Central Neural Mechanisms Underlying The Effect Of Endocannabinoids On Body Weight
Funder
National Health and Medical Research Council
Funding Amount
$377,793.00
Summary
Obesity and its associated pathologies of cardiovascular and respiratory disease, stroke, predisposition to some cancers and infertility in women no longer needs to be justified as a major health issue in modern societies. In fact it is quickly becoming recognised as the major threat to world health. Recently, the anecdotal evidence for increased food intake, particularly the craving of high carbohydrate, high sugar foods, associated with the use of marijuana has been put into a therapeutic cont ....Obesity and its associated pathologies of cardiovascular and respiratory disease, stroke, predisposition to some cancers and infertility in women no longer needs to be justified as a major health issue in modern societies. In fact it is quickly becoming recognised as the major threat to world health. Recently, the anecdotal evidence for increased food intake, particularly the craving of high carbohydrate, high sugar foods, associated with the use of marijuana has been put into a therapeutic context. Specifically a cannabinoid receptor antagonist, rimonabant (currently undergoing trials as Accomplia) has become a central player in the race for an obesity therapy because of its effects in blocking the brain receptors that would normally respond to cannabinoid like compounds in the brain that tend to increase food intake. Despite the trials that are underway in Europe and the USA many of the central actions of the naturally occurring cannabinoids in the brain, the so-called endocannabinoids are very poorly understood. This series of experiments utilizing the best technologies available will address basic questions relating to the brain pathways involved and even the extent to which weight loss associated with the administration of these drugs to rats and presumably humans is dependent on the reduction of food intake or the burning of energy in a process called thermogenesis. These are essential pieces of information if this type of compound is to be considered as a serious contender in the search for an obesity therapyRead moreRead less
A Dietary Intervention In Gestational Diabetes To Reduce Child Obesity: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$354,715.00
Summary
Women with gestational diabetes (GDM) whose blood glucose levels (BGL) are not well controlled have a higher chance of giving birth to large babies. These babies are at high risk of becoming overweight children and adults. Preventing child obesity therefore requires appropriate intervention during pregnancy complicated with GDM. This study will determine the ability of specific dietary advice (aimed at reducing maternal BGL) to reduce the risk of large babies in a typical ante-natal setting.
In the last decade there has been a substantial increase in the number of overweight and obese individuals. Obesity is now a major public health issue in Australia and, along with its associated disorders of type 2 diabetes and heart disease, incurs significant health care costs. There is a widespread awareness of the problem, but it has proved difficult to bring this obesity epidemic under control, and unless we can understand the underlying causes, the trend seems set to continue. This researc ....In the last decade there has been a substantial increase in the number of overweight and obese individuals. Obesity is now a major public health issue in Australia and, along with its associated disorders of type 2 diabetes and heart disease, incurs significant health care costs. There is a widespread awareness of the problem, but it has proved difficult to bring this obesity epidemic under control, and unless we can understand the underlying causes, the trend seems set to continue. This research proposal seeks to define the mechanisms which lead to the development of obesity. Evidence from a large range of clinical and population-based studies has shown that infants who are exposed to an increased supply of nutrients before birth have an increased risk of being overweight or obese as children and adults. It is not however, fully understood why this occurs. In normal adults, factors released by fat cells play an important role in the maintenance of energy balance, and changes in the levels of these factors in the fat cell or in the circulation can lead to increased weight gain and the development of poor sensitivity of the body's tissues to the actions of hormones, such as insulin. Fat cells develop before birth, and therefore changes in nutrient supply to the fetus have the potential to alter the functional properties of fat cells for life. In this proposal, we will investigate the effect of being exposed to an increased supply of nutrients in fetal life on the properties of fat cells after birth and define how such changes explain the development of obesity in these individuals. Understanding the mechanisms which link the risk of obesity to events before birth will allow clinicians of the future to provide children who are born to overweight, glucose-intolerant or diabetic mothers with a healthy start to life.Read moreRead less
A Randomised Control Trial Of Medical Treatment Versus The Placement Of The Lap Band In Severely Obese Adolescents.
