The Neurophysiology of Appetite Control Flashcards

1
Q

What are the brain pathways involved in appetite?

A

Hypothalamus (connections to hind & limbic)

Orbitofrontal (sensory meets hedonic)

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2
Q

What is the definition of hunger?

A

The physiological need to eat food

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3
Q

What is the definition of appetite?

A

The desire to eat food

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4
Q

What is the definition of satiety?

A

Absence of hunger (feeling full)

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5
Q

What are three factors that are involved in feeding and appetite?

A

Processing sensory information (motivation & learning)

Evaluating desirability (reward representations)

Choosing appropriate behaviour (hedonic experience)

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6
Q

What sensors are involved in feeding and appetite?

A

5 sensors
GI sensory receptors: distention

Cardiovascular receptors: BP & CO2 in blood

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7
Q

What effectors are involved in feeding and appetite?

A

Hypothalamus & its interconnections

Orbitofrontal Cortex (sensory meets hedonic)

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8
Q

When the lateral hypothalamus is stimulated, what does it make you feel?

A

Hungry (hunger centre)

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9
Q

What does a lesioned(destroyed ) lateral hypothalamus mean?

A

You will never be hungry again

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10
Q

What does a lesioned (destroyed) ventromedial hypothalamus mean?

A

You will never be full again

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11
Q

When the ventromedial hypothalamus is stimulated, what does it make you feel?

A

Full (satiety centre)

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12
Q

What are neural signals from GI tract for short term regulation of human food intake?

A

Stretch receptors inhibit appetite

Vagus nerve/ GI tract to hypothalamus

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13
Q

What are nutrition signals of short term regulation of human food intake?

A

Rising blood glucose levels

Elevate blood levels of amino & fatty acids

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14
Q

Which hormones inhibit hunger?

A

Insulin & Cholecystokinin (CKK) released from GI tract

Leptin (adipose tissue)

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15
Q

Which hormones stimulate hunger?

A

Glucagon & Adrenaline (fasting)

Ghrelin (stomach)

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16
Q

What effects does resistin have?

A

Increases liver production of LDL

Decreases LDL receptors in liver

Accelerates accumulation of LDL in arteries

17
Q

What are the effects of resisting linked to?

A

Increases obesity & type 2 DM

Increases inflammation & insulin resistance

Increases pro-inflammatory cytokines

Decreases response to statins

18
Q

What neurotransmitters are involved in eating?

A

5HT, GABA, DA

19
Q

What neuropeptides are involved in eating?

A

Neuropeptide Y (NPY)
Orexins (OX)
Melanin-concentrating hormone (MCH)

20
Q

What does it mean if something is orexigenic?

A

It stimulates feeding

21
Q

What does it mean if something is anorexigenic?

A

It inhibits feeding

22
Q

What does the abdominal viscera communicate with the brain regarding?

A

Processing of ingested food

Metabolic effects of the absorbed nutrients

Gut endocrine secretions

23
Q

What are the means of communication for hormonal responses?

A

G.I , pancreatic & brain peptides

24
Q

What are the means of communications for neutral responses?

A

Vagal & spinal visceral afferents from the gut

25
What hormonal controls highly regulate gastric emptying?
CCK Amylin Ghrelin
26
What % of women have anorexia nervosa?
0.9-4.3%
27
What % of men have anorexia nervosa?
0.2-0.3%
28
What is thought to be a cause of anorexia nervosa?
Genetic factors - clutter with affective disorder
29
What are the main goals for anorexia treatment?
Resorting healthy weight Treating psychological problems Addressing behaviours that promote the disorder
30
What does cognitive analytic therapy (CAT) address for anorexia treatment?
Unhealthy patterns of behaviour/ thinking developed in childhood
31
What does cognitive behavioural therapy (CBT)involve for anorexia treatment?
Adopt more healthy realistic ways of thinking
32
What does interpersonal therapy address?
Problems with social interactions
33
What medications are used for anorexia treatment?
Selective Serotonin Reuptake Inhibitors (SSRIs): Depression/ anxiety when started to gain weight Olanzapine (non response to other treatments)