Appetite Flashcards

1
Q

Where is the appetite control centre?

A

Arcuate nucleus at the bottom of the hypothalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does the arcuate nucleus detect?

A

fatty acids and hormone concentration in blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 2 types of primary neurones?

A

stimulatory and inhibitory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the stimulatory molecules released from the primary neurone?

A

NPY (neuropeptide Y)

AgRP (Agouti related peptide)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the precursor to and the 2 molecules that inhibit hunger?

A

POMC = precursor

alpha-MSH and beta-endorphin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which hormone is released from the stomach when empty and what does it do?

A

Ghrelin

Stimulates excitatory primary neurones to stimulates appetite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name the hunger-inhibiting hormones

A

PYY
Leptin
Insulin
Amylin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where is PYY released and why?

A

released in the ileum and colon in response to feeding

suppresses appetite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where is leptin secreted?

A

Adipocytes (adipose tissue)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where is amylin secreted?

A

beta cells in the pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is pramlinlide?

A

amylin analogue
suppresses appetite
treatment for type II diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Do obese patients respond to leptin injections?

A

No

Unless the cause of their obesity is loss of function of leptin gene which is incredibly rare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the alternative names for metabolic syndrome?

A

syndrome X
insulin resistance syndrome
cardiometabolic syndrome
Reaven’s syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Define syndrome

A

A group or recognisable pattern of symptoms or abnormalities that indicate a particular trait or disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define metabolic syndrome

A

A cluster of the most dangerous risk factors associated with cardiovascular disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the risk factors of metabolic syndrome?

A
abdominal obesity
hypertension
insulin resistance
raised fasting glucose
dyslipidaemia
17
Q

What must a patient have to be diagnosed with metabolic syndrome?

A

central obesity + 2 of the other factors

18
Q

What are the primary interventions to treat metabolic syndrome?

A

calorie restriction
increase in physical activity
healthier diet

19
Q

What are the secondary interventions to treat metabolic syndrome?

A

statins to reduce cholesterol
antihypertensive drugs
Anti-diabetic drugs eg. oral hypoglycaemics

20
Q

Children of pregnant women exposed to famine were more susceptible to what?

A

diabetes
obesity
cardiovascular disease

21
Q

What can affect epigenetic mechanisms?

A
diet
ageing
development
environmental chemicals
drugs
22
Q

What is DNA methylation?

A

Tagging a methyl group to DNA to activate or repress genes.

23
Q

Define obesity

A

The chronic imbalance between energy intake and expenditure. BMI>30