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Tuesday 2 June 2020 11:10am

binge-watching-image
An Otago study will investigate whether taking breaks while "binge-watching" could have health benefits.

We know that performing short bouts of activity regularly throughout the day can counter some of the risks that come with sitting for prolonged periods. But we don't yet know whether short activity breaks in the evening, while binge-watching our favourite shows, can have the same effect.

However, Senior Lecturer in the Department of Human Nutrition, Dr Meredith Peddie, is about to investigate what happens to blood sugar levels and sleep when people pepper their evening's viewing with short bursts of activity.

Dr Peddie is one of eight University of Otago researchers who this week received Emerging Researcher First Grants from the Health Research Council of New Zealand (see details below).

"When we all watched 'live TV', we would do things in the ad breaks ... But there are no breaks on streaming services such as Netflix, and when you get to the end of one episode, the next one will start right after it."

A further two researchers – Professor Marie Crowe, from the Department of Psychological Medicine, Christchurch, and Dr Rebbecca Lilley, from the Injury Prevention Research Unit, received Feasibility Study Grants. Dr Louise Bicknell from the Department of Pathology received a Consolidator Grant. In total, University of Otago researchers received just under $2.9 million.

Dr Peddie's study will establish whether three minutes of resistance exercise every 30 minutes during prolonged screen time will improve postprandial (after eating) metabolism and sleep quality, when compared to prolonged sitting without activity.

To date, the vast majority of research into the benefits of performing regular activity breaks has focused on the work day, and yet evidence suggests that we actually accumulate our longest period of uninterrupted sitting outside of work time, in the evening, when an average adult also consumes about 45 per cent of their daily energy intake.

“The evening is when we often eat a large meal, and then sit for long periods binge-watching shows,” says Dr Peddie.

Streaming services have made it easier to sit in our chairs for longer than we used to.

“There is a lot of incidental activity that has been removed from our lives that people don't recognise,” she says.

“When we all watched 'live TV', we would do things in the ad breaks – get up and do the washing-up or make the kids' lunches and then sit back down when the programme started again. But there are no breaks on streaming services such as Netflix, and when you get to the end of one episode, the next one will start right after it.”

Thirty participants will visit the research lab in the evening on two occasions, in a randomised order: on one occasion they will sit and watch Netflix uninterrupted for four hours; on the other they will perform simple resistance exercises for three minutes every 30 minutes. The effects on blood glucose, insulin and triglyceride levels after eating dinner, and the effects on sleep quality will be compared.

Dr Peddie's previous studies have investigated the effects of interrupting daytime sitting with short bouts of activity. She says this study will extend on that work and begin to translate laboratory research findings into practical simple solutions for incorporating regular activity breaks into everyday life.

"The Health Research Council is a vital enabler of research to improve the health and wellbeing of New Zealanders, and we are very proud that our research has been generously supported in these rounds."

“If performing regular activity breaks in the evening is found to result in improved control of blood sugar and better sleep, then there is the potential to consult with streaming services and the makers of smart TV apps, to develop prompts to get people up and moving after 30 minutes of continuous watching,” she says. That, in turn, has the potential to reduce the risk of diabetes, cardiovascular disease and diabetes.

University of Otago Deputy Vice-Chancellor (Research and Enterprise) Professor Richard Blaikie says with the global pandemic we are facing, support for health research has never been more important.

“The Health Research Council is a vital enabler of research to improve the health and wellbeing of New Zealanders, and we are very proud that our research has been generously supported in these rounds.

“The emerging researcher grants support the future leaders in health research and delivery, and the diversity of this group and their projects is to be celebrated. Likewise, the feasibility studies and consolidation grants we have been awarded will help support the ongoing aspirations of established researchers.”

Emerging first researcher grants

Divya Adhia 2020 imageDr Divya Adhia, Department of Surgical Sciences

Novel non-invasive neuromodulation treatment for chronic low back pain

36 months, NZD$209,995
Chronic low back pain is a disabling condition associated with huge economic costs. Current available treatments demonstrate minimal benefits, warranting the need for new, innovative therapies. Dr Adhia will evaluate the feasibility, safety and efficacy of a novel non-invasive brain stimulation technique, targeting multiple brain regions simultaneously, for modulating pain experience in people with chronic low back pain.

Haizal Mohd Hussaini 2020 imageDr Haizal Hussaini, Faculty of Dentistry

Interrogating immunotherapy for dental pulp therapy and management

36 months, NZD $206,045
Dental caries is a prevalent chronic disease that affects one in three adults in New Zealand. Caries destroys tooth structure and will progress to dental pulp infections and pain. This project will explore the ability of a new immunotherapeutic molecule in limiting pulp inflammation and promote pulp regenerative processes.

Megan Leask 2020 ImageDr Megan Leask, Department of Biochemistry

Decoding GWAS to combat renal disease in Māori and Pacific people

24 months, NZD $249,978
Chronic kidney disease and gout disproportionately affect Māori and Pacific people compared to other populations in New Zealand. The aim of this project is to identify Māori and Pacific specific variants that are biologically informative for chronic kidney disease and gout prevention and management in these populations. Dr Leask hopes to be able to identify clinically important and disease-relevant Māori and Pacific-specific genotypes.

