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Body Mass Index (BMI)
(Weight in lbs × 703) / (Height in inches)²
i.e: 215 lbs, 76 inches → 26.16
appetite control theories
Glucostatic Theory: Based on blood glucose levels.
Lipostatic Theory: Based on body fat content; leptin released when fat increases, reducing appetite.
What factors regulate peptide-related appetite control?
Hormones (e.g., leptin, ghrelin)
Neural signals
Sensory inputs (smell, sight)
First Law of Thermodynamics
∆ Energy = Energy Intake – Energy Output
Energy Intake = Diet
Energy Output = Work (transport, mechanical, chemical) + Heat
energy content of macronutrients
Fat = 9 kcal/g
Protein = 4 kcal/g
Carbohydrate (CHO) = 4 kcal/g
indirect calorimetry
Measures oxygen consumption and CO₂ production.
RQ values:
CHO = 1.0
Protein = 0.8
Fat = 0.7
factors that influence Basal Metabolic Rate (BMR)
Age and Sex
Lean Body Mass
Hormones
Genetics
Activity Level
Thermic Effect of Eating
Fed State (Absorptive)
Energy is absorbed, used, and stored (Anabolism).
Fasted State
Stored energy is used (Catabolism).
glycogenesis
glucose stored as glycogen
α-cells
secrete Glucagon
β-cells
produce insulin
δ-cells
Somatostatin
Glucagon
Increases glycogenolysis, gluconeogenesis (liver).
Insulin
Promotes glucose, amino acid, and fatty acid uptake into cells for storage
Somatostatin
Inhibits insulin, glucagon release; slows GI motility.
Epinephrine
Promotes glycogenolysis and lipolysis.
Cortisol
Antagonizes insulin action.
GLP-1
Enhances insulin secretion, delays gastric emptying, reduces appetite.
Leptin
Signals energy adequacy to CNS, reduces appetite.
glycogen phosphorylase signaling cascade
Triggered by cAMP via glucagon/epinephrine → activates glycogen breakdown.
glucose control in fed states
High insulin, low glucagon → promotes storage (glycogenesis, lipogenesis).
glucose control in fasted states
Low insulin, high glucagon → promotes energy mobilization (glycogenolysis, gluconeogenesis).promotes energy release and mobilization
pathophysiology of Type I diabetes
Autoimmune destruction of β-cells → no insulin.
pathophysiology of Type II diabetes
Insulin resistance → β-cells initially compensate but fail over time.
protein metabolism in diabetes
Low insulin leads to ↑ amino acids, ↑ free fatty acids (ketosis), ↓ protein synthesis, ↑ glycogenolysis, and ↑ blood glucose.
effects of insulin on protein metabolism
Transports amino acids into cells.
Promotes protein synthesis.
Maintains positive nitrogen balance.
heat balance and thermoregulation
Homeostasis of temperature maintained via reflexes.
Mechanisms: Sweating, vasodilation, vasoconstriction, shivering.
glycogenolysis
glucose in metabolism is broken down to glucose
gluconeogenesis
glucose is synthesized from non-CHO
glycolysis
glucose is used metabolically