Appetite/Energy Balance and Obesity - Final Exam Flashcards
What does BMI stand for?
Body mass index
What is the formula for BMI?
Weight (kg) / Height(m)^2
What percentage of adults in the US are overweight?
More than 60%
What percentage of children in the US are overweight?
25%
What is considered to be an international disease and epidemic?
Obesity
What are the 2 obesity exceptions?
- BMI correlates with the amount of body fat, not direct measure of body fat
- Athletes and pregnant women: high BMI indicates overweight but no excess body fat
What 2 things work with the brain to let you know you are full?
- Stretch receptors
2. Sympathetic sensory system
What 2 things work together to let your brain know you are hungry?
- pH
2. Stress
What plays a big role in obesity? (2)
- Insulin
2. Leptin
What are the 4 gut derived factors?
- Ghrelin
- Peptide YY
- Glucagon-like peptide 1
- Cholecystokinin
GLP-1
Glucagon-like peptide 1
CCK
Cholecystokinin
What do the gut derived factors influence?
Appetite behaviour
What does peptide YY do?
Lets the brain know there is metabolism going on in the small intestines
What do leptin and insulin travel through?
Blood
What is leptin?
It is a cytokine hormone
Where is leptin produced?
In the visceral fat (adipose tissue)
What kind of organ is visceral fat?
Endocrine organ
What does visceral fat produce?
Estrogen
What happens to leptin as more fat gets stored in the visceral fat?
More leptin is released
What does leptin tell the brain?
How much fat is being stored
What does the brain depend on?
Glucose levels
NPY
Neuropeptide Y
What kind of relationship does [leptin] and fat storage have?
Direct relationship
- proportional
What does glucose stimulate?
The release of insulin from the pancreas
Metabolic disease is a problem with what type of diabetes?
Type 2
What can help to lower insulin levels?
Exercise
What kind of people is insulin resistance most commonly found in?
Obese people
What do visceral adipose cells produce significant amounts of?
Proinflammatory cytokines
What do proinflammatory cytokines do?
Disrupt normal insulin action in fat and muscle cells
What is a major factor in causing the whole body insulin resistance observed with increasing visceral fats?
Proinflammatory cytokines
What are 2 adipose signals?
- Leptin
2. Insulin
What are 3 satiety signals?
- Cholecystokinin
- Glucagon-like peptide 1
- Peptide YY
What are 4 examples of GI peptides?
- Cholecystokinin
- Glucagon-like peptide 1
- Peptide YY
- Ghrelin
What do satiety signals pass through?
Via the vagus nerve
Where does the hypothalamus receive its signal from?
The brain
ARC
Arcuate nucleus
What 2 neurotransmitters are released from the arcuate nucleus?
- Orexigenic
2. Anorexigenic
What does orexigenic get released by? (2)
- Neuropeptide Y
2. Agouti-related peptide
NPY
Neuropeptide Y