Nutrition, Exercise and Metabolism II

HHNS 6710 - WINTER 2009

Class Meeting: Friday 8:30 – 11:30 am
Location: ANNU 002

Course Co-ordinators

Dr. T. E. Graham, Office: ANNU 353, ext. 56168, Email: terrygra@uoguelph.ca

Dr L.E. Robinson, Office: ANNU 336B. ext 52297, Email: lrobinso@uoguelph.ca

I. MAJOR COURSE THEMES OR CONCEPTS

This course will examine the triad of obesity, diabetes and cardiovascular disease in detail. We will consider the global impact of the ill health issues and will explore the metabolic roots of the triad. The roles of the gut, liver, adipose tissue and muscle will be examined. This course will also address the impact of exercise and nutritional factors during key times including fetal development, childhood, and adolescence.

Course objectives:

The primary objective of this course is to discuss issues essential to understanding the interface between nutrition, exercise, and metabolism as they apply to the obesity, diabetes and cardiovascular disease triad. Information from the molecular level (and genetic factors) to the whole animal (in some cases to the population level) will be presented with a common focus being to understand the interaction of nutrition and exercise in human health. Emphasis will be placed on the development and testing of experimental hypotheses in these areas of research.

This course will address the University's learning objectives for graduate courses by not only addressing the role of metabolism in nutrition and exercise in considerable depth, but also by integrating the disciplines of nutrition and physiology. Furthermore the course requires a detailed appreciation of the integration between the body's key metabolic tissues, predominantly active and resting skeletal muscle, the blood, the liver and adipose tissue.

II. CONTENT OF LECTURES

There will be no formal lectures in this course. The classes will follow a seminar format and student participation and interaction will be encouraged and expected. Typically, classes will involve students critically reviewing and integrating several research papers that will be used to generate class discussion focused on key course concepts.

III. REQUIRED READINGS

Copies of the readings will be provided in PDF on the course website. Review papers will provide background reading. Students are expected to have read the papers PRIOR TO class. Students in the class will be divided into groups and each group will be assigned key papers that they are responsible to review, integrate and report to the class on a regular basis. The assigned papers will form the foundation for class discussion of key course concepts and all students will be expected to participate in these discussions.

IV. METHODS OF EVALUATION

There are 2 assignments for this course. Assignment 1 is worth 40% and Assignment 2 is worth 60%.

Assignment 1 – 40%

Select a topic that has received media attention (such as epigenetics and type 2 diabetes, new diet ‘fads’, products that are designed to promote weight loss, etc). Research the scientific basis of this and come to an evaluation of the merit of the selected topic. You will present an oral summary (10 min, worth 10%)) to the class, distribute copies of one key research paper and submit a written summary (5-7 pages plus references, worth 30%). Both are due on Feb 13, 2009.

Assignment 2 – 60%

Select an issue such as a) a specific, purported nutraceutical/functional food product, b) a nutritional issue, c) a lifestyle factor and/or d) an exercise aspect. This must be different from, but directly applicable to, the topics covered in the course. The assignment is to (1) research the science that would support why such an issue might be useful, ‘healthy’ or important, (2) address the questions: is the product/nutritional/exercise change effective, under what circumstances, and what are the health benefits and (3) are there any health concerns with the product or issue? You will submit a written report (approximately 10-15 pages, worth 40%). There should also be an abstract that will be distributed to the class as well as 1 key paper on the topic. NOTE: these are to be separate from the report itself in order that they can be distributed to your peers. An oral presentation (approximately 15 min in length, worth 20% ) to the class will take place at the end of the semester outside of class time. The written report will be due the same day as the oral presentations.

Note: The topic for each assignment must be approved and "registered" with Dr. Graham or Robinson. Only one student can register for a given topic.

Note: for both assignments only one student can select a given topic. Also for each oral presentation it is expected that your peers will provide Dr. Graham and Robinson with constructive criticisms of your oral presentation. They will summarize these and provide you with this feedback together with their own comments.

READING ASSIGNMENTS

The Cost of Obesity in Canada - C.L. Birmingham et al.

