Energy balance 3 Flashcards

1
Q

Catabolic reactions:

A
  • Breakdown of large to small molecules:
  • Degrade fuel (complex metabolites)

nucleic acids►nucelotides

polysaccharies►monosaccharides

proteins ►amino acids

glyocgen►gucose

  • Generate energy (ATP)
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2
Q

Anabolic (biosynthetic) reactions:

A
  • Forming large complex molecules
  • (Re)generate metabolites e.g fatty acids in your food are joined to form a triglyceride
  • Require energy
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3
Q

Explain the metabolism of triglycerides

What are chylomicrons?

How is ATP produced from chylomicrons?

A
  • triglycerices- 3 fatty acids + 1 molecule of glycerol

When you move fats around the body they are packaged into protein capsules (lipoproteins/Chylomicrons) -occurs in liver

  1. When the chylomicron/lipoprtein travels to a specific tissue it will have lipoprotein lipases (breaks down protein capsule, extracts fat within it)
  2. Then fatty acid oxidation at the end of which you produce acetyl coA which gets converted into ATP
  3. Excess fat stored→Lipogenesis is the metabolic process through which acetyl-CoA is converted to triglyceride for storage in fat
  4. You generally also have a free fatty acid pool which is readily available based on the metabolic needs of the tissue
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4
Q

Energy balance requires that:

A

Energy intake = Energy expenditure

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5
Q

Carbohydrates

Carbohydrate digestion occurs in 3 main places:

What is the function of Acetyl-CoA carboxylase?

A
  • Mouth (amalyse), stomach, small intestine
  • usually broken down to glucose because it is most easily metabolised→Glycolysis converts a molecule of glucose into pyruvate→ Pyruvate dehydrogenase turns pyruvate into acetyl coA→Acetyl coA goes into the Krebs cycle to eventually produce ATP
  • If you eat too many carbohydrates they can be converted and stored as fat (facilitased by Acetyl-CoA carboxylase)►lipogenesis
  • This enzyme converts acetyl-CoA to produce malonyl-CoA through its two catalytic activities, biotin carboxylase (BC) and carboxyltransferase (CT)
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6
Q

What organ is an obligatory user of glucose as its source of energy?

A

The Brain uses only glucose (can cross blood-brain barrier)

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7
Q

What is excess glucose stored as?

Why would glucose be found in the urine?

What is glycogenesis?

A

Glucose is used in tissue metabolism

Excess glucose stored as glycogen does not affect osmotic potentials

Glucose is found in the urine if the glucose pool is overfilled which is indicative of insulin resistance (type1/2 diabetes)

In times of starvation you can break down glycogen stores►glycogenolysis

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8
Q

What is the Energy expenditure by normal healthy young adult?

A

total~ 2000 – 3000 kcal/day

Comprising BMR~1000 – 2000 kcal/day

& voluntary physical activity~/>1000 kcal/day

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9
Q

Describe the metabolism of proteins

A
  • ​Broken down to amino acids (predominatly involved in growth and repair)
  • some have glucose attached (glucoamino acids)
  • gluconeogenesis can occur with certain AA’s
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10
Q

Energy Content of Food:

How is this measured?

What can it be used to calculate?

A
  • Humans obtain the vast majority of our energy from food we eat
  • Energy potential of foods assessed by ‘heat of combustion’ (bomb calorimetry)→ It consists of a sealed heavy-walled container in which the reactants are allowed to react, under constant volume conditions, following the ignition of the combustible matter in an oxygen atmosphere. Air escapes which heats up water and the temperature change of the water is measured.
  • Used today to calculate calorie content of foods

From the diagram:

Fat yields a lot of energy (9.4 kcal/g)

Actual amount of enery liberated from the macronutrients is more than their physiological values because energy is required to digest them

protein requies most energy to digest

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11
Q

We can estimate what foods are being oxidised in the body:

How do you work out Respiratory quotient (RQ)?

How can metabolic rate be estimated?

A

  • Reference number to show if you are predominantly metabolising carbohydrates, proteins or fat:
  • RQ value corresponds to a caloric value for the ratio of CO2 produced to O2 consumed while food is being metabolized: RQ = CO2 eliminated/O2 consumed
  • RQ: CHO=1, protein=0.8, fat=0.71 (typical mixed diet = 0.75-0.85 or 2/3 carbs 1/3 fat)
  • Glucose = C6H12O6+ 6 O2 –> 6 CO2 + 6 H2O (ie the same amount of CO2 produced/O2 consumed = 1
  • Metabolic rate estimated by amount of oxygen consumed (indirect calorimetry)
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12
Q

What is BMR?

