Networks and Obesity Stanley Ulijaszek Institute of Social and Cultural Anthropology University of Oxford Networks and Obesity • Introduction • Potential to apply network thinking –Obesity systems –Social networks –Biological networks • UK Government Foresight launch of ‘Tackling Obesities: Future Challenges: October 2007 – Huge potential for population obesity to expand – energy balance discourse is sterile (neither can be measured precisely enough to tell) – the imbalance is clearly there, but is socially and culturally embedded in ways not understood – effective action taken now will take ten years or more to take effect (like stopping an oil tanker heading toward a collision) Unit for Biocultural Variation and Obesity School of Anthropology University of Oxford www.oxfordobesity.org Models of population obesity (Ulijaszek 2007) • Obesity/thrifty genotypes (Neel 1962) • Classical nutrition transition (Popkin and Doak 1998) • Developmental programming (Barker 1988) • Obesogenic environment (Swinburn et al 1999) • Food behaviour (Rolls 2003) • Political economic (Foresight 2008) A need for meta-models of obesity Toward meta-models of obesity • Biocultural • Systems • Text mining of obesity literature • Medical • Social • Biosocial Networks and Obesity • Introduction • Potential to apply network thinking –Obesity systems –Social networks –Biological networks Foresight obesity systems map (FOSM) (UK government) • Conditional success in capturing the United Kingdom obesity system at the present • Not intuitive • No obvious pathways to energy imbalance • Dealing with novel factors and changing strength of evidence • Without continuous updating, it is at risk of becoming obsolete within a few years Towards a data model Structural representation Search algorithm Software outputs Scoring function • Powerful instrument for understanding of population obesity, and for intervention and policy – Identification of major obesity pathways – – Responsive to new evidence – Determination of whether novel factors influence or change obesity pathways identified Networks and Obesity • Introduction • Potential to apply network thinking –Obesity systems –Social networks –Biological networks The Spread of Obesity in a Large Social Network over 32 Years Christakis and Fowler 2007 Each circle (node) represents one person in the data set. Circles with red borders denote women, and circles with blue borders denote men. The size of each circle is proportional to the person’s body-mass index. The interior color of the circles indicates the person’s obesity status:yellow denotes an obese person (body-mass index, ≥30) and green denotes a nonobese person. The colors of the ties between the circlesindicate the relationship between them: purple denotes a friendship or a marital tie and orange denotes a familial tie. The disappearanceof a circle from one year to another indicates the person’s death, and the disappearance of a tie between the circles indicates that the relationshipbetween the two persons no longer exists. Dynamic network. Social networks and obesity Geographically extended Construction of social environments Social selection Importance of communication Networks and Obesity • Introduction • Potential to apply network thinking –Obesity systems –Social networks –Biological networks Obesity involves a combination of environmental and genetic factors Most obesity genes regulate one or more of: appetite energy metabolism fat storage Neuroendocrine regulation of appetite, energy expenditure and fat storage in overfeeding (Ulijaszek and Lofink 2006) Adipose tissue Brain leptin leptin receptor catabolism alpha MSH POMC neuron Pancreas insulin GLP1 insulin receptor grhelin PYY3-36 Neurons expressing MC4R NPY NPY/AGRP neuron AGRP energy expenditure reproduction Gut Appetite genes best understood appetite & energy intake Reorganising energy balance as network satiety IN Fat storage GSC OUT IN2 OUT2 IS The bow-tie structure of the human metabolic network (giant strong component: metabolic interchangeability) Decomposition of the metabolic network for E.coli (Zhao et al 2006) Relationships among metabolic reactions and genes reanalysed as hierarchical clustering tree for GSC; modules represent strong links between reactions Each circle represents a module and is coloured according to the Kyoto Encyclopedia of Genes and Genomes pathway classification of the reactions belonging to it, while the arcs reflect the connection between clusters. The area of each colour in one circle is proportional to the number of reactions that belong to the corresponding metabolism. The width of an arc is proportional to the number of reactions between the two corresponding modules. For simplicity, bi-directed arcs are presented by grey edges. Obesity and metabolic networks Bow tie modules as building blocks of metabolic networks Evolution of systems that can predispose to obesity which fall into three components, based on genetic understandings: Energy metabolism Appetite Fat storage