Funder
National Health and Medical Research Council
Funding Amount
$481,905.00
Summary
There has been a substantial rise in the number of overweight and obese adolescents in our community. While prevention of obesity is the ultimate goal, effective stratagies for the management of obese adolescents must be sought. Unfortunately there are few studies that have focused on this problem in adolescents and success has been very limited. Modern obesity surgery is the only reliable method of achieving and sustaining major weight loss in severely obese (body mass index > 35 kg-m2) adul ....There has been a substantial rise in the number of overweight and obese adolescents in our community. While prevention of obesity is the ultimate goal, effective stratagies for the management of obese adolescents must be sought. Unfortunately there are few studies that have focused on this problem in adolescents and success has been very limited. Modern obesity surgery is the only reliable method of achieving and sustaining major weight loss in severely obese (body mass index > 35 kg-m2) adults and there are now several small studies that demonstrate its effectiveness in adolescents. Modern obesity surgery involving the keyhole placement of an adjustable band around the very upper part of the stomach has proven to be safe and effective and requires one 24 hr stay in hospital. In this collaborative study, involving the Monash University Centre for Obesity Research and Education and the Royal Children's Hospital, we propose to formally test, for the first time, the effectiveness of a weight loss program that includes adjustable band surgery, and compare this with a comprehensive best care behavioral program, over a period of 2-years in severely obese adolescents. We estimate that suitable subjects will come from the top 1% for body mass index in our community. After thorough assessment 50 suitable candidates with ages ranging from 14 to 18 years will be randomly allocated to one of the two treatment programs. The intensity of each program will be similar. A broad range of measues including: weight, health status, physical disability, psychological status, body image and quality of life, will be performed before and at completion of the 2-year programs. In addition we will compare the complications, compliance and cost of the two programs. This study will help us assess and compare the effectiveness of the 2 programs and provide vital information regarding the role of modern keyhole obesity surgery for the management of severely obese adolescents.Read moreRead less
The Role Of Brain Inflammation In Leptin Resistance
Funder
National Health and Medical Research Council
Funding Amount
$730,123.00
Summary
Melanocortin neurons control body weight and are regulated by leptin. In obesity leptin cannot regulate the melanocortin system. We will test if leptin action on melanocortin neurons is limited by increased expression of suppressor of cytokine signalling 3 (SOCS3) in obese mice. As an alternative we will test if there are changes in the blood brain barrier, or an increased density of support and immune cells around melanocortin neurons of obese mice that might restrict inputs to these neurons.
CNS Peptides Involved In The Control Of Thermogenesis And Body Weight
Funder
National Health and Medical Research Council
Funding Amount
$405,750.00
Summary
There is currently an obesity epidemic in all industrialised countries which has an associated impact on cardiovascular disease and associated pathologies such as type 2 diabetes. Current therapeutic strategies have focussed on reducing food intake but, as evidenced by the continuation of this epidemic, these have had limited success. An alternative approach, which is the subject of this project, is to determine and modify the central mediators controlling energy expenditure. We will bring a raf ....There is currently an obesity epidemic in all industrialised countries which has an associated impact on cardiovascular disease and associated pathologies such as type 2 diabetes. Current therapeutic strategies have focussed on reducing food intake but, as evidenced by the continuation of this epidemic, these have had limited success. An alternative approach, which is the subject of this project, is to determine and modify the central mediators controlling energy expenditure. We will bring a raft of new technologies to examine this question and potentially identify new avenues for therapeutic intervention in obesity.Read moreRead less
The Role Of Dietary Protein On Weight Loss And Body Composition In Men And Women With Insulin Resistance
Funder
National Health and Medical Research Council
Funding Amount
$208,055.00
Summary
Obesity is an increasing problem in the community and is associated with an increased incidence of high blood pressure, high cholesterol and triglycerides, diabetes, heart disease and cancer. Although conventional dietary advice for weight loss is a low fat high carbohydrate and high fibre diet there is a very strong interest in the media and the general population in alternative diets that feature reduced carbohydrate with the remainder of the diet either protein or a mixture of protein and fat ....Obesity is an increasing problem in the community and is associated with an increased incidence of high blood pressure, high cholesterol and triglycerides, diabetes, heart disease and cancer. Although conventional dietary advice for weight loss is a low fat high carbohydrate and high fibre diet there is a very strong interest in the media and the general population in alternative diets that feature reduced carbohydrate with the remainder of the diet either protein or a mixture of protein and fat. Unfortunately there is very little published data to guide the decisions of health professionals in this area and there is a strong demand for such information. We plan to perform 2 large weight loss studies which focus on high protein diets with one exchanging protein for carbohydrate and keeping fat constant and the second exchanging protein for fat keeping carbohydrate constant. We will assess whether the high protein diets blunt the decrease in metabolic rate that occurs with weight loss, and whether it spares some of the inevitable loss of muscle mass. We will also measure whether high protein diets improve glucose metabolism in people already at risk of diabetes and heart disease because of their obesity and high insulin levels.Read moreRead less
Obesity And Atrial Fibrillation: Arrhythmogenic Effects Of Generalised And Localised Adiposity
Funder
National Health and Medical Research Council
Funding Amount
$79,514.00
Summary
Obesity is a growing epidemic in Australia. Whilst it is well known that obesity has many detrimental cardiovascular effects, our understanding of how it affects the electrical conduction system of the heart remains incomplete. The present study will characterise both the relationship between generalised obesity and heart rhythm disorders, and also the relevance of differing fat deposits - such as the fat layer around the heart _ on the electrical conduction system of the heart.