How is it related to Indirect calorimetry?

A
  • is energy used under resting conditions: 40 kcal/hr/m2, = 166 kJ/hr/m2
  • Adult consumes ~250 ml oxygen per min at rest
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13
Q

1 litre of oxygen yields ~4.8 kcal.

250ml oxygen yields how many kcal?

A

Indirect calorimetry: Adult consumes ~250 ml oxygen per min at rest:

Thus 250 ml oxygen yields 1.2 kcal = 1.2kcal/min

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14
Q

How many calories is BMR per day?

A

As body surface area is typically 1.8 m2 ∴ (1.2 x 60/1.8) = 40

BMR is about 1500 -1900 kcal/day = 6500 – 8500 kJ/day

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15
Q

Describe uses of energy for biological work:

What is BMR primarily determined by?

A

External work: mechanical~10% muscle contraction (antigravity, heart, intercostals etc)

Internal work: metabolism ~90% cellular metabolism, especially Na+/K+-ATPase pumps

BMR is primarily determined by activity of thyroxine (and catecholamines)

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16
Q

Explain the properties and funtion of Thyroxine

A
  • Thyroid secretes T3 (Triiodothyronine) and T4 (thyroxine) in response to TSH (Thyroid Stimulating Hormone) produced by the pituitary gland
  • T4 more abundant, T3 more active
  • T4 converted to T3 by deiodinase type 1 (D1) in liver, kidneys & thyroid
  • Less than 1% is unbound in plasma
  • T3 binds to thyroid receptor in target cell nuclei and initiate gene transcription (slow)
  • T3 also activates other signalling pathways (TR- thyroid hormone receptor- independent, faster)
17
Q

What happens if you produce too much thyroxine?

What are the symptoms?

How are overactive thyroid glands treated?

A
  • If you produce to much thyroxine►Thyrotoxicosis= tumor/inflammation in thyroid gland causing excess thyroxin secretion
  • symptoms: Feel very hot, weight loss, hormonal imbalances
  • opposite: underproduction of thyroxine ►weight gain, feeling very cold
  • radioactive iodine treatment for overactive thyroid gland and destroys excess tissue in the overactive thyroid gland
18
Q

The thyroid produces hormmones which are involved in:

A
  • Cellular respiration
  • Cell morphology
  • Vascular tone
  • Ion homeostasis
19
Q

What is metabolic efficiency?

A

Describes the amount of ‘work’ achieved for a given amount of energy expended.

More efficient individuals waste less energy (usually by less heat produced and lost).

20
Q

Nutrient stores: Average 70 kg male has following ‘usable’ energy stores

A

CHO ~0.5 – 1 kg glycogen (rapidly mobilize)

Fat ~13 kg triglyceride (slowly mobilized)

Protein ~6 kg (muscle protein that can be slowly converted to glucose during fasting) Major role in repair and growth so your body prefers not to use protein as a source of energy

In the image:

Crossoverpoint (between fat and carbohydrate utilization)metabolic efficiency

During moderate excersie the body prefers to use fat

More intense exercise causes increase in carbohydrate metabolism

Long distance runners are able to metabolise fats even during intense exercise

Short distance runners tend to be more muscular therefore store more glycogen which is preferable in short bursts

21
Q

Turnover of nutrient stores:

What is the daily nutrient turnover of a resting adult?

A

There is a continual turnover of nutrient stores that that enables prompt adjustment to fuel selection

CHO ~250 g/day ~1000 kcal/day 25 – 50 % of store

Fat ~100 g/day ~900 kcal/day <1% of store

Protein ~250 g/day most of this is recycled back to muscle

22
Q

What is the main is main short-term energy source?

How much does the brain use?

What can other organs/tissues use?

