Source: COLORADO STATE UNIVERSITY submitted to NRP
AUGMENTING SYMPATHETIC SUPPORT OF ENERGY EXPENDITURE TO TREAT/PREVENT OBESITY
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
0233838
Grant No.
(N/A)
Cumulative Award Amt.
(N/A)
Proposal No.
(N/A)
Multistate No.
(N/A)
Project Start Date
Jul 1, 2013
Project End Date
Jun 30, 2015
Grant Year
(N/A)
Program Code
[(N/A)]- (N/A)
Recipient Organization
COLORADO STATE UNIVERSITY
(N/A)
FORT COLLINS,CO 80523
Performing Department
Health & Exercise Science
Non Technical Summary
As growing numbers of obese children mature into obese adults, many will already carry the burden of an obesity-associated metabolic/cardiovascular disease, threatening both their health-span and their lifespan. In concept, interventions targeting energy balance, such as caloric restriction, initiation of a program of increased physical activity, and/or pharmaceutical therapy can be employed to help prevent and/or reverse obesity. Unfortunately, the harsh reality is that the long-term success of these approaches is, in many cases, limited, in large part due to poor compliance, potential adverse side effects, and/or significant financial burden. We have developed a highly promising nutraceutical intervention designed specifically to augment physiological regulation of energy expenditure, an intervention that would be highly advantageous for overweight/obese children and adults. Based on current literature, we have strong theoretical evidence that our intervention can serve as an effective strategy to achieve this objective. However, there remains a critical need to validate this apparent therapeutic benefit in controlled clinical trials. Failure to meet this need would be counter to the missions of the USDA and NIH to promote the identification of evidence-based strategies to reduce the burdens of illness and disability associated with obesity. Our long-term goal is to contribute to the development of practical and effective interventions that can be successfully applied to assist children and adults in preventing and/or reversing obesity. Our objective in this CAES application is to determine the therapeutic efficacy of short-term nutraceutical supplementation on regulation of energy expenditure in overweight/obese older children and young adults. Our central hypothesis is that nutraceutical supplementation will lead to augmentation of each of the major components of total daily energy expenditure: resting metabolic rate, thermic effect of feeding, and the energy expenditure associated with physical activity.
Animal Health Component
(N/A)
Research Effort Categories
Basic
(N/A)
Applied
(N/A)
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
72450101020100%
Knowledge Area
724 - Healthy Lifestyle;

Subject Of Investigation
5010 - Food;

Field Of Science
1020 - Physiology;
Goals / Objectives
To determine the therapeutic efficacy of a nutraceutical intervention in increasing energy expenditure in overweight/obese adults and children. We hypothesize that short-term of daily oral consumption of a nutraceutical, relative to a placebo, will result in increased resting metabolic rate, thermic effect of feeding, and energy expenditure associated with physical activity in overweight/obese children and adults. At the completion of this CAES-supported research, we expect to have provided compelling support for the conclusion that our nutraceutical intervention will prevent and/or reverse obesity.
Project Methods
Following informed consent, health-screening, and satisfaction of inclusion/exclusion criteria, research participants will be randomly assigned to one of two interventions: daily oral consumption of either the placebo or the nutraceutical (one capsule/day). This will be a double-blind study, that is, neither subjects nor investigators will be aware as to which intervention is the placebo or nutraceutical until the data collection/analysis are complete. Prior to and immediately following the intervention, research participants will undergo measures associated with each of the components of total daily energy expenditure (resting metabolic rate, thermic effect of feeding and energy expenditure associated with physical activity). In addition, body mass and composition, circulating concentrations of catecholamines and nutraceutical ingredients, and heart rate and blood pressure will be determined.

Progress 07/01/13 to 06/30/15

Outputs
Target Audience:Overweight/obese adults and older children comprise the target audience. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?The project has provided siginificant training and professional development for the graduate student research assistants associated with the study, but also to other graduate and undergraduate student research assistants who have worked on the project but have not received financial reimbursement (ie., they do not receive a stipend from the project). Newly acquired skills and experiences include the performance of indirect calorimetry, phlebotomy, and collection and analysis of body composition data via dual energy X-ray absoprtiometry. Further, all students have completed training pertaining to Human Subjects Testing, Operation of Radiation Producing Apparatus, Hazardous Waste Disposal, and Blood Born Pathogens. The project has provided an opportuity for graduate students to be involved with a study from its inception, through evaluation and approval from various regulatory offices, subject recruitment, screening, scheduling and retention, and finally data collection, analysis and dissemination. Finally, the project has provided a graduate student with a topic for a Master's Thesis (to be defended Spring 2016). How have the results been disseminated to communities of interest?Preliminary data have been presented at an intramural event (Graduate Student Showcase). What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? 11 overweight/obese adults/older-children participated in this study. Research participants were assigned to one of two conditions: daily consumption of a placebo (something that has no effect) or daily consumption of the nutraceutical. Prior to and following each treatment body composition, resting metabolic rate, thermic effect of feeding, metabolic responses to standardized exercise, and blood pressure were determined. There were no differences between each of the treatment groups at baseline. Compared with the placebo treatment, daily consumption of the nutraceutical did not influence total body mass, fat-free mass, or fat mass. Consistent with these data, resting metabolic rate, the thermic effect of feeding and the metabolic responses to standiardized exercise were all unaltered. Finally, neither blood pressure nor resting heart rate were not influenced by the nutraceutical compared with the placebo treatment. These data imply that the nutraceutical does not influence energy expenditure and/or basal cardiovascular function.

