Effects of school-based interventions for direct delivery of physical activity on fitness and cardiometabolic markers in children and adolescents: a systematic review of randomized controlled trials

To evaluate the effectiveness of school-based physical activity interventions on fitness, adiposity and cardiometabolic outcomes among schoolchildren. Medline, Embase, EBSCOhost CINAHL and ERIC databases were searched up to October 2012.

INCLUSION CRITERIA

intervention delivered at school with controls having no intervention or usual physical education classes; participants aged 5-18 years; outcomes spanning some or all of the above. We assessed levels of evidence for identified trials based on methodological quality and sample size. Dose of the interventions (a total summary measure of intensity, frequency and duration) were considered. Eighteen randomized controlled trials (RCTs, total participants = 6,207) were included, of which six were large, higher quality trials with high dose of the intervention. The intervention was consistent in increasing fitness with large, higher quality studies and high dose of intervention providing strong evidence. Dose of school-based physical activity is an important determinant of trial efficiency. Some large, higher quality RCTs provided strong evidence for interventions to decrease skin-fold thickness, increase fitness and high-density lipoprotein cholesterol. Evidence for body mass index, body fat and waist circumference, blood pressure and triglycerides, low-density lipoprotein cholesterol and total cholesterol remain inconclusive and require additional higher quality studies with high dose of interventions to provide conclusive evidence.

Metabolite differences in the lenticular nucleus in type 2 diabetes mellitus shown by proton MR spectroscopy

BACKGROUND AND PURPOSE

Previous studies by using proton MR spectroscopy found metabolite abnormalities in the cerebral cortex and white matter of patients with type 2 diabetes mellitus. The present study was undertaken to detect metabolite differences in the lenticular nuclei and thalamus in patients with T2DM.

MATERIALS AND METHODS

Twenty subjects with T2DM and 22 age-matched control subjects underwent single-voxel MR spectroscopy in the left and right lenticular nuclei and left and right thalami. NAA/Cr and Cho/Cr ratios were calculated. Brain lactic acid, fasting blood glucose, and glycosylated hemoglobin levels were also monitored.

RESULTS

The NAA/Cr ratio was lower in the left lenticular nuclei of subjects with T2DM (P = .007), whereas the Cho/Cr ratio was increased in both the and right lenticular nuclei (P = .001). The NAA/Cr ratio was negatively correlated with FBG in the left (r = -0.573, P = .008) and right nuclei (r = -0.564, P = .010). It was also negatively correlated to HbA1c in the left (r = -0.560, P = .010) and right (r = -0.453, P = .045) nuclei. The Cho/Cr ratio was positively correlated with these variables (P < .05). No significant differences in NAA/Cr or Cho/Cr ratios were observed in the thalamus of patients with T2DM. Lactic acid was not detected in any of the patients in the study.

CONCLUSIONS

The different metabolic statuses of the lenticular nuclei and thalamus suggest different effects of T2DM in each of these brain nuclei, with the lenticular nuclei being more vulnerable than the thalamus. The abnormal metabolic status was observed before lesions had appeared in these brain areas.

Imaging the electro-kinetic response of biological tissues with optical coherence tomography

We demonstrate the feasibility of using optical coherence tomography (OCT) to detect and image an electro-kinetic response: electric-field induced optical changes (EIOC) in soft biological tissues. A low-frequency electric field was applied to ex vivo samples of porcine heart tissues, while OCT signals were acquired continuously. Experimental results show that the amplitude of the OCT signal change is proportional to the amplitude and inversely proportional to the frequency of the applied electric field. We show that the nonconductive component of the sample was eliminated in the normalized EIOC image. To the best our knowledge, this is the first time a two-dimensional image related to the electro-kinetic response of soft tissues is obtained with depth resolution. Since electro-kinetic properties can change during cancerogenesis, EIOC imaging can potentially be used for cancer detection.

