14) Obesity & endocrine control of food intake Flashcards

1
Q

What does the hypothalamus balance?

A

food intake + energy expenditure

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2
Q

Which part of the hypothalamus in particular is involved in regulation of food intake?

A

Arcuate nucleus

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3
Q

What is special about the arcuate nucleus?

A

Circumventricular organ-incomplete BBB (allows peripheral hormones access)

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4
Q

What are the 2 neuronal populations in the arcuate nucleus and what do they do to appetite?

A

NPY/argp-increases appetite

POMC/alpha MSH-decreases appetite

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5
Q

Are the mutations in the NPY or POMC nuclei?

A

No mutations in NPY

POMC deficiency/MC4 receptor mutations–>obesity

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6
Q

What is leptin made up of?

A

167 aa’s

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7
Q

What does leptin do and activate?

A

Leptin tells your body you’re not starving/how much body fat you have
-stimulates POMC neurones

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8
Q

Where is leptin stored?

A

Adipose tissue

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9
Q

When are leptin levels high and low?

A

High=high body fat

Low=low body fat

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10
Q

What happens regarding leptin during obesity?

A

Leptin resistance

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11
Q

What does an absence of leptin cause and lead to?

A

Obesity

  • POMC not activated=appetite not decreased
  • hyperphagia
  • infertility
  • no puberty
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12
Q

So obesity causes….

and absence of leptin causes……

A

obesity–>leptin resistance

absence of leptin–>obesity

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13
Q

Why can athletes get hypothalamic amenorrhoea?

A

such low body fat=low leptin

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14
Q

Which 2 chemicals are proportional to body fat?

A

Leptin

Insulin

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15
Q

What does insulin do peripherally vs centrally?

A

Peripherally=lowers BGC

Centrally=reduces food intake

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16
Q

3 gut hormones and their role:

A

Ghrelin (stimulates NPY)

  • drives hunger
  • increases when you haven’t eaten in awhile

GLP-1 (stimulates POMC + increases insulin)
-incretin hormone

PYY3-36 (stimulates POMC)