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42 Cards in this Set

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How much total energy is available in the form of extracellular glucose?
20 g = 1 hour of energy
How much total energy is available in the form of glycogen?
300 g = < 1 day
What is the metabolic effect of catecholamines?
Increase blood sugars and total available energy via glycogenolysis and lipolysis.

Increase is glucagon and decrease in insulin
What is the metabolic effect of glucocorticoids?
Preservation of carbohydrate reserves and mobilization of alternative fuels

Will increase lipolysis, gluconeogenesis, and protein degradation
How does GH effect metabolism?
Shift from utilization of glucose to free fatty acids without increased protein breakdown

Increase fatty acid catabolism
How does thyroid hormone effect metabolism?
Overall increase in metabolism
What hormones are fuel storage factors?
insulin
What hormones are fuel mobilization factors (5)?
Glucagon
GH
TH
Catecholamines
Glucocorticoids
Hyperglycemia causes the release of which hormone?
insulin
Hypoglycemia causes the release of which hormone?
Glucagon and Catecholamine
How is T4 conversion affected by fasting? Why?
Conversion is stopped to decrease base metabolic rate to conserve energy
How is the effect of GH affected by prolonged fasting?
No more IGF is created due to attenuated anabolism
Gluconeogenesis will increase which waste product that must be excreted by the kidney?
NH4, excreted as urea
During starvation, when will protein degradation start and stop?
Once all fat stores are depleted, protein degradation will pick up rapidly until respiratory failure and death
What hormones are increased during fasting (2) ?
Glucagon
GH
What hormones are decreased during fasting (3)?
Insulin
T3
Cortisol (Glucocorticoid) (slight)
When will fat metabolism increase with aerobic exercise?
after 3 hours it can increase to 70% of the total energy expenditure
Which hormone decreases with sustained exercise?
Insulin
What is the hunger center?
Lateral hypothalamic center
What is the satiety center?
Ventromedial nucleus
What hormones are released by the lateral hypothalamic center and what do they do?
Melanin-concentrating hormone which will trigger an increase in food intake

Orexins which cause arousal and food seeking behavior
What hormone does the ventromedial nucleus release and what does it do?
Brain-derived neurotrophic factor which will decrease food intake (trigger satiety)
A lesion of the paraventricular nucleus will ...
cause excessive eating
A lesion of the dorsomedial nucleus will ...
depress eating behavior
What is the role of the arcuate nucleus in appetite control?
Allows the integration of signals from adipose and GI to converge to regulate appetite (No BBB)
There are two classes of hypothalamic hormones that regulate appetite, what are they?
Orexigenic - feeding
Anorexigenic - inhibiting feeding
What are they two anorexigenic hormones?
alpha-Melanocyte stimulating hormone
Cocaine and Amphetamine regulating transcript (CART)
What are the two orexigenic hormones?
Neuropeptide Y (NPY)
Agouti-related peptide (AGRP)
Which orexigenic hormone is a competitive inhibitor of an anorexigenic hormone?
Agouti-related Peptide is an inhibitor of alpha-Melanocyte stimulating hormone
Excessive activation of which hormone is linked to anorexia?
Melanocyte stimulating hormone
Both NPY and AGRP act on which nucleus? What is the effect?
PVN
Stimulate feeding and competitively inhibit MSH
What brainstem nucleus control the mechanics of feeding?
Solitary nucleus via the area postrema which has no BBB
How does destruction of the amygdala effect appetite control?
loss of regulation that determines type and quality of food that should be eaten
What are the two modes by which the GI tract can signal appetite regulation?
1. GI distension signaled via the vagus
2. GI hormones
What are the GI hormones (4)?
1. CCK
2. Peptide YY
3. Glucagon-like peptide
4. Ghrelin
What is the only orexigenic GI hormone?
Ghrelin
Where is Ghrelin secreted and what is the function?
From the stomach and intestine to increase food intake
What are the anorexigenic GI hormones?
CCK
Peptide YY
Glucagon-like peptide
When and where is CCK released?
From the doudenum when fat enters the intestine
What is the function of peptide YY?
To slow gastric emptying, proportional to caloric intake
What is the function of glucagon-like peptide?
to increase insulin
What is the effect of leptin? What cells release leptin?
To decrease food intake
Released by adipose cells