Regulation of Appetite Flashcards
Simply, what is appetite?
Desire to eat food
Simply, what is hunger?
Need of eating
Simply,what does anorexia mean?
Lack of appetite
Satiety
Feeling of fullness - disappearance of appetite after a meal
Body Mass Index (BMI)
Weight (kg) / ht (m2)
What BMI range for underweight
<18.5
What is regarded the normal BMI range?
18.5 - 24.9
What BMI range is regarded as overweight?
25.0-29.9
What BMI is regarded as obese?
30.0-39.9
What BMI is regarded as morbidly obese?
> 40
Name some risks of obesity
Type II diabetes
Hypertension
Coronary artery disease
Stroke
Osteoarthritis
Obstructive sleep apnoea
Carcinoma (breast, endometrium, prostate, colon)
Especially abdominal (visceral) rather than subcutaneous fat
What chemicals are involved with increased appetite?
Grhelin
NPY (neuropeptide Y)
Orexin
Endocannabinoid
MCH (melanin-concentrating hormone, orexigenic)
AgRP (agouti related peptide)
What chemicals are involved with decreased appetite?
Leptin,
Insulin
PeptideYY
GLP-1 (glucaogn like peptide 1)
Serotonin
a-MSH (alpha melanocyte stimulating hormone)
CART (cocaine and amphetamine-regulated transcript)
Give some characteristics of leptin
Expressed in white fat
Bind to leptin receptor
Cytokine receptor family
Found in hypothalamus
What switches off appetite and also has a role in stimulating immune system?
Leptin
Increased fat cell mass causes ______ leptin/insulin expression
increased
Increased Leptin action in hypothalamus inhibits NPY/AgRP expression and activates a-MSH expression ultimately leading to…
anorexia
Givesome characteristics of Peptide YY
36 amino acids, structurally similar to NPY so binds to NPY receptor
Is secreted by neuroendocrine cells in ileum, pancreas and colon in response to food
Inhibit gastric motility and reduces appetite
Infusion of (hormone) diminishes appetite
PYY
Cholecystokinin acts on receptors in pyloric sphincter to delay g____ e_____, gall bladder contraction and insulin release
gastric emptying
Grhelin is expressed in the s________ stimulates GH release and appetite
stomach
Have high levels of Grehlin in blood when…
fasting
Grehlin leads to increased secretion of __ and ___ to increase appetite
NPY and AgRP