Sunday, January 1, 2017

Mouse Study: Inactivity in Obesity May be Tied to Dopamine Receptors

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Mouse Study: Inactivity in Obesity May be Tied to Dopamine Receptors, Not Excess Weight

Just in time for New Year’s resolutions, a new study has revealed why so many of us seem to have a hard time sticking to a workout routine — and it’s not just about extra weight. The findings, published in the journal Cell Metabolism, show that in obese mice, physical inactivity results from altered dopamine receptors rather than excess body fat.

“We know that physical activity is linked to overall good health, but not much is known about why people or animals with obesity are less active,” said the study’s senior author, Dr. Alexxai V. Kravitz, an investigator in the Diabetes, Endocrinology, and Obesity Branch at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).

“There’s a common belief that obese animals don’t move as much because carrying extra body weight is physically disabling. But our findings suggest that assumption doesn’t explain the whole story.”

Kravitz, who has a background in studying Parkinson’s disease, began conducting obesity research a few years ago. He was struck by similarities in behavior between obese mice and Parkinsonian mice. Based on these observations, he questioned whether obese mice were inactive due to a dysfunction in their dopamine systems.

“Other studies have connected dopamine signaling defects to obesity, but most of them have looked at reward processing — how animals feel when they eat different foods,” Kravitz said.

“We looked at something simpler: dopamine is critical for movement, and obesity is associated with a lack of movement. Can problems with dopamine signaling alone explain the inactivity?”

For the study, mice were given either a standard diet or an unhealthy, high-fat diet for 18 weeks. Beginning in the second week, the mice on the unhealthy diet had higher body weight. By the fourth week, these mice spent less time moving and got around much more slowly when they did move.

However, an important finding was that the mice on the high-fat diet moved less before they gained the majority of the weight, suggesting that the excess weight alone was not responsible for the lack of movement.

The scientists analyzed six different components in the dopamine signaling pathway and discovered that the obese, inactive mice had deficits in the D2 dopamine receptor.

“There are probably other factors involved as well, but the deficit in D2 is sufficient to explain the lack of activity,” said Dr. Danielle Friend, first author and former postdoctoral fellow at NIDDK.

The researchers also looked at the link between inactivity and weight gain, to determine whether it was causative. By studying lean mice that were engineered to have the same defect in the D2 receptor, they found that those mice did not gain weight more readily on a high-fat diet, despite their lack of inactivity, suggesting that weight gain was compounded once the mice start moving less.

“In many cases, willpower is invoked as a way to modify behavior,” Kravitz said. “But if we don’t understand the underlying physical basis for that behavior, it’s difficult to say that willpower alone can solve it.”

Uncovering the physiological reasons for why people with obesity are less active can help reduce some of the stigma they face, said Kravitz. His upcoming research will focus on how unhealthy eating affects dopamine signaling. The researchers also want to determine how quickly mice recover to normal activity levels once they begin to eat a healthy diet and lose weight.

Source: Cell Press



How to Make 2017 A Better Year



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Tapping into Social Support May be Best Way to Improve Health

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Tapping into Social Support May be Best Way to Improve Health

When it comes to our health, drawing in more social support — particularly from close family and friends — may be a more effective strategy than increasing interaction or visits with physicians or other healthcare workers, according to a new study published in the New England Journal of Medicine.

“Most health care interventions are designed for the individual patient, but there’s a growing body of research that shows how health care organizations can use social engagement strategy to enhance health for patients who want to be involved in group activities or team competitions aimed at improving health,” said co-author Roy Rosin, MBA, chief innovation officer at Penn Medicine.

For example, the authors point to a study in which some patients with diabetes were asked to talk on the phone weekly with peers — a technique known as reciprocal mentorship — while other patients received more typical nurse-led management. The findings showed that those who worked directly with peers saw a more significant decline in glycated hemoglobin levels than those who worked with clinical staff.

The researchers believe it would be extremely helpful if health organizations arranged get-togethers with patients’ friends and family in order to draw in more social support.

“Concerns about privacy are often the reason doctors and hospitals avoid organizing social support,” said co-author David Asch, M.D., MBA, a professor of Medicine at the Perelman School of Medicine at the University of Pennsylvania and director of the Penn Medicine Center for Health Care Innovation.

“But while privacy is very important to some patients under some circumstances, more often patients would love if their friends and family helped them manage their diabetes, and those friends and family want to help people get their health under control.”

