Obesity and Regulation of Appetitie Flashcards

1
Q

What does BMI equal?

A

weight(kg)/height (m^2)

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2
Q

Obesity equals?

A

BMI over 30

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3
Q

Overwt BMI=

A

25-29

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4
Q

High risk waist circumference in men? Women

A

Men= over 40

Women over 35

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5
Q

What goes up about 5 minutes before hunger hits

A

Ghrelin

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6
Q

What is the endocannabanoid system

A

Endogenous signaling system. Consists of two types of receptors CB1 and CB2. Generally silent but becomes active in order to reduce pain and anxiety, modulate body temp, inhibit motor behavior, extinguish aversive memories, induce appetite

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7
Q

Normal BMI=

A

25 or lower
25-30= overwt
30-35= obese
35 and up= morbidly obese

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8
Q

What are the two components to determining obesity

A

BMI and waist cuircumference. Visceral fat in the abdomen is very dangerous.

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9
Q

Fat is stored as

A

Triglycerides. KNOW THIS!!! STORED FAT IS TRIGLYCERIDES. Storing fat is not a terrible thing. When we store fat, we are bringing down FFA from the plasma.

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10
Q

Visceral fat puts out more toxic products than other fat stores. Toxic products like

A

cytokines, c-reactive protein, TNF-alpha

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11
Q

What is the only good thing that comes out of fat cells

A

Adiponectin….and less of it comes out the more overwt you get

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12
Q

What are the three components that make up energy expenditure

A

Physical activity, thermic effect of food, Basal metabolic rate.

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13
Q

What is the most important of these three

A

Basal Metaboloic Rate

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14
Q

NEAT

A

Non-excercise activity thermogenesis. Can be calculated by figuring out thermal energy of food and the BMR and subtracting NEAT from it

The other option is to estimate activities

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15
Q

What part of the hypothalamus expresses receptors for the hormones and neuropeptides that regulate feeding?

A

Arcuate nucleus

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16
Q

What is the major site of TRH and CRH synthesis in the hypothalamus?

A

Paraventricular nucleus

17
Q

The para ventricular nucleus, obviously would want to receive signals from teh ARC in order to better judge when TRH and CRH would need to be released

A

ok

18
Q

Neropeptide Y, Aghouti related Proteins (AgRP), and hypocretin/oxerins stimulate what?

A

Food intake

19
Q

In rats, NPY stimulated food uptake for a short period, AgRP for longer periods

A

ok

20
Q

The Endocannabanoid system

A

Generally silent but becomes active to decrease pain and anxiety, abolish bad memories, regulate body temperature, hormone release and smooth muscle tone, inhibit motor activity, induce appetite

21
Q

Which ECS receptors are involved in appetite

A

CB1

22
Q

Overactive ECS leads to what three things

A

1) increased appetite
2) increased motivation to eat
3) increased fat storage.

Its a feed forward system. The more you eat the more active it becomes

23
Q

The hypothalamic anorexigenic agents include the melanocortins, cocaine-and-amphetamine regulated transcript (CART), and serotonin.

A

KNOW

24
Q

Leptin seems to promote not eating

A

ok

25
Q

Congenital leptin deficiency leads to

A

Severe childhood obesity

26
Q

Leptin deficiency occurs when what is deleted

A

guanine in codon 133

27
Q

MC4 receptor dediciency also leads to obesity

A

ok

28
Q

KNOW THE CHART YOU MADE

A

ok

29
Q

Hypertension, dyslipidemia, T2D

A

These comormidities increase as BMI increases. BMI over 27 is bad news.

30
Q

. Virtually all of the peripheral signals (e.g., insulin, PYY, leptin, CCK) are triggered by food ingestion and attenuated by fasting or starvation, indicating a response system that is tailored at satiety and meal termination

A

important conclusion. Most hormonal actions are post prandial.

31
Q

Ghrelin, the only peripheral signal activated preprandially, may be unique in its role as a rare peripheral signal for hunger and meal initiation.

A

Ghrelin is unique in that it rises before meals.