that's neat: the link between activity, energy expenditure and obesity

8/20/2019 That's NEAT: The Link Between Activity, Energy Expenditure and Obesity

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Conficts o Interest

• Dr. James Levine has received no moneyrom any o the below entities but has thepotential to earn royalties in uture

governed by Mayo Clinic policies: – pple Computer! Microscot! rmani! "ersh#ealth $is% Management! &' #ealth! (entagInc! (oogle Inc

• In )**+ Dr. Levine received a singlepayment rom &teelcase or designconsultancy.

• In )*,- Dr. Levine received consulting


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“You were right-

I do feel more

productive

standing up”

New Yorker 2015

(et 2p3

Is sitting the new smo%ing4


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Basal metabolic rate

Activitythermogenesis

Thermic effect of food

Kcal/day

0

1000

2000

3000

Non-exerciseActivity

Thermogenesis

N!AT"

!xercise

9 8hermogenesis


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Black, ur ! "lin Nutr 50:7


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8he Chairman;s $ise to 'ower

00 years


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N–E–A–T

Non-exercise ActivityThermogenesis

5.. varies )*** %cal6daybecause o


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#cc$%ation-

ty%e

N!

AT

&cal

/day"

!hair-"o#n$ %00&eate$ 'ork: no

o(tion o)moving

700

&eate$ 'ork:

$iscretion *

00

0 Black, ur ! "lin Nutr 50:7

'ata ass$ming B() * 1+00 &cal/day


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& i t t i n g

& t a n $ i n g

0 # m

! h e ' i n g

& t a i r

! l i m " i n g m(h m(h % m(h

,al&ing

200

70

220

150

155

20

1cal2ho#r


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The NEAT 'ay!hair style

/on91ercise ctivity 8hermogenesis


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N–E–A–T


/18 important in bodyat

/18

/on9eercise ctivity 8hermogenesis


12/72

evine. Science 23212

9 8hermogenesis


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at gain

hange in al&ing energy

ex%endit$re &cal4day"

0

20

0

50

0

+0

0

0

0

100

0

-1

1 3 6

R=0.71;

P


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N–E–A–T


/18 important inobesity

/18



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Body

postures

Movements

e.g. walking


16/72#evine et al ,cience& 2*(5*)-+


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N–E–A–T


/eurological drive

/18



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9 8hermogenesis


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#rexin increases

N!AT more in7lean rats

than obese

#beseean

#rexin

#rexin A nmol".iwaki /! 200)& Novak /! 200

N!AT


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N–E–A–T


1cology versus biology

/18



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rances (abel

8ta%les

3!T3BE4 0% 6389E 5


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,hen ere yo$ born9

'as "orn on ;#ne %0,


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,hat as life li&e hen yo$ erelittle9

t 'as "ea#ti)#l. >e ha$ to 'ork all the

time, hel( o#r (arents o#tsi$e in theheat an$ s#n.

>e #se$ to 'ash socks on one o) those'ash"oar$s. That 'as to#gh $#ty,those

socks. They s#re get $irty.


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,hat foods do yo$ remember9&ame as 'hat 'e eat no'. 3atmeal.Bacon. ?ry "rea$. @ancakes.

>e ha$ a "ig gar$en. >e #se$ to go#( an$ take ra$ishes. An$ 'e$ go o#t

in the 'oo$s. >e ha$ $eer meat, o#r$a$s h#nte$ an$ )ishe$. >e (icke$"erries.


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:o did yo$ &ee% food cold9

et ice )rom the lake. That 'o#l$kee( it col$.

'o yo$ eat candy9

Thro' can$y a'ay Cont eat that

can$y.


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“"all me

/untie+”


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NEAT =2000 kcal/day

NEAT =700 kcal/day

)** years

; i th i t ) " i ti


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;amaica the im(act o) #r"aniDation

orrester et al 2010 r%an ,tud

)$ral

8r"an

8r"an


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#evine 2015 ! 3epatol


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#besity rate and ;i% code in the


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The chairman’s curse

?@ chronic disease andconditions

(etabolic

Cia"etes!ar$iovasc#lar

y(ertension

(echanical

ArthritisBack (ain

(alignancy

Breast

(entalCe(ressionF!reativity

&igni)icant haDar$ ratio G4H associations:•all-ca#se mortality G4, ./0H

•car$iovasc#lar $isease mortality G4, .7


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D i a b e

t e s

The 'iabetes !%idemic in the 0-200>

Millions

diagnosedwith

diabetes

20

16

10

6 1>0 1>>0 2000 2010


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International

Most people withdiabetes do not%now they have it


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anohar $ia%etes "are+ 65(2)76

J gl#cose

m9ol2l9eals K 'alk 9eals Gno 'alkH

Time )rom meal ingestion Gho#rsH

%00

/

I

=


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@#"me$ citations

G0, estimate$H

8edentary Behavior


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N–E–A–T


Assessment

ethal &itting(et 2p3

/18 technologies


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; @hys Act ealth. 00


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Netor&ed sol$tions

9


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N8'&)66

>alk Fn (lay:/ months 7,5/% #sersI months =,000 #sers

8he app:

9 8hermogenesis


42/72


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N–E–A–T


#ffice



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(et 2p3 Des%s


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(et 2p3 Des%s

(et 2p3 Des%s


46/72

(et 2p3 Des%s

(et 2p3 Meetings


47/72

(et 2p3 Meetings

(et 2p3 &olution support


48/72

(et 2p3 &olution support

(et 2p3 0Ace science


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(et 2p3 0Ace science@er)ormance

4en-Ner et al 201) los 9ne

Time G'eeksH

( 2 3 0A & l i


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(et 2p3 0Ace &olutions


53/72

N–E–A–T


Kids


(et 2p3 &chool science


54/72




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56/72




57/72

anningham-?oster 9%esit: 00=




58/72

Scalable active classroom Bwith&M$8



59/72

c"rad: ! h:s /ct 3ealth+ 201)

(et 2p3 &chool


60/72

p

(et 2p3 &chool


61/72

p

>hy schools are a$$ing stan$ing $esks to


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y sc oo s a e a$$ g sta $ g $es s tothe classroomhtt(:22'''.to$ay.com2(arents2'hy-schools-are-a$$ing-stan$ing-$esks-classroom-t5=5I

http://www.today.com/parents/why-schools-are-adding-standing-desks-classroom-t51856http://www.today.com/parents/why-schools-are-adding-standing-desks-classroom-t51856


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N–E–A–T


(edical


linical 8%ace Traditional Modern


64/72

Depression

&tressmanagement

Men;s health


65/72

Novem%er *& 2015


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8 her apy


68/72

N–E–A–T


ity



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• &an ?rancisco in 0%, the average (ersons travel time "y

)oot 'as / min#tes2$ay.• n a leg-"ase$ travel active scenario, average comm#tes'o#l$ increase "y = min#tes.

• ,/0/ avoi$e$ (remat#re $eaths (er year.• healthcare cost savings in &an ?rancisco 'o#l$

a((roximate L%/ "illion2year.


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"opeland

M. that "eca#se all events

are ca#se$, all (ro"lemscan event#ally "e solve$.

&cience (rocee$s )rom the

ass#m(tion that miseryis not )ate$ M..

htt(s:22'''.yo#t#"e.com2'atchvO8);t>IE

https://www.youtube.com/watch?v=UfJt2W695WEhttps://www.youtube.com/watch?v=UfJt2W695WE


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(et 2p3 >our chair is %illing you 5.and5you can do

something about it

htt(:22time.com2/0

that's neat: the link between activity, energy expenditure and obesity

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