Publications by authors named "David M Cartwright"

Background And Objectives: The idiopathic intracranial hypertension randomized controlled weight trial (IIH:WT) established that weight loss through bariatric surgery significantly reduced intracranial pressure when compared with a community weight management intervention. This substudy aimed to evaluate the amount of weight loss required to reduce intracranial pressure and to explore the effect of different bariatric surgical approaches.

Methods: IIH:WT was a multicenter randomized controlled trial.

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Supplementation with precursors of NAD has been shown to prevent and reverse insulin resistance, mitochondrial dysfunction, and liver damage in mouse models of diet-induced obesity. We asked whether the beneficial effects of supplementation with the NAD precursor nicotinamide riboside (NR) are dependent on mouse strain. We compared the effects of NR supplementation on whole-body energy metabolism and mitochondrial function in mildly obese C57BL/6N and C57BL/6J mice, two commonly used strains to investigate metabolism.

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Article Synopsis
  • - The study investigates the effects of bariatric surgery vs. community weight management on women with idiopathic intracranial hypertension (IIH), a condition that causes headaches and vision loss, and emphasizes the need for weight loss to improve the condition.
  • - Conducted over five years, the trial involved 66 women with a body mass index of 35 or higher, randomly assigned to either bariatric surgery or a Weight Watchers program, with outcomes analyzed at 12 and 24 months.
  • - Results showed that bariatric surgery led to a significant reduction in intracranial pressure compared to the community weight management group, highlighting its effectiveness for treating active IIH symptoms.
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Skeletal muscle is central to whole body metabolic homeostasis, with age and disease impairing its ability to function appropriately to maintain health. Inadequate NAD availability is proposed to contribute to pathophysiology by impairing metabolic energy pathway use. Despite the importance of NAD as a vital redox cofactor in energy production pathways being well-established, the wider impact of disrupted NAD homeostasis on these pathways is unknown.

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Nicotinamide adenine dinucleotide (NAD) is modulated by conditions of metabolic stress and has been reported to decline with aging in preclinical models, but human data are sparse. Nicotinamide riboside (NR) supplementation ameliorates metabolic dysfunction in rodents. We aimed to establish whether oral NR supplementation in aged participants can increase the skeletal muscle NAD metabolome and if it can alter muscle mitochondrial bioenergetics.

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