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Journal Article 2011; 32(Suppl 2): 55-59 PubMed PMID: 22101884 Citation  Keywords:  Adiposity:physiology, Adolescent, Anthropometry, Atherosclerosis:epidemiology, Body Mass Index, Body Weight:physiology, Cardiovascular Diseases:epidemiology, Child, Energy Intake, Female, Humans, Life Style, Lipids:blood, Male, Metabolic Diseases:epidemio.   

OBJECTIVES: Obesity is associated with increased inflammation which represents a link to atherosclerosis and cardiovascular disease. Lipoprotein associated phospholipase A2 (Lp-PLA2) is an independent marker of inflammation and atherosclerosis risk. To assess the impact of weight loss on metabolic markers of atherosclerosis including Lp-PLA2 we examined a group of Czech non-diabetic obese/overweight children exposed to a lifestyle intervention.

PATIENTS AND METHODS: Fourty unrelated overweight/obese non-diabetic Czech children (13.7 ± 2.1 years, average BMI at baseline 29.8 ± 2.6 kg/m2) underwent 4 weeks of lifestyle modification (reduction of energy intake to age matched optimum and supervised physical activity). Anthropometrical and biochemical variables were determined at baseline and after the intervention. Lp-PLA2 mass concentration was assessed using the ELISA kit. Wilcocson's rank test and Spearman's correlation were used for statistical analysis.

RESULTS: A significant decrease of BMI and waist circumference was associated with significant changes of plasma lipoprotein and glycaemia levels. Mass concentration of Lp-PLA2 at the baseline was 402 ± 94 μg/ml, after the intervention 368 ± 105 μg/ml (p=0.008). Change in Lp-PLA2 was associated with triglyceride level decrease (p=0.009).

CONCLUSION: Intensive lifestyle modification leading to body weight decrease results in significant changes of plasma lipoprotein levels and, also, a drop of Lp-PLA2 levels in paediatric obese patients. However, even after the intervention Lp-PLA2 concentrations in this patient group remain elevated suggesting possible increased atherosclerosis risk in later life....

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Journal Article 2011; 32(Suppl 2): 32-36 PubMed PMID: 22101880 Citation  Keywords:  Adiposity:genetics, Adult, Aged, Body Composition:physiology, Body Mass Index, Energy Intake, Exercise, Female, Genetic Variation:genetics, Genotype, Heterozygote, Humans, Insulin Resistance:genetics, Life Style, Metabolic Clearance Rate:physiology, Middl.   

OBJECTIVES: The AHSG (alpha2 Heremans-Schmid glycoprotein) gene is suggested to be important for the regulation of body fat and insulin sensitivity. Our study aimed to investigate the relationship between the common Thr248Met (rs4917) variant and obesity characteristics after an intervention with overweight females.

MATERIAL AND METHODS: We analyzed 105 unrelated overweight/obese nondiabetic Czech adult females (49.0 ± 12.1 years, BMI over 28.6 kg/m2, mean BMI before intervention 32.8 ± 4.1 kg/m2) before and after 10 weeks of lifestyle modification. Biochemical and anthropometrical measurements were performed. The life style modification program consisted of a reduction of energy intake to an age-adjusted optimum and an exercise program (four units per week). The mean weight loss was 3.2 ± 3.5 kg (3.7 ± 4.0%).

RESULTS: Thr/Thr homozygotes (N=52) increased lean muscle mass (p<0.05), decreased total body fat (kg) (p<0.005) and increased basal metabolic rate (BMR) per 1 kg body weight (p<0.005) in comparison with the Met carriers (N=52), but an association between BMI decrease and AHSG variants was not found.

CONCLUSION: AHSG gene variants modify the effect of physical activity on BMR. Carriers of the Thr248Thr genotype showed a higher benefit from the lifestyle intervention (expressed as changes in body fat, active muscle and basal metabolic rate)....

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Journal Article 2011; 32(Suppl 2): 29-31 PubMed PMID: 22101879 Citation  Keywords:  Adolescent, Adult, Bias (Epidemiology), Diet, Diet Surveys:standards, Eating, Energy Intake, Fatty Acids, Fruit, Humans, Male, Middle Aged, Reproducibility of Results, Rural Population, Vegetables, Young Adult,.   

OBJECTIVES: Bias is common in the assessment of self-reported dietary intake and physical activity. Little is known about the reasons for this underreporting, which is obtained even from rural individuals and lean subjects.

MATERIAL AND METHODS: Healthy volunteers (16 males, aged 18-55 years) were given two different full diets (high and low in saturated fat), each for a period of 4 weeks.

