whole-body-regional-quantification-active-human-brown-adipose-tissue

Whole Body and Regional Quantification of Active Human Brown Adipose Tissue Using <sup>18</sup>F-FDG PET/CT

In endothermic animals, brown adipose tissue (BAT) is activated to produce heat for defending body temperature in response to cold. BAT&#39;s ability to ...

National Institutes of Health

Obesity is one of the most prevalent chronic diseases globally, especially in the United States. While the United States gained an early lead in unnecessary weight gain, most other countries are quickly closing the gap. The latest U.S. National Health and Nutrition Examination Survey (NHANES, http://www.cdc.gov/nchs/nhanes.htm) documents that about one third of adults in the United States are now overweight [a body-mass index (BMI) between 25 and 30 kg/m2] and another one third (61 million) are considered obese (BMI >30 kg/m2). Being obese is a strong risk factor for cardiovascular diseases, type 2 diabetes, osteoporosis, some cancers, and depression. The economic impact of this condition is staggering: in 2008, more than 147 billion dollars were spent just in the United States for medical costs related to obesity. Time lost from work and spending on weight loss costs even more.

Energy expenditure: measurement of human metabolism.

In Iceland, there is a large variation in daylight between summer and winter. The aim of the study was to identify how this large variation influences physical activity (PA) and sedentary behavior (SB). Free living PA was measured by a waist-worn accelerometer for one week during waking hours in 138 community-dwelling older adults (61.1% women, 80.3 ± 4.9 years) during summer and winter months. In general, SB occupied about 75% of the registered wear-time and was highly correlated with age (β = 0.36). Although the differences were small, more time was spent during the summer in all PA categories, except for the moderate-to-vigorous PA (MVPA), and SB was reduced. More lifestyle PA (LSPA) was accumulated in ≥5-min bouts during summer than winter, especially among highly active participants. This information could be important for policy makers and health professionals working with older adults. Accounting for seasonal difference is necessary in analyzing SB and PA data.

Comparison of Summer and Winter Objectively Measured Physical Activity and Sedentary Behavior in Older Adults: Age, Gene/Environment Susceptibility Reykjavik Study.

The diagnosis of neuropathic postural tachycardia syndrome (POTS) requires research techniques not available clinically. We hypothesized that these patients will have impaired vagal and sympathetic cardiovascular control that can be characterized with clinical autonomic tests. We included 12 POTS patients with possible neuropathic subtype because of normal plasma norepinephrine and no increase in upright blood pressure. We compared them to 10 healthy subjects. We assessed hemodynamics, heart rate and blood pressure variability, baroreflex sensitivity, raw and integrated muscle sympathetic nerve activity, and blood volume. To understand the vagal/sympathetic control, we dissected the phase 2 of Valsalva maneuver (VM) into early (VM2e) and late (VM2l). POTS' upright heart rate increased 43±3 bpm. Patients had normal plasma volume but reduced red blood cell volume (1.29 L versus predicted normal values 1.58 L; P=0.02). Vagal indices of heart rate variability, HF (430±130 versus 1680±900; P=0.04), PNN50, and root mean squared of successive differences were lower in POTS. Patients showed a decrease in vagal baroreflex sensitivity (VM2e; P=0.04). In POTS, integrated muscle sympathetic nerve activity was lower at rest (12±1.5 versus 20±2 burst/min; P=0.004) and raw muscle sympathetic nerve activity spike analysis showed blunted responses during VM2e, despite a greater drop in systolic blood pressure (34±5 in POTS and 14±6 mm Hg in controls; P=0.01). This cohort of POTS patients enriched for possible neuropathic subtype had lower resting muscle sympathetic nerve activity, impaired vagal cardiac control, and exaggerated drop in blood pressure in response to VM and a delay in the sympathetic cardiovascular responsiveness during hypotensive challenge.

Robert J. Brychta

Diabetes,
Endocrinology,
and Obesity Branch,
National Institute of Diabetes and Digestive and Kidney Diseases,
Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases

National Institutes of Health

Whole Body and Regional Quantification of Active Human Brown Adipose Tissue Using ¹⁸F-FDG PET/CT

Robert J. Brychta

.css-o250i3{font-size:18px;font-family:Open Sans,sans-serif;line-height:21.6px;}Diabetes,Endocrinology,and Obesity Branch,National Institute of Diabetes and Digestive and Kidney Diseases,Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases

National Institutes of Health

Whole Body and Regional Quantification of Active Human Brown Adipose Tissue Using 18F-FDG PET/CT

Diabetes,
Endocrinology,
and Obesity Branch,
National Institute of Diabetes and Digestive and Kidney Diseases,
Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases

Whole Body and Regional Quantification of Active Human Brown Adipose Tissue Using ¹⁸F-FDG PET/CT