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SPINAL CORD STIMULATION FOR WEIGHT LOSS AND OBESITY

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Spinal Cord Electrical Stimulation for Obesity: A Preliminary Rodent Study (99)

Geng-Qing Song, Veterans Research and Education Foundation, Oklahoma City, OK; Jiande Chen, MD PhD, Veterans Research and Education Foundation, Oklahoma City, OK

Introduction: Spinal cord electrical stimulation (SCS) has been applied for the management of chronic pain . Most studies have revealed a decrease in sympathetic activity with SCS . In this study, we hypothesize that SCS with appropriate parameters and specific locations might increase sympathetic activity (causing an increase in metabolism and thus a decrease in body weight) and inhibited gastrointestinal motility (leading to early satiety with reduced food intake) .

Aims: The aim of this study was to investigate the effect of SCS on heart rates, sympathetic activity, serum norepinephrine, gastric emptying, and food intake in rats .

Methods: Male rats chronically implanted with SCS electrodes at T1/T2 or T5/T6 were studied in three experiments . Experiment 1 was to study the effects of SCS with different parameters and locations on heart rates, sympathetic activity . Experiment 2 was to assess the effect of SCS on serum norepinephrine and gastric emptying . Experiment 3 was to assess the effects of SCS on food intake . The animals received 5 days of either sham-SCS or SCS in a randomized order .

Results: (1) SCS at T1-T2 or T5-T6 of the 90% MT, 0 .1 ms, 100 Hz (but not 20 or 80 Hz) increased heart rates and sympathova- gal balance . Heart rate was 462 .4 ± 8 .2 beats/min or 466 .0 ± 9 .7 beats/min at baseline and increased to 477 .8 ± 9 .5 beats/min
(P = 0 .011, SCS at T1/T2) or 479 .9 ± 9 .8 beats/min (P = 0 .013, SCS at T1/T2), respectively . Similarly, the sympathovagal balance was 0 .43 ± 0 .03 or 0 .46 ± 0 .04 at baseline and increased to 0 .50 ± 0 .06 (P = 0 .018, SCS at T1/T2) or 0 .51 ± 0 .03 (P = 0 .012, SCS at T5/T6) , respectively . (2) SCS at T1-T2 or T5-T6 of the 90% MT, 0 .1 ms, 100 Hz increased serum norepinephrine by 98 .8% or 100 .8%, respectively, in comparison with baseline before SCS . (3) SCS at T5-T6 but not T1-T2 of the 90% MT, 0 .1 ms, 100 Hz de- layed gastric emptying . Gastric emptying was 60 .0% ± 3 .7% in the controls and decreased to 50 .4% ± 4 .8% with SCS at T5-T6 (P = 0 .042, vs . controls) . (4) SCS at T5-T6 of the 90% MT, 0 .1 ms, 100 Hz reduced daily food intake by 17 .8% (P = 0 .046) .

Conclusion: SCS at T5-T6 with appropriate parameters reduces food intake in regular rats and the inhibitory effect may attrib- uted to increased sympathetic activity and reduced gastric emptying . Further studies are warranted to explore the potential of SCS for obesity .

Disclosures: J. Chen: None . G. Song: None .

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On paper it looks like the Buccaneers have the sting against the Seahawks with Tampa’s rushing offense being the strongest match. Fortunately for fans, games are played on the 100-yard field by 22 highly proficient football players where paper has little influence.

The Sun Dome can be found at on the University of South Florida’s Tampa grounds. The Sun Dome usually hosts the USF basketball team, but over the weekend just before the Super Bowl this venue is turned into a concert hall and breakfast group. On Friday, January 30th Gospel fans can enjoy the Super Bowl Gospel Blowout. On Saturday, January 31st the sun Dome is host into the popular Super Bowl Breakfast. The Super Bowl Breakfast has gained a reputation getting one of the most useful pre-game events. nfl coaches and players, including Tony Dungy and Derrick Brooks, offer inspiring words and present the 2009 Bart Starr Award honoring an nfl player with outstanding spirit.

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