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      Obesity and Overweight: Probing Causes, Consequences, and Novel Therapeutic Approaches Through the American Heart Association's Strategically Focused Research Network

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          Abstract

          ABSTRACT: As the worldwide prevalence of overweight and obesity continues to rise, so too does the urgency to fully understand mediating mechanisms, to discover new targets for safe and effective therapeutic intervention, and to identify biomarkers to track obesity and the success of weight loss interventions. In 2016, the American Heart Association sought applications for a Strategically Focused Research Network (SFRN) on Obesity. In 2017, 4 centers were named, including Johns Hopkins University School of Medicine, New York University Grossman School of Medicine, University of Alabama at Birmingham, and Vanderbilt University Medical Center. These 4 centers were convened to study mechanisms and therapeutic targets in obesity, to train a talented cadre of American Heart Association SFRN‐designated fellows, and to initiate and sustain effective and enduring collaborations within the individual centers and throughout the SFRN networks. This review summarizes the central themes, major findings, successful training of highly motivated and productive fellows, and the innovative collaborations and studies forged through this SFRN on Obesity. Leveraging expertise in in vitro and cellular model assays, animal models, and humans, the work of these 4 centers has made a significant impact in the field of obesity, opening doors to important discoveries, and the identification of a future generation of obesity‐focused investigators and next‐step clinical trials. The creation of the SFRN on Obesity for these 4 centers is but the beginning of innovative science and, importantly, the birth of new collaborations and research partnerships to propel the field forward.

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          Most cited references58

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          Personalized Nutrition by Prediction of Glycemic Responses.

          Elevated postprandial blood glucose levels constitute a global epidemic and a major risk factor for prediabetes and type II diabetes, but existing dietary methods for controlling them have limited efficacy. Here, we continuously monitored week-long glucose levels in an 800-person cohort, measured responses to 46,898 meals, and found high variability in the response to identical meals, suggesting that universal dietary recommendations may have limited utility. We devised a machine-learning algorithm that integrates blood parameters, dietary habits, anthropometrics, physical activity, and gut microbiota measured in this cohort and showed that it accurately predicts personalized postprandial glycemic response to real-life meals. We validated these predictions in an independent 100-person cohort. Finally, a blinded randomized controlled dietary intervention based on this algorithm resulted in significantly lower postprandial responses and consistent alterations to gut microbiota configuration. Together, our results suggest that personalized diets may successfully modify elevated postprandial blood glucose and its metabolic consequences. VIDEO ABSTRACT.
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            Global burden of obesity in 2005 and projections to 2030.

            To estimate the overall prevalence and absolute burden of overweight and obesity in the world and in various regions in 2005 and to project the global burden in 2030. Pooling analysis. We identified sex- and age-specific prevalence of overweight and obesity in representative population samples from 106 countries, which cover approximately 88% of the world population, using MEDLINE and other computerized databases, supplemented by a manual search of references from retrieved articles. Sex- and age-specific prevalence of overweight and obesity were applied to the 2005 population to estimate the numbers of overweight and obese individuals in each country, each world region and the entire world. In addition, the prevalence, with and without adjusting for secular trends, were applied to the 2030 population projections to forecast the number of overweight and obese individuals in 2030. Overall, 23.2% (95% confidence interval 22.8-23.5%) of the world's adult population in 2005 was overweight (24.0% in men (23.4-24.5%) and 22.4% in women (21.9-22.9%)), and 9.8% (9.6-10.0%) was obese (7.7% in men (7.4-7.9%) and 11.9% in women (11.6-12.2%)). The estimated total numbers of overweight and obese adults in 2005 were 937 million (922-951 million) and 396 million (388-405 million), respectively. By 2030, the respective number of overweight and obese adults was projected to be 1.35 billion and 573 million individuals without adjusting for secular trends. If recent secular trends continue unabated, the absolute numbers were projected to total 2.16 billion overweight and 1.12 billion obese individuals. Overweight and obesity are important clinical and public health burdens worldwide. National programs for the prevention and treatment of overweight, obesity and related comorbidities and mortalities should be a public health priority.
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              The short- and long-term implications of maternal obesity on the mother and her offspring.

