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hunger
drive to consume food (motivational force)
eating
actual consumption of food (behavior)
energy metabolism
how we process the energy in food (metabolic)
glucose
simple carbohydrate/ sugar serving as the main source of energy for the human brain (20% of intake goes to the brain)
how is energy utilized?
by basal/resting metabolic rate
activity
thermogenesis
short term energy storage
conversion of glucose to glycogen in liver and muscles
long term energy storage
glucose and fatty acids conversion to fat in adipose tissue
what are the 3 phases of eating behavior?
cephalic
absorptive
fasting
cephalic phase
sight smell and expectation of food serving as cues to prepare the body for food consumption by activating the autonomic nervous sytem
what nerve is involved in the cephalic phase?
the cranial nerve x (vagus nerve)
absorptive phase
nutrients like glucose are absorbed into the bloodstream to meet immediate energy needs
what happens to excess nutrients
they are stored as glycogen, proteins and fats for later use
what are the useful fuels?
carbohydrates, fats and proteins
what happens when glucose in the blood plasma rises?
insulin levels rise and glucagon levels fall
insulin
lowers blood glucose converting glucose and fatty acids to glycogen and fat for storage
glucagon
increases blood glucose converting glycogen and fat to glucose and fatty acids for use in the body
fasting phase
energy is taken from stores to meet needs so insulin levels drop and glucagon levels rise
ghrelin
secreted by the stomach and increases hunger the longer fasting occurs
what are the issues regarding glucostatic theory?
blood glucose levels rarely drop before eating
you eat well beyond the point correcting blood glucose deficit
blood glucose levels in the body change with eating but glucose levels for neurons dont
increasing or decreasing levels doesnt really affect hunger
glucostatic theory
eating to maintain energy reserves at a constant level
set point theory
there is a set body weight your body is trying to defend/achieve, biological process will promote weight gain or loss if you are off your set point
what is associated with an increase in the perceived pleasure of food and the amount of work done to obtain food?
caloric restriction
what are the issues associate with set point theory?
some people gain weight consistently through life
maintained a set weight is not adaptive in evolution
there are cases where insufficient eating is used to promote weight maintenance
drive reduction theories
glucostatic and lipostatic theory
what makes a drive reduction theory?
deficits create motivational forces
motivational forces encourage behaviors
the behavior reduces the drive
positive incentive value
we eat because its pleasurable not just because we desperately need energy from food in the moment
consumption activates the reward centers of the brain
how is reward center activation explained?
we will gravitate towards sweet, fatty and salty food cause they taste good and avoid bitter food cause they seem harmful
taste
tongue
recognition of taste
insula
emotion
amygdala
cognitive value
frontal areas
reward and planning future behavior
striatum
what is the critical part of the reward system?
the mesolimbic system
the reward system
group of interconnected neural structures implicated in the attribution of reward to stimuli
implicated in habit formation and impulse control disorders
what transmitter does reward center signaling involve?
Dopamine
what activates the release of dopamine?
expectation and taste of food
Hypothalamic nuclei
ventromedial hypothalamus
lateral hypothalamus
paraventricular hypothalamus
arcuate
ventromedial hypothalamus
though the be involved in terminating eating behavior but recent suggestions that it plays a role in energy metabolism and fat storage
lateral hypothalamus
stimulating it increases eating and its lesion leads to weight loss
anorexigenic neurons and hormones
POMC neurons and leptin
orexigenic neurons and hormones
AgRP, NPY,GABA and Ghrelin
neurons in the arcuate
AgRP and POMC
AgRP
agouti related protein that is an antagonist of melanocortin signaling and other compounds
orexigenic
stimulate food intake by activated ghrelin and inhibiting insulin and leptin
POMC neurons
express pro-opiomelanocortin and release a-melanocyte stimulation hormone which is the agonist of melanocortin signaling
anorexigenic
inhibit food intake by POMC neurons that are activated by leptin
long term satiety signaling
insulin and leptin
short term satiety signaling
CCK and GLP1
how do leptin levels affect food intake and weight
it reduces it
leptin
secreted from adipose tissue and circulates in proportion to adipose stores so the more fat there is the more leptin there is
affects neurons involved in energy balance
nucleus of the solitary tract
part of the taste pathway
what happens when leptin stops working?
results in increased food intake and reduced energy expenditure
what is the effect of leptin resistance in obesity?
leptin levels are higher and signaling is less effective in obesity
what is the modern perspective on hunger?
settling point, set point can change on the basis of many changes in your life
what modulates food intake?
sensory stimuli in the cephalic stage and neural circuits involved in food intake
primary gustatory cortex
insula
secondary gustatory cortex
in the orbitofrontal cortex involved in olfaction
what is anosmia?
loss of sense of smell
linked to weight loss
how many people are affected by obesity?
1 in 4 adult canadians
how is obesity acquired?
partly genetic but increased prevalence suggest involvement in environmental factors
activity levels are not the problem and that cant be the only treatment
how is the reward system affected in obesity?
reduced DR2 availability, reduced glucose metabolism and increased activity in areas associated with food salience
anorexia
no appetite by nervousness, refusal to consume enough food to maintain weight (75-90% of the 1% of the population affected are women)
bulimia nervosa
recurrent episodes of binge eating followed by inappropriate behaviors like vomiting to reduce weight gain
more common in women
eating disorder myths
lifestyle choice that can be easily changed
only affect young white women of high socioeconomic status
phase that will resolve easily like dieting
traits associated with anorexia nervosa
perfectionism
negative emotion
drive for thinness
increased interoceptive awareness
OCD
potential factors in anorexia nervosa
reduce reward value of food and increased anxiety towards food
lack of compensatory responses to food restriction
harm avoidance
increased cognitive control
inability to accurately perceive body image
neural changes
lowered activation in the insula and anteroventral striatum in response to sweetness
altered D2/D3 receptor expression in the caudate
neural systems associated with body image function differently
treatment associated with increased gray matter