Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain...

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Metabolism

Transcript of Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain...

Page 1: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Metabolism

Page 2: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Appetite

Hunger and

satiety are regulated by

a complex interaction of

multiple brain centers,

hormones, and

sensory and motor

pathways.

Page 3: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Hunger center

a region in the lateral hypothalamus that triggers the desire for food

stimulated destroyed

Page 4: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

stimulated destroyed

Satiety center

a region in the ventromedial hypothalamus that suppresses the desire for food

Page 5: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

The satiety center has neurons called glucostats that rapidly absorb blood glucose after a meal.

hypothesis: glucose uptake causes the satiety center to send inhibitory signals to the hunger center and thus suppresses the appetite.

Satiety Center

HungerCenter

Blood glucose

appetite

+

_

+

Page 6: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Gastric peristalsis

stimulates hunger.

Mild hunger

contractions begin soon

after the stomach is

emptied and increase in

intensity over a period of

hours.

Page 7: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

- Adipocytes (fat cells) secrete

hormones (leptin) that regulate

appetite and body weight.

Role of Hormones in Appetite Regulation

- Hormones from GI:

cholecystokinin: suppressantghrelin: stimulantPYY: suppressant

(Science 299:846-849 2003)

Page 8: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Leptin's effects. Because of a gene defect, the boy doesn't make leptin, but treatment with the hormone, begun when he was 3.5 years old (top), brought his weight down to normal levels, as shown at age 8.

(Science 299:846-849 2003)

Page 9: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Nutrients

Major Classes of Nutrients :

carbohydrates, lipids, proteins, minerals, vitamins, and water.

Nutrients are used for:

1) providing energy

2) growth, repair, or maintenance of body cells

Page 10: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Metabolic Rate

is the amount of energy released in the

body per unit of time, expressed as kcal/hr

or kcal/day

Page 11: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

37 C 38 C

1 Kg

A kilocalorie (kcal) is the amount of heat that will raise the temperature of 1 kg of water by 1oC.

Page 12: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

An average adult needs 2,000-5,000 kcal/day, depending on physical activity, mental state, and other factors such as room temperature.

1,000 Kg water x 2 - 5 C

Page 13: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Caloric restriction (by 30%) prolongs life span by 30%-50% and reduces morbidity of aging-related diseases.

These effects have been observed in many animal species, including worms, insects, rodents, and maybe primates.

ProteinsLow fat/cholesterolVitaminsMinerals

Carbohydrates

unchanged

reduced by 30%

Page 14: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

- ATP is the universal cellular energy, and can be produced from glucose, fat, and proteins.

- A total of 38 ATP is generated per molecule of glucose in the presence of oxygen.

Role of blood glucose in providing energy

Page 15: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Blood glucose is more important than fat and proteins in providing energy

- Glucose can be used by all tissue cells.

- Neurons and erythrocytes normally obtain

energy only from glucose.

hypoglycemia weakness, coma

Blood glucose level has to be maintained.

Page 16: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

discussed in two states.

1) Absorptive State

lasts about 4 hours after a

meal.

2) Postabsorptive State

Maintenance of blood glucose

Page 17: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Absorptive State

- Blood glucose is

readily available for ATP

synthesis.

- Glucose serves as a

primary fuel and spares

the body from having to

draw on stored fuels.

Page 18: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Excessive glucose is stored as glycogen in the liver and muscles or as body fat.

Absorptive State

glycogen

fat

Page 19: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Fats are taken by the tissues,

especially adipose and muscular tissue.

Absorptive State

Amino acidsbecome available for

protein synthesis. Aminoacids

Page 20: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Regulation of the Absorptive State

- regulated largely by insulin, which stimulates nearly

all cells to absorb glucose.

glucose

cell

cell

blood

insulin receptors

insulin

glycogen

muscle

Page 21: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Postabsorptive State (fasting)

- prevails hours after meals and overnight.

- The essence of this state is to regulate

blood glucose levels, which is especially

critical to the brain.

Page 22: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Glucose is drawn from the body's glycogen reserves in liver and muscles, or synthesized from fats (gluconeogenesis).

glycogen

fats

Page 23: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

After 4 to 5 days of fasting, the brain

begins to use ketone bodies as

supplemental fuel.

Postabsorptive State

- from fat

- acidosis

Page 24: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

After glycogen and fat reserves are depleted

- The body begins to burn proteins.

- The first to go is skeletal muscle proteins.

glycogen

fats

proteins

Page 25: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Regulation of the Postabsorptive State

- by the sympathetic nervous system and several

hormones.

- The sympathoadrenal system can mobilize stored

energy reserves in adipose tissue as needed.

glycogen

fats

Page 26: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Glucagon promotes:

1) glycogenolysis glycogen glucose

2) gluconeogenesis AA/FFA glucose

3) lipolysis triglyceride FFA

glycogen

fats

Page 27: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Growth hormone also raises blood glucose

concentrations.

Page 28: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Body Heat and Thermoregulation

Page 29: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Body Temperature

- Body temperature fluctuates about 1oC in a 24-hour cycle.

lowest in the early morning

highest in the late afternoon

Page 30: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Core temperature

• in the cranial, thoracic, and abdominal cavities

• close to rectal temperature

37.2 -37.6 C

(99.0-99.7 F)

Shell temperature

- skin and oral

36.6 -37.0 C

(97.9-98.6 F)

Page 31: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

heat

heat

Heat Production

Body heat is generated from:

1) nutrient oxidation (ATP production)

energy in glucose ATP

2) ATP use

energy in ATP mechanical energy

Page 32: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

- At rest, mainly generated in brain, liver, heart, endocrine glands, and skeletal muscles (20-30%).

- During vigorous exercise, skeletal muscles produce 30-40 times as much heat as the rest of the body.

Heat Production

Page 33: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

The body loses heat through:

Heat Loss

Conduction Evaporation Radiation

Page 34: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Thermoregulation

- Hypothalamic thermostat

1) monitors the blood

temperature

2) receives signals from

peripheral

thermoreceptors in the

skin.

Page 35: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Thermoregulation

heat-losing center

heat-promoting center

in the hypothalamus

thermostat37.5 C

Page 36: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

When blood temperature is

too high

heat-losing center stimulates

1) dilation of dermal

arterioles

2) sweating

Page 37: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

When blood temperature drops too low

heat-promoting center stimulates

1) dermal vasoconstriction

2) shivering thermogenesis.

3) later increase in

metabolic rate by 20-30%

as adaptation.

Page 38: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Disturbances of Thermoregulation

Exposure to excessive heat causes:

1) heat exhaustion hypotension, dizziness, vomiting, and sometimes fainting

2) heat stroke brain cell malfunction, convulsions, coma, and finally death

Page 39: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

heat

glucose ATP

- refers to low body temperature

- when below 33oC (91oF), the metabolic rate drops so low that heat production cannot keep pace with heat loss, and the temperature falls further.-

Hypothermia

enzyme

Page 40: Metabolism. Appetite Hunger and satiety are regulated by a complex interaction of multiple brain centers, hormones, and sensory and motor pathways.

Hypothermia

below 24oC (75oF) = fatal.

Which way helps a person survive longer in ice-cold sea water?

a. Swim vigorously

b. Rest and keep awake