Appetite Regulation Flashcards

1
Q

What percentage of adults in Canada are obese as of the latest report?

A

25.4%

And 13% of children

This statistic highlights the obesity epidemic status in Canada.

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2
Q

How has obesity changed in Canada since the 1980s?

A

Adult obesity has increased 3x, childhood obesity has increased 7x.
Average BMI has increased from 22 to 27 kg/m2

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3
Q

By 2030, what is the projected percentage of obesity in the U.S.?

A

~50%

This projection indicates a significant public health concern.

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4
Q

What has been the increase in adult obesity since 1980?

A

3x

This shows a dramatic rise in obesity rates among adults.

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5
Q

What is the average BMI increase over the past 20 years?

A

From 22 to 27 kg/m2

This change reflects a worsening trend in body weight among the population.

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6
Q

What components are involved in energy balance?

A
  • Energy intake
  • Energy expenditure

Both components are crucial for understanding weight management.

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7
Q

What makes up energy intake and expenditure?

A

Energy intake: Caloric consumption
Energy expenditure: Resting bodily function, PA & exercise

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8
Q

What are the four physiological components of appetite regulation?

A
  • Afferent peripheral hormonal signaling
  • Central integration
  • Efferent signaling
  • Behavioral change

Afferent peripheral signaling = Appetite-stimulating or inhibiting

These components help explain how appetite is regulated physiologically.

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9
Q

What is the role of ghrelin in appetite regulation?

A

Orexigenic (appetite-stimulating)

Ghrelin is produced in the stomach and signals hunger.

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10
Q

What is the role of leptin in appetite regulation?

A

Anorexigenic (satiety)

Leptin is produced by adipose tissue and signals satiety.

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11
Q

What is the role of PYY, GLP-1, CCK, PP and Insulin in appetite regulation?

A

Anorexigenic (satiety)

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12
Q

Which hormones are synthesized in the stomach?

A

Ghrelin

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13
Q

Which hormones are synthesized in the intestines?

A

PYY, GLP-1, CCK

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14
Q

Which hormones are synthesized in the pancreas?

A

PP, Insulin

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15
Q

Which hormones are synthesized in the adipose tissue?

A

Leptin

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16
Q

Which hormones are secreted episodically and tonically?

A

Episodic: Ghrelin, PYY, GLP-1, CCK, PP
Tonic: Insulin, Leptin

17
Q

How does lactate affect appetite?

A

Research implicates lactate as a mediator of exercise-induced appetite suppression.

Supports a lactate-dependent mechanism of appetite suppression, specifically following high-intensity exercise

18
Q

What effect does blood glucose have on appetite?

A

Dips in blood glucose have been found to correlate with hunger levels.
High glucose concentrations directly suppress ghrelin secretion, with similar reductions after insulin injections.

19
Q

Does IL-6 (Interleukin-6) play a role in appetite suppression?

A

IL-6 has no involvement.

20
Q

Many appetite-related hormones require __ to be functional.

A

Leptin or leptin-receptors

21
Q

When does the body become unresponsive to leptin?

A

In times of chronic positive energy balance.
ie. An increase in adiposity

22
Q

How do hormones fluctuate during different phases of the menstrual cycle?

A

Mid-Follicular Phase (FP): post-menses; shows a decrease in ovarian hormones
Mid-Luteal Phase (LP): post-ovulation; shows an increase in ovarian hormones

23
Q

What type of exercise is characterized by high-intensity interval training (HIIT)?

A

Near maximal efforts with short rest periods

HIIT is known for its effectiveness in improving fitness and potentially influencing appetite.

24
Q

True or False: Exercise intensity has no effect on appetite regulation.

A

False

Exercise intensity could be a key variable influencing subsequent energy intake.

25
Q

What is the relationship between blood glucose and appetite?

A
  • Dips in blood glucose correlate with hunger
  • Dips in blood glucose correlate with energy intake

This highlights the importance of glucose dynamics in appetite regulation.

26
Q

What hormone’s presence is important for appetite regulation in relation to menstrual phases?

A

Ovarian hormones

Fluctuations in these hormones can alter appetite responses.

27
Q

What is the significance of lactate in exercise-induced appetite suppression?

A

It is an important factor

Lactate, once considered a waste product, plays a role in signaling for appetite suppression.

28
Q

Fill in the blank: The average BMI in Canada has increased from 22 to _______ kg/m2 over the past 20 years.

A

27

This increase indicates a trend towards higher obesity rates.

29
Q

What is the effect of ovarian hormones on acylated ghrelin after exercise?

A

They may blunt the effects

This suggests that hormonal fluctuations can influence appetite regulation.

30
Q

What does the abbreviation ‘MICT’ stand for?

A

Moderate-Intensity Continuous Training

MICT is a common exercise protocol used in research.

31
Q

What did the study by Bornath et al. (accepted) conclude regarding IL-6?

A

No support for its role in appetite regulation post-exercise

This finding challenges previous assumptions about IL-6’s role.

32
Q

List the types of exercise intensity mentioned.

A
  • Low-intensity <50% VO2max
  • Moderate-intensity 50-70% VO2max
  • Vigorous-intensity >70% VO2max
  • High-intensity interval training (HIIT)
  • Sprint interval training (SIT)

Different intensities can have varying effects on energy expenditure and appetite.

33
Q

What important factor is suggested to play a role in appetite regulation during exercise?

A

Lactate

Lactate is now recognized for its role beyond being a waste product.

34
Q

What does the acronym ‘VAS’ stand for in the context of appetite measurement?

A

Visual Analog Scale

VAS is a tool used to assess subjective feelings of hunger or appetite.

35
Q

What was a conclusion regarding energy intake and exercise?

A

Energy intake is not consistently reduced as hormonal and appetite perceptions change

This indicates complexities in appetite regulation.

36
Q

What is the main take-home point regarding physical activity?

A

Be as active as possible, not necessarily structured exercise

This emphasizes the importance of general activity levels for health.

37
Q

The menstrual phase appears important where the presence of ____ may blunt the effects of exercise on ____.

A

Ovarian hormones; Acylated ghrelin

38
Q

There is a lack of evidence that ___ and ___ has a role in appetite.

A

IL-6; Glucose