Asch explains that people are far more heavily influenced by those they encounter on a daily basis than they are by doctors and nurses whom they see only occasionally. However, these “cost-free interactions remain largely untapped when engineering social incentives for health,” said Asch. “That’s a missed opportunity.”

“Spouses and friends are more likely to be around patients when they are making decisions that affect their health — like taking a walk versus watching TV, or what to order at a restaurant. Patients are also more likely to adopt healthy behaviors — like going to the gym — when they can go with a friend,” said Asch.

The researchers define a ladder with escalating rungs of social support ranging from no social engagement — such as when a patient is expected to take medication as part of a routine, without anyone seeing them do it or holding them accountable — to a design that relies on reputational or economic incentives, and incorporates teams or other designs that hold patients accountable for their health behaviors and habits.

“Although we don’t normally think of competition or collaboration among patients are part of managing chronic diseases like high blood pressure, heart failure, or diabetes, research shows that behavior is contagious, and programs that take advantage of these naturally occurring relationships can be very effective,” said Rosin.

Source: University of Pennsylvania School of Medicine



Hand Induction



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5 Tips on How to Get Started When There’s Work to Do

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“A feeling of aversion or attachment toward something is your clue that there’s work to be done.” – Ram Dass

Dreams don't work until you do. Motivational quote about successEver wake up with a feeling of dread about some project or task you’ve got on your list of things to do today? This is a common feeling that no one likes but must learn how to deal with. There are also times when the opposite is true. Sometimes you wake up knowing what you must do today and just can’t wait to get started.

Either feeling — aversion or excitement — is a clear sign that there’s work to be done and you need to do it. The way you deal with either emotion will affect not only your motivation to keep going, particularly when the going gets rough, but also the resulting outcome.

How can you turn dread or anticipation into action that makes sense, is effective, and allows you to feel a sense of accomplishment and increased self-esteem? Here are some tips to help get you started.

  • Take a minute to process the emotion — and don’t be overcome by it.

No doubt the prospect of diving into a mountain of tax receipts on deadline is the last thing you want to do, or you might just be so eager to get on the road on your vacation that you slip and fall out of bed. Take a minute to process whatever emotion you’re feeling before you get up. This gives your mind time to arrive at a game plan and put your thoughts in order before you need to do the work. Be aware that conflicting emotions can occur simultaneously. That’s OK. Acknowledge them, then proceed.

  • Learn to separate what’s nice from what’s necessary.

Both will not be true. You might find it pleasant to think about taking a swim in the ocean but you know that report for work demands your immediate attention. It might feel great to lounge around all day in your sweats but you’ve got clients to see, and such attire is no way to make a good impression. It’s fine to indulge yourself in thinking about what’s nice, but don’t dally. Get on with what’s necessary. The bonus here is that by dwelling briefly on what beckons gives you temporary satisfaction before you dive into the work that must be done.

Either take projects in order or arrange them according to a prioritization that works for you. Do the most difficult one first to make some headway at it, or start with some quick and easy ones you can get out of the way so that you feel a sense of making progress. Once you finish one, cross it off your list. This is a visual reminder that effort equals accomplishment.

  • If you’ve fallen behind, work out a plan that won’t overwhelm you.

Everybody gets swamped at times. Instead of tossing your hands in the air and writing off the project or task as hopeless, figure out a plan or approach that will be effective and won’t overwhelm you. This is a case where the intention to underpromise and overdeliver will pay off nicely. You’ll gradually become accustomed to the pace you’re comfortable maintaining and can better estimate the amount of time and effort specific tasks will take.

  • Recognize that work — what you do — is the best way to show who and what you are.

Another way to get started with work to be done is to keep in mind that your output is a clear way to show others who and what you are. Since no two people approach a project the same way, this shows your uniqueness, talent, decision-making ability and willingness to keep going until the job is done. You want to put forth your best efforts. This requires that you jump in and act. Perseverance, willingness to accept responsibility for your output and taking pride in your accomplishments are all part of what it takes to get the job done.



Unmotivated to exercise? Dopamine could be to blame

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As the New Year approaches and we promise ourselves we will exercise more, a new study helps explain why sticking to our resolution can be so hard.

December 31, 2016 at 08:15PM

DREAMWALKING Webinar Audio Recording and Free Streaming Video

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DREAMWALKING Webinar Archive On 11 December 2016 (Taipei time), Brian David Phillips conducted a webinar on DREAMWALKING: An Introduction to Experiential Shared Dreams via online chat at (Best Results if You Enter On Time To Avoid Weird LAG). We discuss the nature of DREAMWALKING and how to use experiential ecstatic trance methods to create various…