Metabolic processes regulated by thyroid hormones Flashcards

1
Q

What is calcitonin and where is it produced?

A

Calcitonin is a polypeptide hormone produced by parafollicular (C) cells of the thyroid gland. It helps lower blood calcium levels.

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2
Q

How does calcitonin work to lower blood calcium levels?

A

Calcitonin inhibits bone resorption and stimulates calcium uptake and incorporation into bone.

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3
Q

When is calcitonin released and what inhibits its release?

A

Calcitonin is secreted in response to high blood calcium levels and inhibited when blood calcium levels decline.

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4
Q

How is metabolic rate defined?

A

Metabolic rate is the rate of energy expenditure per hour, measured by the total heat produced by all chemical reactions and mechanical work of the body.

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4
Q

What is the role of calcitonin in adults and children?

A

Calcitonin is most important in childhood for skeleton development, and has minimal role in adults.

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5
Q

What are the effects of hyperthyroidism and hypothyroidism on metabolic rate?

A

Hyperthyroidism results in a high metabolic rate, weight loss, and poor heat tolerance, while hypothyroidism leads to a low metabolic rate, obesity, and poor cold tolerance.

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5
Q

What is Basal Metabolic Rate (BMR)?

A

BMR is the rate at which energy is expended by the body under controlled conditions (12 hours after a meal, at rest) to maintain essential activities.

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6
Q

How is BMR measured?

A

BMR can be measured by oxygen consumption (indirectly) or by using a calorimeter to measure heat production.

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7
Q

What factors influence BMR?

A

Body surface area, age, gender, stress, and hormones are key factors. The body surface area is the most important determinant of BMR.

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8
Q

How does stress affect metabolic rate?

A

Stress, whether physical or emotional, increases metabolic rate by releasing norepinephrine and epinephrine, which increase fat catabolism and heat production.

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8
Q

How does age and gender affect BMR?

A

BMR is inversely proportional to age and higher in males than females due to more muscle and less fat in males.

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9
Q

What role does thyroid hormone play in regulating metabolic rate?

A

Thyroid hormone (TH) increases oxygen consumption and accelerates metabolic rate by increasing ATP usage for the Na/K pump, generating heat as a byproduct.

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9
Q

What is food-induced thermogenesis?

A

Food-induced thermogenesis refers to the increased metabolic rate following food ingestion, especially after protein-rich meals, primarily due to the liver’s increased metabolic activity.

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9
Q

How does exercise affect TMR?

A

Exercise can increase metabolic rate by 15-20 times, and this elevated rate can remain for hours after the activity.

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9
Q

What is Total Metabolic Rate (TMR)?

A

TMR is the total rate of kcal consumption to fuel all activities, including BMR and voluntary activities like exercise.

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9
Q

What are the four mechanisms of heat exchange?

A
  1. Radiation: Loss of heat through infrared waves.
  2. Conduction: Heat transfer through direct contact.
  3. Convection: Movement of warm air rising and being replaced by cooler air.
  4. Evaporation: Heat loss due to water vaporization from the body.
10
Q

How does fasting affect metabolic rate?

A

Fasting or low caloric intake decreases metabolic rate, slowing the breakdown of food reserves.

10
Q

What is insensible water loss?

A

Insensible water loss is continuous evaporation of water from the skin, lungs, and mouth, accounting for about 10% of basal heat loss, not regulated by body temperature.

11
Q

What is the role of the hypothalamus in thermoregulation?

A

The hypothalamus integrates thermoregulatory information and initiates heat-loss or heat-promoting mechanisms, similar to a thermostat.

12
Q

What are heat-promoting mechanisms?

A
  1. Vasoconstriction: Restricts blood flow to the skin to conserve body heat.
  2. Shivering: Involuntary muscle contractions that generate heat.
13
Q

What is “chemical or nonshivering thermogenesis”?

A

It’s the increase in metabolic rate and heat production in response to cold, triggered by the release of epinephrine and norepinephrine from the adrenal medulla. It’s well-documented in infants but controversial in adults.

14
Q

How does thyroxine release contribute to heat conservation?

A

Lowering external temperature stimulates the hypothalamus to release TRH, leading to increased thyroid hormone (T3 & T4) secretion, which boosts metabolic rate and heat production, helping to maintain body temperature.

15
Q

What are some behavioral modifications for heat loss?

A

Reducing activity, seeking cooler environments (shade), increasing convection (e.g., using a fan), and wearing light, loose clothing to reflect radiant energy.

16
Q

What are some behavioral modifications that conserve heat?

A

Wearing warmer clothing, ingesting warm fluids, reducing exposed body surface area, and increasing physical activity help conserve heat.

17
Q

How does vasodilation help in heat loss?

A

Vasodilation increases blood flow to the skin, promoting heat loss through radiation, conduction, and convection.

17
Q

What triggers heat-loss mechanisms?

A

When core body temperature increases, the hypothalamus activates the heat-loss center and inhibits the heat-promoting center.

18
Q

What role does sweating play in heat loss?

A

Sweating is activated when the body is overheated. It cools the body through evaporation, which is more effective in dry environments.

19
Q

What is hyperthermia, and how does it affect the body?

A

Hyperthermia occurs when heat loss mechanisms fail, leading to elevated body temperature and a vicious cycle of increased metabolic rate, which further raises body temperature. This can result in heat stroke, which is potentially fatal.

20
Q

What is fever?

A

Fever is a controlled hyperthermic response, typically caused by infection. Pyrogens reset the hypothalamus, raising body temperature to fight infection.

20
Q

What contributes to energy output?

A

Energy output consists of heat loss (~60%) and work (ATP production).

20
Q

What is the energy intake equation?

A

Energy intake equals the energy provided by food oxidation, which is the energy released when food molecules are broken down.

21
Q

What happens when energy intake equals energy output?

A

When energy intake equals energy output, body weight remains stable.

22
Q

What is the difference between hunger and satiety?

A

Hunger is the physiological need to eat, while satiety is the feeling of satisfaction after eating.

22
Q

What is the role of appetite?

A

Appetite is the desire for specific foods, influenced by memory and associations, and doesn’t always reflect the body’s caloric needs.

23
Q

What are key centers in appetite regulation?

A

The arcuate nucleus in the hypothalamus, the lateral hypothalamic area (LHA), and the ventromedial nucleus (VMH) are central to appetite regulation.

24
Q

How do neural signals and nutrients affect appetite?

A

How do neural signals and nutrients affect appetite?
A: Stretch receptors in the GI tract inhibit appetite. Elevated plasma glucose and amino acids also suppress appetite, while low levels stimulate it.

25
Q

What hormones regulate appetite in the short term?

A

Insulin, cholecystokinin, and glucagon play roles in short-term appetite regulation, while ghrelin stimulates hunger.

26
Q

What is the role of leptin in appetite regulation?

A

Leptin, secreted by adipose tissue, inhibits appetite by binding to receptors in the arcuate nucleus and increasing CART expression, signaling that fat stores are sufficient.