RESULTS: The subjects were able to provide a report of their dietary intake with relatively high accuracy (68.4%) on day one. Accuracy declined on day two (64.2%), and on day three, the reporting accuracy was only 55.0% (p<0.05). Interestingly, on day one, individuals were more precise (p<0.05) in their dietary reports if they had consumed an unhealthy diet high in saturated fat (72.5%) than a healthy diet high in unsaturated fat (64.4%). The most frequently omitted items were fruits and vegetables. The non-reporting of food items consumed is very high, even in the short term, and individuals tend to remember unhealthy items better.

CONCLUSIONS: Our pilot study showed that the inaccuracy of self-reported data includes not only the underestimation of energy intake (portion size) but also inaccurate qualitative data....

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Journal Article 2011; 32(Suppl 2): 13-16 PubMed PMID: 22101875 Citation  Keywords:  Adolescent, Adult, Aged, Alcoholic Beverages:statistics & numerical data, Animals, Beer:statistics & numerical data, Beverages, Coffee, Czech Republic:epidemiology, Diet Surveys, Energy Intake, Female, Humans, Male, Middle Aged, Milk, Sex Factors, Surveys.   

BACKGROUND: Food intake is a commonly monitored issue in many studies. In contrast, almost no information has been published on beverage intake in adults.

MATERIAL AND METHODS: To evaluate beverage intake, we studied a population of 1, 200 adults (656 males and 544 females, aged 18-54 years). The volumes and types of beverages were obtained from self-reported questionnaires.

RESULTS: The mean beverage intake was highly variable, with a minimum of 450 mL/day and a maximum of 5,330 mL/day. A mean of 1,575 mL/day was found in the entire population (2,300 mL in males and 840 mL in females). Different patterns in the consumption of beverage types were observed between the males and females. For both males and females, the most common beverage consumed was water followed by tea. The next preferable beverages were alcoholic beer, coffee, and non-alcoholic beer in males and coffee, milk, and alcoholic beer in females. The estimated caloric intake from beverages covers, in most individuals, 10-30% of the recommended daily caloric intake.

CONCLUSIONS: There is substantial variation among individuals, both in beverage intake and in caloric intake through beverages. The caloric intake from beverages reaches, in some individuals, one-third of the recommended daily caloric rate....

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Journal Article 2005; 26(4): 301-304 PubMed PMID: 16136022 Citation  Keywords:  Adolescent, Amenorrhea:blood, Anorexia Nervosa:blood, Appetite:physiology, Body Weight:physiology, Child, Energy Intake, Estradiol:blood, Female, Follicle Stimulating Hormone:blood, Humans, Hydrocortisone:blood, Leptin:blood, Luteinizing Hormone:blood, Ne.   

OBJECTIVES: The pathogenesis of anorexia nervosa (AN) remains still unclear. It has been reported that neuropeptides may play a role in the control of appetite and hormone release contributing to hormonal disturbances in AN. However the question if neuropeptide alterations are consequence or cause of malnutrition is still unresolved.

METHODS: Serum leptin, neuropeptide Y (NPY) concentrations as well as hormones (FSH, LH, estradiol, cortisol and fT4) serum levels were prospectively estimated in 19 girls aged 11.7-17.7 years (mean 15.5 years) with anorexia nervosa (AN) at the admission to the hospital (baseline) and at follow-up after 7.21+ 2.32 months of treatment. The treatment consisted of hypercaloric diet, psychotherapy and vitamins supplementation.

RESULTS: Mean leptin concentration significantly increased from 7.99 + 2.6 to 9.98 + 2.48 microg/ml (p<0.01), whereas mean NPY concentration significantly decreased from 34.10 + 9.81 to 29.6 + 8.04 pmol/l (p<0.01). Leptin/BMI ratio was constant, while NPY/BMI ratio decreased. There were no significant differences between leptin and NPY serum concentrations at baseline and follow-up in eumenorrheic vs. amenorrheic patients. Simple linear correlation analysis showed negative correlation between leptin and NPY concentrations at baseline (r=-0.67; p<0.05) and at follow-up (r=-0.76; p<0.05) only in eumenorrheic subgroup. There were no significant correlations between leptin, NPY and BMI and body weight values.

CONCLUSIONS: 1) Serum concentration of leptin increases and serum concentration of NPY decreases significantly during the treatment of anorectic girls. 2) These changes do not correspond with increasing body weight and BMI suggesting disregulation of appetite and body weight control mechanisms in AN. 3) Altered neuroregulation of the neuropeptides (leptin and NPY) secretion may contribute persistent amenorrhea after weight gain in anorectic patients with low initial BMI....

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