chapter 12 in the book Flashcards
REE
60-75% of 24 h EE
roughly 1kcal/kg bw/hour
1kcal/kg/hour
REE
most important determinant of REE
LBM
BEE is less or more than REE
BEE is less
REE can be taken after 30 mins rest in patient
glucagon increase or decrease appetitie
decrease
WAT vs BAT
WAT - single droplet, BAT multiple smaller droplets ( more in children), primal function is maintaining body temp- diet induced thermogenesis
what do adipocytes release that affect health
they are metabolically active endocrine cells that release hormones involved in regulating appetite, energy balance body fat content, reproduction . can alter BP, blood coagulation, insulin sensitivity, lipid oxidation, serum lipid levels, cytokines–> low grade inflammation
2 hormones produced by adipocytes
leptin (signals body that ample fat has been stored) and adiponectin (says there is more space for fat to be stored)
what happens with extreme obesity?
hyperplasia of adipocytes ( increase in numbers) whereas normally, hypertrophy ( just get bigger, and thus can shrink)
diagnosing obesity
BMI is best and most convenient way to measure body weight of patients
- bc it is often impractical to measure body compartments ( technically obese if >25% in men, 33% in women is fat mass) but we can use BMI ( easier), obesity if >30 kg/m2
waist circumference
to easily measure the fat distribution ( since abdominal fat is associated with greater risk of CVD and diabetes mellitus ( easier than MRI and CT )
10% decrease in BW results in a __% decrease in REE
15%
- make it difficult to maintain weight loss after 6 months