4_2WeightRegulation Flashcards

1
Q

What is the law of conservation of energy?

A

the total energy of an isolated system is constant

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2
Q

What components affect “calories in”?

A

consumption and energy extraction

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3
Q

What is energy extraction?

A

the capacity to extract calories from food (variable among patients; microbes may play role)

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4
Q

What factors affect “calories out”?

A

1) BMR, 2) physical activity, 3) tissue repair, 4) thermogenesis

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5
Q

RQ equation

A

RQ = CO2 produced / O2 produced

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6
Q

RQ of carb

A

1

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7
Q

RQ of protein

A

0.8

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8
Q

RQ of fat

A

0.7

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9
Q

What are the components of adaptive thermogenesis?

A

1) cold-induced shivering, 2) cold-induced non-shivering; 3) diet-induced

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10
Q

What are the components of Total Energy Loss?

A

Adaptive Thermogenesis + 1) BMR, 2) thermic effect of food, 3) thermic effect of exercise

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11
Q

What is actual energy used?

A

total energy loss + physical activity, growth, reproduction

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12
Q

How is BMR regulated?

A

1) primarily TH, 2) Leptin, 3) GH/insulin, 4) SNS/PNS, 5) thermoregulation via shivering and cytokines for fever

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13
Q

How is shivering activated?

A

sensory neurons in skin go to HT, the primary shivering motor center

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14
Q

Define hunger.

A

physiological need for food or specific nutrient

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15
Q

Define appetite

A

psychological desire for food

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16
Q

Define orexigenic

A

appetite stimulant

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17
Q

Define anorexigenic

A

appetite suppressant

18
Q

Define satiety

A

state of satisfaction

19
Q

What is the RER?

A

resting energy ratio, which is approxiately equal to RQ

20
Q

What is the purpose of the RER?

A

reflective of fuel utilization

21
Q

Which nutrient is preferentially stored and why?

A

lipids - efficiency

22
Q

How many kilocalories = 1 pound?

23
Q

How can resistance to diet-induced obesity be caused?

A

1) transdifferentiation/beiging, 2) impact mitochondrial function, 3) enhance UCP protein leaks, 4) also, satiety (not metabolic)

24
Q

GLP-1 impact on satiety

A

ANorexigenic

25
CCK impact on satiety
ANorexigenic
26
PYY impact on satiety
ANorexigenic: inhibits orexigenic neurons
27
Leptin impact on satiety
ANorexigenic: works on orexigenic and anorexigenic neurons
28
Insulin impact on satiety
ANorexigenic: stimulates anorexigenic neurons
29
Ghrelin impact on satiety
Orexigenic: stimulates orexigenic neurons
30
Where do neuroendocrine satiety factors stimulate an/orexigenic neurons?
in the arcuate nucleus of the hypothalamus
31
Where are 2nd order neurons of the neuroendocrine adipose-gut axis located?
PVN of hypothalamus
32
Where is the satiety center?
nucleus tractus solitarius
33
What protein products do the orexigenic neurons contain?
AgRP and NPY
34
What protein products do the anorexigenic neurons contain?
POMC and CART
35
Where is ghrelin released?
the EMPTY stomach
36
Where is PYY released?
small intestine
37
How do leptin and the neuro-endocrine gut factors differ?
leptin is long term; others are short-term
38
Where do the gut factors stimulate in addition to the arcuate nucleus?
Vagus nerve, which projects to the brainstem. Brainstem connects with PVN and NTS
39
What roles do the gut flora play in obesity?
1) induce tissue change, 2) influence extraction
40
How do gut flora induce tissue change?
affect beta-oxidation, inflammation (LPS), lipogenesis, incretin secretion, and butyrate production; sum of effects is to change insulin sensitivity
41
What factors of gut flora improve insulin sensitivity?
butyrate production from large intestine, incretin secretion from epithelium
42
What factors of gut flora decrease insulin sensitivity?
LPS from adipose, short chain fatty acids from liver that cause lipogenesis, FIAF/AMPK in muscle that cause fatty acid oxidation