A
  • Glucose
  • Brain: uses ~5g/h of glucose: brain uses ketones (by-product of fat metabolism) during starvation (last resort)
  • Other organs/tissues are generally more flexible and can modulate and adapt between CHO and fat according to supply and demand
  • ketoacidocis (reduce blood pH, becomes more acidic)
23
Q

Describe routes of storage

A

Glycogenesis: Glucose to Glycogen

Lipogenesis: Fatty acids and glucose to Triglyceride

24
Q

Describe routes of mobilization

A

Glycogenolysis: Glycogen to Glucose

Lipolysis: Triglyceride to Fatty acids

Gluconeogenesis: Protein and lactate to Glucose

25
Q

Describe an Energy Expenditure Rate and Body Temp
Day profile

A

After a meal, metabolism incerases which produces heat (spike in core temperature) energy is also expended to metabolise the meal

Larger meals=larger spike in core termperature= more energy rexpended to metabolise it

Small spike in core temperature when sleeping body maintains its temperature

26
Q

Describe a Nutrient Homeostasis
Day profiles

A

Breakfast, lunch and dinner:

Rise in insulin even before you’ve eaten (feed forward loop) CNS send AP to pancreas to get ready to produce insulin.

Increases insulin=decreases in glucose (conversion to glycogen) and free fatty acids (inhibs lipolysis) because the body doesnt need to break down fat to liberate more energy

When sleeping (fasting):

Insulin and glucose levels decrease

Free fatty acids increases, body starts to metabolise fat to maintain energy requirements while you sleep

More muscle= more calories you burn at rest

27
Q

Glucose Homeostasis in Man (i)

What is hyperglyceamia?

What is hypoglyceamia?

A

Fasting blood glucose: should be between 4-6mmol/L

hyperglyceamia- High blood glucose levels

hypoglycemia- Low blood glucose levels (considerably more serious)

Glucose from gut and stored in liver► brain, adipose tissue (excess), muscle (excess), blood cells, remal medulla

28
Q

Glucose Homeostasis in Man: Fasting

A

Obligatory glucose utilisation:

  • 1.5g/hr to blood cells and renal medulla
  • 5-6g/hr to the brain

Fasting:

  • Liver breaks down glycogen- 75-90g (7-10g/hr)
  • Amino acids- 3g/hr

Excess (stores):

  • 5g/hr FFA
  • 2.5g/hr ketones
  • 300-400g
29
Q

Glucose Homeostasis in Man: Feeding

A

After Feeding:

  • >50g/hr postprandial (occurring or done after a meal)
  • Glycogen lysis decreases
  • Excess stored as muscle or as adipose tissue
30
Q

Cycles That Facilitate Nutrient Selection: Cori cycle

How does the cori cycle differ in metabolically efficient people?

What is the Randle cycle?

A
  • In times of anaerobic respiration your muscles produce lactic acid as a by-product of respiration
  • Metabolic efficient cori cycle: Lactate goes to liver which undergoes gluconeogenisis to produce glucose and some ATP
  • When there isnt enough glucose, the body breaks down free fatty acids- Randle cycle

storage-anabolism

Mobilization-catabolism

31
Q

Describe Daily Fluctuations in Nutrient Homeostasis

What happens at night?

A

Night: mainly nutrient catabolism

basal glucose turnover, ~2 mg/kg/min (~11μmol/kg/min)

45% brain; 25% liver/gut; 25% RBC/muscle

32
Q

Daily Fluctuations in Nutrient Homeostasis: Day

A
  • Mainly nutrient anabolism ( > catabolism )
  • Glucose intake: replacement of glycogen stores and fuel processes
  • Glucose and FFA (free fatty acids) stored as triglyceride in adipose tissue
33
Q

Daily Fluctuations in Nutrient Homeostasis: Insulin

A

Insulin is key regulator of fuel selection and balance of anabolism to catabolism

  • stimulates glucose and protein anabolism, reduces lipid catabolism
  • stimulates glycogenesis, lipogenesis, amino acid uptake and conversion to protein
  • inhibits lipolysis, gluconeogenesis and protein catabolism.
34
Q

Daily Fluctuations in Nutrient Homeostasis: Glucose

A

concentrations rise after feeding: this stimulates insulin release.

When glucose concentrations fall during the night, insulin declines, and catabolic processes take over

35
Q

Insulin vs glucagon

A

Antagonistic counterparts

Insulin-anabolic

Involved when you are in the fed state, insulin captures and stores nutrients as fat or proteins

Glucagon-catabolic

Involved when you are in a starving or fasting situation glucagon breaks down glycogen and liberates glucose

36
Q

Hormone action: Action of insulin vs action of glucagon

A
37
Q

Give a summary of the lecture

A
  1. Nutrient supply and demand changes throughout each 24 hour period
  2. Challenges to set-point are detected by multiple sensors and

key hormones insulin and glucagon regulate glucose set-point

  1. Loss of normal nutrient homeostasis can lead to metabolic disease
38
Q

What is Gluconeogenesis?

A

Using non carbohydrate precursors to produce glucose