The Canadian Obesity Epidemic, 1985-1998 - P. Katzmarzyk

Effects of Physical Inactivity and Obesity on Morbidity and Mortality: Current Evidence and Research Issues - S.N. Blair and S. Brodney

The Fitness, Obesity, and Health Equation - Is Physical Activity the Common Denominator? - S.N. Blair and T.S. Church

Physical Activity and Diabetes Prevention - M.J. LaMonte et al.

Trends in Diabetes Prevalence, Incidence, and Mortality in Ontario, Canada 1995-2005: A Population-Based Study - L.L. Lipscombe and J.E. Hux

Global Prevalence of Diabetes: Estimates for the Year 2000 and Projection for 2030 - S. Wild et al.

WHO - Diabetes

Overweight, Obesity, and Mortality from Cancer in a Prospectively Studied Cohort of U.S. Adults - E.E. Calle et al.

A Potential Decline in Life Expectancy in the United States in the 21st Century - S.J. Olshansky et al.

TOPIC 2: What is Diabetes? A Carbohydrate or a Fat Metabolic Disorder? Is it a Cardiovascular Disease? What Interventions are Effective?

Insulin Resistance: Concepts, Controversies, and the Role of Nutrition - J.L. Sievenpiper et al.

Molecular Understanding of Hyperglycemia's Adverse Effects for Diabetic Complications - M.J. Sheetz and G.L. King

Dysregulation of Fatty Acid Metabolism in the Etiology of Type 2 Diabetes - J.D. McGarry

Integrative Physiology of Human Adipose Tissue - K.N. Frayn et al.

Adipocytokines and Insulin Resistance - A.G. Pittas et al.

Role of Nonexercise Activity Thermogenesis in Resistance to Fat Gain in Humans - J.A. Levine et al.

Origins and Evolution of the Western Diet: Health Implications for the 21st Century - L. Cordain et al.

Dietary Patterns and Risk for Type 2 Diabetes Mellitus in U.S. Men - R.M. van Dam et al.

Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin - Diabetes Prevention Program Research Group

Reduction in Obesity and Related Comorbid Conditions after Diet-Induced Weight Loss in Men - R. Ross et al.

Muscle Metabolism and Control of Capillary Blood Flow: Insulin and Exercise - S. Rattigan et al.

Insulin Sensitivity of Muscle Capillary Recruitment In Vivo - L. Zhang et al.

Blood Flow and Muscle Metabolism: A Focus on Insulin Action - M.G. Clark et al.

TOPIC 3: Genetics and Polymorphisms

Nutrigenomics, Proteomics, Metabolomics, and the Practice of Dietetics - Trujillo et al.

Nutritional Metabonomics: Applications and Perspectives - Rezzi et al.

Genotype-specific Weight Loss Treatment Advice: How Close Are We? - Adamo and Tesson

Genetic Polymorphisms of Tumour Necrosis Factor-a Modify the Association Between Dietary Polyunsaturated Fatty Acids and Fasting HDL-cholesterol and apo A-1 Concentrations - Fontaine-Bisson et al.

The -675 4G/5G Polymorphism at the Plasminogen Activator Inhibitor 1 (PAI-1) Gene Modulates Plasma Plasminogen Activator Inhibitor 1 Concentrations in Response to Dietary Fat Consumption - Perez-Martinez et al.

Influence of Pro12Ala Peroxisome Proliferators-activated Receptor g2 Polymorphism on Glucose Response to Exercise Training in Type 2 Diabetes - Adamo et al.

PGC-1a-responsive Genes Involved in Oxidative Phosphorylation Are Coordinately Downregulated in Human Diabetes - Mootha et al.

TOPIC 4: Maternal-Fetal Factors: Maternal

Obesity and Pregnancy - Dixit and Girling

Cellular Mechanisms for Insulin Resistance in Normal Pregnancy and Gestational Diabetes - Barbour et al.

Increased Skeletal Muscle Tumor Necrosis Factor-a and Impaired Insulin Signaling Persist in Obese Women With Gestational Diabetes Mellitus 1 Year Postpartum - Friedman et al.

Cardiovascular Risk Factors in Healthy Women with Previous Gestational Hypertension - Paradisi et al.

Gestational Diabetes and the Incidence of Type 2 Diabetes - Kim et al.

Exercise in the Prevention and Treatment of Maternal-Fetal Disease: A Review of the Literature - Weissgerber et al.

