Feeding Behaviour Flashcards
BMI
- BMI=weight (kg)/height (m)
- 600million clinically obese
- 1.9 billion overweight adults globally (26%)
- 62% of Canadians overweight or obese
- continuing BMI increase is being observed in many countries and all age groups
- BMI not perfect indication
- abdominal fat thickness better indicator
Obesity causes and consequences
- lifestyle
- reduced physical activity
- choice of high fat foods
- quitting tobacco smoking
- use of drugs (cannabis)
- diseases
- Cushings
- growth hormone deficiency
- hypothyroidism
- psychiatric disorders
- cohens
- genes
- polymorphism and mutations of genes involved in energy homeostasis
- consequences
- increase BP, high cholesterol
- diabetes
- non-alcoholic fatty liver
- CV disease
- strokes/cancers etc
Energy on request
- brain constitutes 2% of body mass but uses 50% of body glucose
- brain burns average of 100g of glucose per day
- discrepancy between brain energy needs and rest body energy needs require precise balancing mechanisms
- these can be disrupted by disorders or stress
Central control of feeding
- AArcuate nucleus (ARC) in hypothalamus controls feeding
- ARC contains neuropeptide Y (NPY/AgRP) which activate feeding
- ARC also contains POMC neurons which reduce feeding
- inhibitory hormones are leptin and insulin, which stimulate POMC and inhibit NPY/AgRP signalling
- activation of neurons in PVH reduce food intake
- activation of lateral hypothalamic area/perfornical area stimulate food intake
- neurons from all structure project to nucleus tractus solitary (NTS in hindbrain
-obesity is a disruption of neuronal and neuro-hormonal regulation of energy balance and accumulation of adipose tissue
Hunger-satiety signalling molecules
Inhibitory
- POMC/MSH
- serotonin
- histamine
- leptin
- insulin
- CCK
- Stimulatory
- NPY
- orexins
- endocannabinoids
- ghrelin
- GIP
Central factors in feeding
- POMC/melanocortin neurons are inhibitory
- AgRP and NPY stimulate feeding
Peripheral factors in feeding
- inhibitory
- CCK and PYY are acute peripheral signals (released on demand)
- leptin and insulin are chronic inhibitory peripheral factors (reflect long term nutrition state)
- stimulatory
- ghrelin is an acute peripheral factor
-PYY and ghrelin also synthesized by some neurons in brain
Melanocortin
Agonists increase energy expenditure as measured by indirect calorimeters
-antagonists induce opposite effects
Adipose tissue
- build up supports inflammation
- high fat diet and obesity induces activation of pro-inflammatory mediators
- counteracts satiety signalling in hypothalamus
Maintaining energy balance
- thermogenesis
- shivering
- non shivering (brown fat)
- heat is mostly produced in mitochondria by uncoupling proteins
- mitochondrial ATP metabolism and thermogenesis
- fatty acids and glucose oxidized to generate NADH and FADH2 which donate to ETC
- energy from electrochemical gradient of protons can be involved in ATP synthesis or leaks as heat by action of UCP
-mice lacking UCP1 are not hyperphagic and obese byt are extremely sensitive to cold
Brown adipocytes
- white adipose tissue is responsible for energy storage
- brown adipose tissue involved in energy spending
- BAT contain small lipid granules
- high conc of mitochondria (give brown colour)
- high density of UCPs
- non shivering thermogenesis
- innervated by adrenergic sympathetic neurons (B3 neurons)
- WAT contain single fat droplets that constitute that majority of cell volume
B3 knockout mice
- survive prolonged cold by compensation mechanisms
- increased shivering
- increase B1 adrenergic signalling
- B3 adrenergic agonist inhibits weight gain in rodents kept on high fat diet
WAT can become BAT
- transdifferentiation of WAT into BAT was shown in rodents exposed to prolonged cold (6 degrees for 10 days)
- not observed in B3 knockout mice
- B3 agonist induced white adipose differentiation
- indicated that differentiation process depends on B3 adrenoreceptor activation
Corticosteroids and obesity
-HPA axis and regulation of feeding controlled within hypothalamus
- cortisol availability is dependent on activity of 11B-hydroxysteroid dehydrogenase (11B-HSD)
- 11BHSD1 isoform converts inactive cortisone to cortisol
- 11BHSD2 isoform converts cortisol to cortisone
- cortisone induces adipose cell differentiation
Cushing’s syndrome
- pathological hypercortisolemia
- associated with obesity, glucose intolerance, hypertension
- adrenalectomy in cushings patients reverses glucose intolerance and obesity
- genetically obese mice demonstrate hypercorticosteronemia
- adrenalectomy in rodents reduces food intake and can be reverse by glucocorticoids