenaline' . This project will examine the biological and genetic determinants of enhanced SNS activity and the benefits of lifestyle interventions (weight loss, weight loss maintenance and aerobic exercise).