Drop fragmentation at impact onto a bath of an immiscible liquid

The impact of a drop onto a deep bath of an immiscible liquid is studied with emphasis on the drop fragmentation into a collection of noncoalescing daughter drops. At impact the drop flattens and spreads at the surface of the crater it transiently opens in the bath and reaches a maximum deformation, which gets larger with increasing impact velocity, before surface tension drives its recession. This recession can promote the fragmentation by two different mechanisms: At moderate impact velocity, the drop recession converges to the axis of symmetry to form a jet which then fragments by a Plateau-Rayleigh mechanism. At higher velocity the edge of the receding drop destabilizes and shapes into radial ligaments which subsequently fragment. For this latter mechanism the number N∝We3 and the size distribution of the daughter drops p(d)∝d-4 as a function of the impact Weber number We are explained on the basis of the observed spreading of the drop. The universality of this model for the fragmentation of receding liquid sheets might be relevant for other configurations.

Segmentation of clustered nuclei based on concave curve expansion

Segmentation of nuclei from images of tissue sections is important for many biological and biomedical studies. Many existing image segmentation algorithms may lead to oversegmentation or undersegmentation for clustered nuclei images. In this paper, we proposed a new image segmentation algorithm based on concave curve expansion to correctly and accurately extract markers from the original images. Marker-controlled watershed is then used to segment the clustered nuclei. The algorithm was tested on both synthetic and real images and better results are achieved compared with some other state-of-the-art methods.

Differential expression of lipid metabolism genes in the liver and adipose tissue of mice treated with evodiamine

Evodiamine is the main active alkali of Wu Zhuyu, a widely distributed Chinese herb. It plays an important role in the regulation of body fat deposition. In this study, we aimed to investigate the effect of evodiamine administration on the expression of genes involved in lipid metabolism in the liver and adipose tissue. Fasted mice were subcutaneously injected with evodiamine (37 °C, 20 mg/kg), and the core body temperature change and expression levels of lipid metabolism-related genes were evaluated at baseline, 0.5, 1, and 2 h. We detected the mRNA expression of fatty acid synthesis enzyme (FAS), peroxisome proliferator-activated receptor gamma (PPAR-γ), sterol regulatory element binding protein 1c (SREBP-1c), triglyceride hydrolase (TGH), and hormone-sensitive lipase (HSL) by real-time PCR and analyzed their correlation with core body temperature. Our results showed that the core body temperature was reduced greater than 1 °C with evodiamine treatment at 1 and 2 h (P < 0.01). In mouse livers, SREBP-1c, HSL, and TGH mRNA expression was significantly increased, and they reached the highest levels 1 h after injection (P < 0.01). However, PPAR-γ mRNA expression was decreased and reached a significant level at 0.5 h (P < 0.01) and FAS mRNA expression was not significantly different; FAS and SREBP-1c mRNA expression were reduced and reached significant levels at 1 h (P < 0.01). Of note, other genes demonstrated opposite changes in adipose tissue, and HSL mRNA expression was significantly reduced at 0.5 h (P < 0.01). The decreasing core temperature had a significant negative correlation with the expression of TGH, HSL, FAS, and SREBP- 1c mRNA in the liver (P < 0.01), but had significant positive correlation with levels of FAS and SREBP-1c mRNA in adipose tissue (P < 0.01). In light of these results, the main mechanism of the regulation of body fat deposition by evodiamine is raising energy consumption through reducing body temperature and promoting fat decomposition.

Construction of suppressor of cytokine signaling 2 (SOCS2) adenoviral overexpression vector and its impact on growth-hormone-induced lipolysis in swine primary adipocytes

We investigated the effect of overexpression suppressor of cytokine signaling 2 (SOCS2) on lipolysis in swine primary adipocytes (pAd) induced by growth hormone (GH). We constructed pAd-SOCS2 adenoviral overexpression vectors to infect HEK293 cells for virus packaging and propagation. Cultured swine primary adipocytes were infected with virus particles; after 48 h the infected adipocytes were treated with 500 ng GH/mL in the growth medium. Lipometabolism-related gene expressions were detected at 0, 0.25, 0.5, 1, 2, and 4 h, by measuring mRNA and protein levels. The pAd-SOCS2 overexpression vector was successfully constructed and the concentration of titrated virus was 1.2 x 10(9) PFU/mL. We found that virus infection significantly increased SOCS2 mRNA and protein levels in swine primary adipocytes. Overexpression of SOCS2 significantly inhibited the increase in fatty acid synthase, adipose triglyceride lipase mRNA, and protein expression at 0.5 h. However, after 0.5 h, this inhibition was not significant. We concluded that overexpression of SOCS2 inhibited the increase in lipolysis induced by GH in swine primary adipocytes; this could provide a basis for studies of lipometabolism.