Energy Flashcards
What can energy balance effect?
Aesthetics
Health
Performance
What medical condition occurs with sustained chronic positive energy balance?
Obesity
What medical condition occurs with sustained chronic negative energy balance?
Anorexia
The principles of energy balance
The 1st law of thermodynamics
Chemical energy intake (food and drink) must equal the output of heat, mechanical work and chemical energy used in biosynthesis reactions
What is the 1st law of thermodynamics?
Energy can be transferred from one system to another but cannot be created or destroyed
How to calculate energy intake?
energy expended (heat, work (movement and metabolism) +/- energy stored (TAG, glycogen and protein)
How are humans evolved in terms of energy balance?
Humans have evolved to defend against negative energy balance
Negative energy balance is more resisted than positive energy balance
Genes are selected that favour energy accumulation and conservation
How many calories are in protein?
4kcal/g
How many calories are in fat?
9kcal/g
How many calories are in carbohydrates?
4kcal/g
How many calories are in alcohol?
7kcal/g
What determines energy input?
Behaviour
What determines energy output?
Thermic effect of feeding
Physical activity
Resting metabolic rate
What % of energy output is determined by the thermic effect of feeding?
5-15%
What % of energy output is determined by physical activity?
20-35%
Highly variable
What % of energy output is determined by metabolic rate?
60-70%
How is weight change determined?
Total energy intake - total energy expenditure
Theoretical options to understand how genes and are environments combine to regulate body adiposity? (Speakman et al. 2011)
6.7kg weight increase over 10yrs Thermo analogy - the deviation in body weight elicits reactions that work to bring back energy balance to its set point Adipose tissue (leptin) as a critical regulator
What is the role of leptin?
Leptin is produced in proportion to the amount of adipose tissue
It circulates in the body, which is monitored by the brain
The set-point model - theoretical strengths and weaknesses? (Speakman et al. 2011)
Strengths
- favoured by biologists/physiologists
- supported by calculations revealing precise EI-EE matching
- supported by robust adaptive responses to imbalance
Weaknesses
- can’t explain the current obesity crisis
- can’t explain why obesity differs by education and social status
- little focus on social, environmental and psychological factors affecting energy balance
Dual intervention point model? (Speakmen et al. 2011)
Upper and lower boundaries of physiological regulation
Passive control in-between influence by environment and psychology
Boundaries imposed by starvation and predation pressures
Genetic influences after the zone of passive control where there is no regulation to prevent change
Weak upper boundary
Constrained model of TDEE? (Pontzer 2015)
Total daily energy expenditure as a ‘constrained model’ rather than ‘additive’
Energy requirement kept in check by prioritisation of resources across physiological function
- reproduction
- immunity
- growth
- repair
Neuro-hormonal appetite control systems? (Field et al. 2008)
There’s a hormonal and endocrine system in place to help regulate food intake on an acute and chronic basis
Cross talk between peripheral tissue and the brain (hypothalamus and arcuate nucleus)
Tonic (chronic) signals - leptin, insulin
Episodic signals - coordinate food intake on an acute basis (PYY, GLP-1, CCK, ghrelin)
Circulation in the blood
Vagus nerve - gut to brain stem
What is the role of ghrelin?
The hormone that rises before meals and stimulates meal initiation and promotes food intake
What is the role of PYY, GLP-1 and CCK?
These hormones rise after meals and promote satiation and satiety
What is the episodic regulation of food intake?
Coordination of food intake on a meal-to-meal basis
Eating is metabolically stressful for the body
Hunger -> satiation -> satiety
Define satiation?
The process that occurs to bring a meal to an end
Define satiety?
The feeling of fullness between meals, that delay the choice to voluntarily eat
Pre-prandial metabolism - How are meals anticipated? (Begg & Woods 2013)
Parasympathetic signalling
Smell and sight of food
Time of day
Environmental cues
Pre-prandial metabolism - Effect on circulating levels of insulin, ghrelin and GLP-1? (Begg & Woods 2013)
Circulating levels of these hormones change dramatically leading up to a meal in order to prepare the body to receive food in order to buffer some of the metabolic stress associated with eating
Insulin increases -> buffer the increase in glucose from food
GLP-1 increases before insulin -> facilitate insulin productions from the pancreas
Circulating ghrelin increases
- hunger-stimulating hormone
- correlates with meal initiation
- increases the secretion of gastric juices and gut motility
What is meal quality linked to? (Blundell et al. 2010)
Sensory and cognitive satiety
- expectations
- rewards/pleasure
- recognition
- association
What is meal quantity linked to? (Blundell et al. 2010)
Early post-ingestion satiety
- stretching of the stomach
- osmotic lead
- increasing levels of CCK, GLP-1 and PYY
- decreasing levels of ghrelin
What is nutritional status linked to? (Blundell et al. 2010)
Post-absorptive satiety
- increasing in circulating ghrelin, glucose and amino acids
- oxidation
Define leptin and it’s effect on appetite? (Rosenbaum & Leibel 2014)
Released from adipocytes in proportion to adiposity Increases energy expenditure Mediator of the acute acting appetite hormone Starvation signal - immune function - reproduction function - thyroid function Disproportional changes Leptin resistance in obesity