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2502 NYCC TRANS FINAL2 - New York Chiropractic College

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Leptin and<br />

Weight Loss<br />

by Jaclyn McDermott, 7th Trimester<br />

Is HMB a Safe Supplement for<br />

Weight Reduction?<br />

by Alana Starr, 3 rd Trimester<br />

Obesity, a leading health problem in the United States, often<br />

precedes heart disease, diabetes and cancer. Within the<br />

past few years, scientists have<br />

made promising<br />

breakthroughs that link obesity with<br />

genetics. The genetic/obesity<br />

association<br />

revealed itself through the<br />

1950 discovery of<br />

the ob (obese) gene and, more<br />

recently, with the<br />

1994 cloning of mice at R o c k efeller<br />

University. Specifically, the ob<br />

gene encodes for a<br />

protein known as leptin. The amount of<br />

leptin present in the blood<br />

d i rectly<br />

impacts people’s body mass and<br />

body fat<br />

indices. Defective ob genes<br />

fail<br />

to produce leptin, and<br />

consequently the organism<br />

is never told to stop eating.<br />

Studies involving mice<br />

injected with the ob gene<br />

support leptin’s link with<br />

weight maintenance.<br />

Leptin not only kills<br />

fat cells while sparing<br />

lean muscle tissue, but<br />

also suppresses appetite<br />

and augments energy<br />

expenditure. Leptin activates a part of the brain -<br />

the hypothalamus - that regulates food consumption<br />

and water intake. The hypothalamus responds to leptin<br />

in two distinct ways. Leptin activates anorectic nerve cells in the<br />

medial hypothalamus to release appetite-suppressing neuropeptides.<br />

At the same time, leptin inhibits another group of cells known as<br />

orexigenic cells (literally translated: “to eat”) and prevents them from<br />

releasing a potent appetite-stimulating neuropeptide (LEPTIN.HMS).<br />

Leptin also suppresses biochemical reactions that contribute to<br />

lipid accumulation. The ob gene expression in cultured cells<br />

suppresses both expression of the acetyl-CoA carboxlylase gene and<br />

synthesis of hormone-induced lipids. Hence, leptin reduces both fat<br />

storage and fat synthesis.<br />

Finally, leptin has been associated with physiologic effects other<br />

than weight loss. It is found in the endothelial cells that line blood<br />

vessels. Leptin that was injected into the corneas of rats stimulated<br />

new blood vessel formation in the area. Since cancer cells are also<br />

associated with neovascularization, the infiltration of leptin in blood<br />

vessel walls may be the cause of secondary weight loss in cancer<br />

patients. What’s more, leptin injections improved immune response<br />

in mice. Clearly, more research is needed before all of leptin’s<br />

influences on the human system are fully understood. Nevertheless,<br />

leptin appears to offer promise in man’s constant “battle of the bulge.”<br />

Chiropractors who counsel patients regarding weight control are<br />

aware that muscle mass is always a relevant consideration. Research<br />

suggests that beta-hydroxy-beta-methyl butyrate (HMB), often used<br />

to help AIDS patients maintain muscle mass, may help obese patients<br />

safely burn fat and build muscle mass.<br />

HMB is naturally formed in the body by the breakdown of the<br />

amino acid leucine and is found in small amounts in many plants and<br />

animals, most notably alfalfa and catfish. It can also be purchased as<br />

a nutritional supplement, though it is costly. The supplement increases<br />

the rate at which fat is turned into energy, and accelerates<br />

formation of lean muscle tissue. Together with exercise, HMB also<br />

significantly reduces cholesterol and helps lower blood pressure. However,<br />

it should not be taken solely for the purpose of reducing cholesterol<br />

or low- ering blood pressure.<br />

The recommended dose of<br />

HMB is 1.5g - 3g per day. Higher<br />

doses do not improve effects. HMB<br />

is effective only if patients exercise<br />

regularly and incorporate resistance<br />

training into their exercise program.<br />

Best results have been observed in<br />

untrained athletes or non-athletes.<br />

Elderly people and athletes who regularly<br />

attended a gym experienced less<br />

dramatic improvement. Thus far, HMB has<br />

shown no significant negative impacts on the<br />

function of the liver, kidneys, or other organs;<br />

neither has it been found harmful to patients’<br />

musculature. Drug interactions are unknown at this time.<br />

Use of Nonprescription Weight Loss<br />

Products Expected to Rise<br />

A recent multistate survey of the National Center for<br />

Chronic Disease Prevention and Health Promotion indicates<br />

that seven percent of American adults use nonprescription<br />

weight-loss products. Overall use was especially common<br />

among young obese women, and a surprising eight percent<br />

of normal-weight women also reported using<br />

nonprescription weight loss products. As the rate of obesity<br />

continues to climb and as supplements purported to control<br />

weight become increasingly available, the trend toward<br />

nonprescription weight-loss products is likely to continue.<br />

This trend highlights the great need for chiropractors<br />

qualified to assist their patients with supplement and<br />

nutritional counseling.<br />

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