Regulation of appetite Flashcards
Give the definition of appetite
desire to eat foodG
Give the definition of satiety
feeling of fullness – disappearance of appetite after a meal
What is a is an underweight BMI?
< 18.5
What is a normal BMI between?
18.5 - 24.9
What is an normal overweight BMI between?
25.0 - 29.9
What is an obese BMI between?
30.0 - 39.9
What is a morbidly obese BMI?
> 40
What are risks of obesity?
- Type II diabetes
- Hypertension
- Coronary artery disease
- Stroke
- Osteoarthritis
- Obstructive sleep apnoea
- Carcinoma
- Breast
- Endometrium
- Prostate
- Colon
Which type of fat is a higher risk of obesity?
abdominal (visceral) rather than subcutaneous fat
Why do we eat?
● Internal physiological drive to eat
- Feeling that prompts thought of food and motivates food consumption
● External physiological drive to eat
- Sometimes even in the absence of hunger (e.g. buffet)
Which part of of the hypothalamus is the hunger centre?
Lateral hypothalamus
Which part of the hypothalamus is the satiety centre?
Ventromedial hypothalamic nucleus
What do highly refined sugars provide?
quick and short satiety
Are high or low glycaemic index foods better?
Low
What do high proteins provide?
prolonged satiety
What do high fats provide?
stimulate and entice people to eat more
What is peptide YY?
- 36 amino acids
- Structurally similar to NPY (Neuropeptide Y)
What does peptide YY do?
- Secreted by neuroendocrine cells in ileum, pancreas and colon in response to food
- Binds NPY receptors
- Inhibits gastric motility
- Reduces appetite
What effect does cholecystokinin have when acting on the pyloric sphincter?
- delays gastric emptying
- gall bladder contraction
- insulin release
What effect does cholecystokinin have when acting on the vagus nerve?
Satiety
What does ghrelin do?
- stimulates Growth hormone release
- appetite
What stimuli stimulate appetite?
Olfactory, gustatory, cognitive and visual stimuli
What role does the stomach have in appetite and satiety?
Stretch receptors in stomach increase satiety
What increases satiety?
Release of CCK, GLP (glucagon like peptide), insulin, leptin and PYY