Sunali Mehta 2020 imageDr Sunali Mehta, Department of Pathology

Comprehensive pan-cancer characterisation of uncommon TP53 mutations

24 months, NZD $239,631
There is a continuous need to identify patients with aggressive disease and find therapies they are most likely to benefit from. TP53 is a commonly mutated gene in cancer but it remains to be understood how it affects cancer. This study aims to carry out comprehensive analysis of data from about 10,000 tumours to understand how these uncommon p53 mutations contribute to cancer progression. The study will provide insights into the contribution of uncommon p53 mutations to cancer and identify clinical management strategies for these cancers.

DrMichelle Munro 2020 image Michelle Munro, Department of Physiology

Calsequestrin as a target to restore calcium balance in atrial fibrillation

24 months, NZD$246,380
Atrial fibrillation is a serious condition in which there is abnormal rhythm in the atria of the heart. This increases the risk of stroke, with these patients having a high mortality rate and reduced quality of life. Unfortunately, many patients with atrial fibrillation show limited improvement with current treatment options. The project aims to investigate a new target for treating atrial fibrillation.

Meredith Peddie 2020 imageDr Meredith Peddie, Department of Human Nutrition

Taking a break from Netflix: The effect on glycaemia and sleep

24 months, NZD $203,305
We spend most of our day sitting. Sitting has been associated with increased risk of diseases such as diabetes but performing regular activity breaks (about 2 minutes of activity every 30 minutes) throughout the day can help to reduce this risk. However, it is not known if performing regular activity breaks in the evening has the same effects, despite the fact that in the evening we often eat a large meal and then sit for long periods watching Netflix. Dr Peddie's project will assess the impacts of activity breaks throughout the evening on blood glucose, insulin and triglyceride levels after eating dinner, and the effects on sleep quality.

Dr Andrew Reynolds 2020 ImageDr Andrew Reynolds, Department of Medicine

Metabolites in plasma and urine as objective markers of dietary intakes

24 months, NZD $249,761
Although the impact of diet on health and disease is unquestionable, most of what we know about diet is derived from self-reported dietary intakes. Reliance on people self-reporting what they eat is a limitation as it is evident that dietary intakes may be under or over reported at different rates and to a varying extent over a person's lifetime. The proposed project seeks to address this issue by measuring markers from plasma or urine samples.

Catherine Wall 2020 ImageDr Catherine Wall, Department of Medicine, Christchurch

Preoperative exclusive enteral nutrition versus usual care in Crohn's disease

24 months, NZD $180,375
Many patients with Crohn's disease, an inflammatory bowel disease, will require gastrointestinal surgery to remove parts of their bowel. Malnutrition is common in Crohn's disease and is a risk factor for poor surgical outcomes and reduced quality of life. This study will assess the feasibility of conducting a trial of an exclusive liquid diet or standard care on surgical complications. This will help determine the methods required for a large-scale trial of using a liquid diet prior to surgery, which would guide preoperative nutritional management in Crohn's disease.

Feasibility study grants

Marie Crowe 2020

Professor Marie Crowe, Department of Psychological Medicine, Christchurch

Tele-mental health delivery of psychotherapy for recurrent mood disorders

24 months, NZD $244,812
This project aims to evaluate the feasibility of delivering psychotherapy for recurrent mood disorders via teleconferencing. The intervention involves Interpersonal and Social Rhythm Therapy which has a focus on improving occupational, cognitive, social and interpersonal functioning that is often impaired following an acute mood episode and can lead to subsequent episodes. The therapy has been found to be effective in improving functioning when delivered in-person, but it is not generally available throughout New Zealand. If the project proves feasible, Professor Crowe plans to deliver the intervention at a national level.

Rebbecca Lilley 2020 imageDr Rebbecca Lilley, Department of Preventive and Social Medicine

Healthy and safe truck drivers, safer journeys: feasibility of a national survey

16 months, NZD $245,736
Truck drivers are a neglected occupational group. International evidence identifies truck drivers are at higher risk of adverse health and injury events due to poor health, attributed to unsatisfactory working conditions. There is little knowledge in New Zealand about the nature and distribution of health and safety risks for truck drivers, or their likely impact on health and injury outcomes. In this project, Dr Lilley proposes to undertake a national study and will assess the feasibility of this study using an international survey too.

Consolidator grant

Louise Bicknell 2020 imageDr Louise Bicknell, Department of Pathology

A clinical research alliance for diagnosing genetic disorders in New Zealand

24 months, NZD $599,939
Human genetics has been transformed by the advent of high-throughput sequencing, and many countries have instigated national initiatives to deliver clinical-based exome sequencing as a first-tier test, often with a strong preclinical arm to drive further variant identification and disease gene discovery. In New Zealand, exomes ordered by clinical services currently rely on third-party providers for sequencing and analysis, creating in a shortfall in efficiency with no current avenue for detailed interrogation. This project seeks to address this unmet need, by establishing a clinical research alliance to maximise diagnosis rates and clinical outcomes beyond what is possible within a prescribed clinical environment. We will combine clinically-obtained genetic data with the flexibility of research-based molecular genetics, undertaking both extended bioinformatic analysis for improved variant identification and functional assays as additional evidence to satisfy clinical criteria for pathogenicity. This project lays the foundation for a long-term national collaboration connecting clinical and research genetics.

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