Prevention of Diabetes in Women with a History of Gestational Diabetes: Effects of Metformin and Lifestyle Interventions - Ratner et al.

Quirks of Fetal Environment Felt Decades Laters - Couzin

Early-life Programming of Susceptibility to Dysregulation of Glucose Metabolism and the Development of Type 2 Diabetes Mellitus - Holness et al.

Birthweight and the Risk for Type 2 Diabetes Mellitus in Adult Women - Rich-Edwards et al.

Prematurity - A Window of Opportunity? - Sperling

Premature Birth and Later Insulin Resistance - Hofman et al.

Early Life Origins of Insulin Resistance and Type 2 Diabetes in India and Other Asian Countries - Yajnik

TOPIC 5: Child and Adolescent

Overweight in Childhood and Adolescence - Dietz

Relation of Serial Changes in Childhood Body-Mass Index to Impaired Glucose Tolerance in Young Adulthood - Bhargava et al.

Insulin Resistance Syndrome in Children - Ten and MacLaren

Childhood Obesity - Miller et al.

Central Adiposity and its Metabolic Correlates in Obese Adolescent Girls - Caprio et al.

Obesity and Sex Steroid Changes Across Puberty: Evidence for Marked Hyperandrogenemia in Pre- and Early Pubertal Obese Girls - McCartney et al.

The "Obese Insulin-Sensitive" Adolescent: Importance of Adiponectin and Lipid Partitioning - Weiss et al.

TOPIC 6: Postprandial Metabolism and Cardiovascular Disease Risk

(A) INTRODUCTION

Regulation of Postprandial Lipemia: An Update on Current Trends - Paglialunga and Cianflone

Lipoproteins, Nutrition, and Heart Disease - Schaefer

Postprandial Triglycerides and Endothelial Function - Jagla and Schrezenmeir

Dietary Fatty Acids Make a Rapid and Substantial Contribution to VLDL-triacylglycerol in the Fed State - Heath et al.

Fasting and Postprandial Overproduction of Intestinally Derived Lipoproteins in an Animal Model of Insulin Resistance - Haidari et al.

Increased Dietary Substrate Delivery Alters Hepatic Fatty Acid Recycling in Healthy Men - Timlin et al.

Evidence for Impaired Lipolysis in Abdominally Obese Men: Postprandial Study of Apolipoprotein B-48- and B-100-containing Lipoproteins - Couillard et al.

(B) DIET AND EXERCISE

Docosahexaenoic Acid Supplementation Improves Fasting and Postprandial Lipid Profiles in Hypertriglyceridemic Men - Kelley et al.

A MUFA-rich Diet Improves Postprandial Glucose, Lipid and GLP-1 Responses in Insulin-Resistant Subjects - Paniagua et al.

Addition of Glucose to a Fatty Meal Delays Chylomicrons and Suppresses VLDL in Healthy Subjects - Westphal et al.

Extended Effects of Evening Meal Carbohydrate-to-Fat Ratio on Fasting and Postprandial Substrate Metabolism - Robertson et al.

Effects of a Moderate Exercise Session on Postprandial Lipoproteins, Apolipoproteins and Lipoprotein Remnants in Middle-Aged Men - Gill et al.

Prior Exercise and Postprandial Substrate Extraction Across the Human Leg - Malkova et al.

Exercise and Postprandial Lipemia: Effect of Continuous Compared with Intermittent Activity Patterns - Miyashita et al.

Different Patterns of Brisk Walking are Equally Effective in Decreasing Postprandial Lipaemia - Murphy et al.

TOPIC 7: Sex Differences

Postprandial leg uptake of triglyceride is greater in women than in men - Horton et al.

Menstrual cycle phase and sex influence muscle glycogen utilization and glucose turnover during moderate-intensity endurance exercise - Devries et al.

Postprandial leg and splanchnic fatty acid metabolism in nonobese men and women - Nguyen et al.

IMCL area density, but not IMCL utilization, is higher in women during moderate-intensity endurance exercise, compared with men - Devries et al.

 

University of Guelph
50 Stone Road East
Guelph, Ontario, N1G 2W1
Canada
519-824-4120

Human Health &
Nutritional Sciences

Animal Science/
Nutrition Building
519-824-4120 x56171
Fax: 519-763-5902