Energy Balance and Body Weight - Chapter 7 Flashcards

1
Q

Thrifty metabolism

A

A genetically determined, energy efficient metabolism, requiring few calories for daily activities.

In an enviornment of scarce food, such as found in prehistoric times, a thrifty metabolism allowed the storage of seasonally abudant food as body fat for use in times of food shortage.

In a modern environment with a large surplus of calories, a thrifty metabolism contributes to the development of obesity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Anabolic

A

pertaining to anabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Catabolic

A

pertaining to catabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Anabolism

A

Body processes that create more complex chemical compounds for energy storage or for the synthesis of tissue

seen in weight gain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Catabolism

A

Body processes that break down complex chemical compounds for energy release or for tissue breakdown

in weight loss we are hoping to stimulate catabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where we see anabolism

A

In infant growth, pregnancy, weight gain, and muscle building

Protein synthesis, triglyceride synthesis, gluconeogenisis

Insulin = hormone that directs anabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Adenosine Triphosphate (ATP)

A

High energy chemical compound used in the body to transfer energy from nutrients to various life processes

energy currency of the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

3 ways we expend energy:

A

Basal metabolism

Physical activity

Thermic effect of food (TEF)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Basal metabolism

A

Body processes involving involuntary activities only.

Such as breathing, heartbeat, and chemical reactions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Basal Metabolic Rate (BMR)

A

Rate at which basal metabolism occurs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Thermic Effect of food (TEF)

A

Energy expended in digesting, absorving, transportin ,storing, metabolizing, and otherwise handling food.

Amounts to about 10 percent of ingested calories

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Resting Energy Expenditure (REE)

A

The day’s total energy expenditure through basal metabolism only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Factors that increase BMR

A

Increased lean body mass

Regular or frequent meals

Exposure to cold temperatures

Fever

Caffeine

Stress

Pregnancy and breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Factors that decrease BMR

A

Loss of lean body mass

Meal skipping, dieting, or food restriction

Starvation or fasting

Exposure to warm temperatures

Aging

Female gender

Sleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Physical activity

A

Energy expenditure through voluntary physical effort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Harris-Benedict equation for adult men

A

REE = 66+ 13.7W + 5.0H -6.8A

W = weight in kg

H = height in cm

A = age in years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Harris-Benedict equation for adult women

A

REE = 655 + 9.6W + 18H - 4.7A

W = weight in kg

H = height in cm

A = age in years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Total Energy Expenditure (TEE)

A

The sum of energy expenditure through REE, physical activity, and TEF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

As percent total energy expenditure (TEE) from BMR decreases…

A

Percent of energy expenditure from physical activity (AEE) increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which is the most variable component of total energy expenditure?

A

Activity energy expenditure (AEE)

21
Q

What does Thermic effect of food (TEF) depend on?

A

Type of food eaten (pure protein will induce a higher thermic effect than fat)

Quantity ingested

Whether a meal is followed by exercise, which increases the thermic effect of food

*TEF of obese people ie less than TEF of normal-weight people

22
Q

Body Mass Index (BMI)

A

A heigh-weight relationship used to assess obesity.

Equal to weight in kilograms over height in meters squared

weight (kg)

height (m) squared

23
Q

prevalence

A

The number of cases of a condition in a given population or the proportion of the population suffering from that condition

24
Q

Relative risk

A

The increase in risk seen in a high risk group over that seen in the lowest risk group

25
Q

Total body mass

A

Sum of lean tissue mass and fat mass

26
Q

Body Impedance Analysis (BIA)

A

A method of measuring body composition utilizing the fact that lean tissue, with a high water content, conducts electricity relatively well, while fat tisue, with a low water content, conducts electricity poorly

If a mild electric current is passed through the body, the body’s impedance, or resistance to current flow, indirectly indicates its fat content

27
Q

Three fat depots

A

Subcutaneous fat

Visceral fat

Intramuscular fat

28
Q

Subcutaneous fat

A

The body fat depot found right under the skin

when you pinch your skin

29
Q

Visceral or abdominal fat

A

The body fat depot found inside the abdominal cavity

30
Q

Intramuscular fat

A

The body fat depot found interspersed within the muscle fibers

31
Q

Android obesity

A

“apple shape”

A pattern of body fat distribution in which most body fat is carried abdominally

more often in men

higher risk of hypertension, type II, and heart disease

greater health problems of the two obesities

32
Q

Gynecoid obesity

A

“pear shape”

A pattern of body fat distribution in which most body fat is carried on the hips and thighs

more often in women

33
Q

Hip to waist ratio

A

A measure used to define android obesity

A value of greater than 1:1:! is considered to indicate such

34
Q

Set point theory

A

The notion that one’s body tends to gravitate to a particular weight

governed by the hormone leptin - diminishes appetite

35
Q

How is body fat stored?

A

Adipose tissue

36
Q

Amenorrhea

A

A cessation of normal menstruation caused by inadequate estrogen levels resulting from excessively low body fat.

Causes bone mineral loss leading to weakend bones

37
Q

Female athlete triad

A

The bombinatino of low bone density, amenorrhea, and eating disorder sometimes seen in female athletes with very little body fat

38
Q

Adipose’s other important functions

A

Reproduction

Shock absorption

Thermal insulation

39
Q

Two ways adipose tissue grows

A

Increase in number of cells (hyperplasia)

Increase in cell size (hypertrophy)

40
Q

Hyperplasia

A

Tissue growth through an increase in cell number

weight gain through hyperplasia is harder to lose

occurs more in growing children

41
Q

Hypertrophy

A

Tissue growth through an increase in cell size

adults gain weight through hypertrphy up to a point

42
Q

Very Low Calorie Diets (VLCD)

A

diets less than 1200 kcals per day

two variations: extreme restrictions using normal foods, liquid diets

43
Q

Bariatric

A

Of or pertaining to body weight

gastric bypass operations, stomach stapling

i.e. bariatric surgery

44
Q

3 drugs on market for weight loss

A

sibutrimine - supress appetite and increase metabolism

phentermine

orilstat - blocks fat absorption

45
Q

Drugs never indicated for weight loss

A

Diuretics - cause water loss and electrolyte imbalance

Laxatives - rebound constipation on withdrawl

Amphetamines - addictive and dangerous class of illegal drugs

46
Q

The way to lose weight

A

Go into negative energy balance

47
Q

What generates mot of our metabolism?

A

lean body mass, including muscle

48
Q

Dieter’s Dilemma

A

The more weight you lose, the less energy you need, until your requirements get so low.

49
Q
A