              Obesity's increasing prevalence has reached epidemic proportions in the USA, with close to one-third of the adult population affected in 2000. Additionally, there is increasing prevalence of obesity in other industrialised areas of the world such as Europe. Of potentially more concern is the potential risks associated with obesity and related metabolic complications in the developing world. The maternal, fetal, peripartum and neonatal complications of obesity in pregnancy have far-reaching implications for both mother and offspring. Of alarming interest is the increasing rate of obesity among adolescents and the cycle of obesity in future generations it portends. The purpose in this review is to briefly review the maternal perinatal morbidities associated with maternal pregravid obesity. Additionally, we will review evidence of both short- and long-term effect of maternal obesity on the in utero environment as it relates to fetal growth, neonatal body composition and adolescent obesity.
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                Author and article information

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                Journal
                Journal of the American Heart Association
                JAHA
                Ovid Technologies (Wolters Kluwer Health)
                2047-9980
                February 08 2023
                Affiliations
                [1 ]Division of General Internal Medicine, Department of Medicine The Johns Hopkins University School of Medicine Baltimore MD
                [2 ]Department of Epidemiology The Johns Hopkins Bloomberg School of Public Health Baltimore MD
                [3 ]Welch Center for Prevention, Epidemiology and Clinical Research The Johns Hopkins University Baltimore MD
                [4 ]Department of Nutrition Sciences University of Alabama at Birmingham Birmingham AL
                [5 ]Tennessee Valley Healthcare System Vanderbilt University Medical Center Nashville TN
                [6 ]Division of Diabetes, Department of Medicine, Endocrinology and Metabolism Vanderbilt University Medical Center Nashville TN
                [7 ]Department of Medicine, Diabetes Research Program, Division of Endocrinology, Diabetes and Metabolism New York University Grossman School of Medicine New York NY
                [8 ]Department of Medicine, Division of Endocrinology, Diabetes and Metabolism The Johns Hopkins University School of Medicine Baltimore MD
                [9 ]Division of Endocrinology, Department of Medicine, Diabetes and Metabolism New York University Grossman School of Medicine New York NY
                [10 ]Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology University of Alabama at Birmingham Birmingham AL
                [11 ]Division of Cardiovascular Medicine, Department of Medicine Vanderbilt University Medical Center Nashville TN
                [12 ]Department of Population, Family and Reproductive Health The Johns Hopkins Bloomberg School of Public Health Baltimore MD
                [13 ]Yale School of Medicine New Haven CT
                [14 ]Vanderbilt Genetics Institute and Division of Genetic Medicine, Department of Medicine Vanderbilt University Medical Center Nashville TN USA
                [15 ]Division of Endocrinology, Department of Medicine, Diabetes, and Metabolism University of Alabama at Birmingham Birmingham AL
                [16 ]Division of Maternal‐Fetal Medicine, Department of Women’s Health, Dell Medical School University of Texas at Austin Austin TX USA
                [17 ]Department of Molecular Physiology and Biophysics Vanderbilt University School of Medicine Nashville TN
                [18 ]VA Tennessee Valley Healthcare System Nashville TN
                [19 ]Department of Epidemiology University of Alabama at Birmingham Birmingham AL
                [20 ]Department of Neuroscience The Johns Hopkins University School of Medicine Baltimore MD
                [21 ]Division of Gerontology, Department of Medicine, Geriatrics, and Palliative Care University of Alabama at Birmingham Birmingham AL
                [22 ]Division of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Tennessee Nashville TN
                [23 ]Department of Population Health, Center for Healthful Behavior Change New York University Langone Health New York NY
                [24 ]Department of Pharmacology Vanderbilt University Nashville TN
                [25 ]Department of Medicine Vanderbilt University Medical Center Nashville TN
                Article
                10.1161/JAHA.122.027693
                8d8f5c72-2700-46b6-94dd-4dc6fc35156f
                © 2023
                History

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