Publications


    Progress 10/01/13 to 09/30/14

    Outputs
    Target Audience: Overweight/obese adults and older children comprise the target audience. Changes/Problems: In order to study energy expenditure during physical activity, we proposed to collect gas exchange data, for indirect calorimetry, during standardized work loads on a stationary cycle ergometer. Originally we proposed that participants would exercise for 3 consecutive 10-minute periods at an external work rate of 50, 100 and 200 Watts. Our rationale was these external work rates would be sufficient to evoke a sympathetic response and yet be accomplishable for the proposed research participants. During data collection from the first cohort of participants, it very quickly became apparent that these workloads were too strenuous. We have since decreased the workloads to 25, 75 and 125 W and allowed brief rest periods between each increment. Thus far, all participants have been able to complete the new standardized exercise. What opportunities for training and professional development has the project provided? The project has provided siginificant training and professional development for the graduate student research assistants associated with the study, but also to other graduate and undergraduate student research assistants who have worked on the project but have not received financial reimbursement (ie., they do not receive a stipend from the project). Newly acquired skills and experiences include the performance of indirect calorimetry, phlebotomy, and collection and analysis of body composition data via dual energy X-ray absoprtiometry. Further, all students have completed training pertaining to Human Subjects Testing, Operation of Radiation Producing Apparatus, Hazardous Waste Disposal, and Blood Born Pathogens. By its completion, the project will have provided an opportuity for graduate students to be involved with a study from its inception, through evaluation and approval from various regulatory offices, subject recruitment, screening, scheduling and retention, and finally data collection, analysis and dissemination. How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals? During the remainder of the funding period (that is, between now and June 30) we will continue to recruit study participants. The relative short duration of the intervention promotes the feasibility of fresh study enrollment without delaying eventual study completion. Following completion of data collection and statistical analysis the research team will be un-blinded as to the treatments (placebo vs. nutraceutical). Documents for data dissemination will be prepared; these will include a conference abstract and a scientific manuscript. Target journals for the data collected as part of the current proposal include the American Journal of Clinical Nutrition, Obesity, and the American Journal of Physiology: Endocrinology and Metabolism. Target scientific meetings will include both local and national scientific meetings, such as annual meetings of the Obesity Society, American Diabetes Association, the Endocrine Society, and Rocky Mountain Chapter of the American College of Sports Medicine (RMACSM).

    Impacts
    What was accomplished under these goals? We were able to purchase each of the components of our nutraceutical from a GMP compliant and certified company, and subsequenlty assemble the nutraceutical. We have sucessfully recruited, screened, and enrolled overweight and obese men and women for study participation. The physical characterisitics of these participants are as follows: age 41 + 7 years; body mass index 31.1 + 1.9 kg/m2; waist-to-hip ratio 0.86 + 0.06; % body fat 41.0 + 1.9; and maximal oxygen uptake 26.0 + 3.5 ml/kg/min (mean + SE). From these participants we have sucessfully collected preliminary data, pertaining to resting metabolic rate, the thermic effect of feeding, and energy expenditure associated with physical activity, in addition to collecting biological tissue samples (e.g. blood), that are currently in frozen storage. Due to the double-blind nature of the study design, we are currently unable to speculate as to the effectiveness of the intervention. All data collection completed thus far has been performed in the absence of any adverse events. Institutional Review Board approval for the project was successfully renewed.

    Publications


      Progress 07/01/13 to 09/30/13

      Outputs
      Target Audience: The target audience is comprised of overweight/obese adults and children. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? The graduate student research assistant, through the performance of the pilot studies completed thus far, has acquired all of the skills necessary to complete the data collection associated with this project. How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals? We have developed a recruitment plan to enroll the required number of research participants needed to investigate the hypotheses associated with the project. In light of the current month (January), the target audience (overweight/obese adults and children), and the trend for weight loss resolutions during this time of year, we are confident that the timing of our recruitment will yield success.

      Impacts
      What was accomplished under these goals? Institutional Review Board approval for this project was obtained in August 2013. Since then we have sucessfully completed a series of pilot studies on a small group of overweight/obese adults and children to optimize our research techniques. We have also identified a GMP compliant and certified company capable of supplying each of the components of the nutraceutical to be evaluated.

      Publications