Millions of years of evolution have shaped our bodies to maintain a stable internal environment, controlled by the brain.
Modern challenges, such as obesity, have become significant health issues, burdening healthcare systems.
The chapter examines physiological and behavioral processes related to homeostasis and the complications when these systems fail.
The Biggest Loser: A reality show started in 2004 that focused on extreme weight loss through heavy dieting and exercise.
Contestant Danny C.: Lost 239 pounds (from 430 to 191 pounds) in 7 months but later regained over 100 pounds within 6 years, despite ongoing effort.
Study findings indicate most contestants (13 out of 14) regained significant weight, raising concerns about the body's ability to maintain weight loss after dieting.
Homeostasis: The maintenance of relatively constant internal conditions.
Motivation: Psychological process inducing specific behaviors.
Thermoregulation: Maintenance of constant internal body temperature through adjustments.
Endotherm vs. Ectotherm:
Endotherm: Maintains body heat through internal processes (e.g., mammals like us).
Ectotherm: Derives heat mainly from the environment (e.g., reptiles).
Negative Feedback: A process where a system reduces its activity when a set point is reached.
Set Point and Set Zone: Values in feedback systems that indicate approx. ranges over absolute points.
General Principles:
Example: Home thermostat functions similarly to body temperature regulation.
Temperature adjustments reflect deviations from a set point, activating compensatory mechanisms until balance is restored.
Examples of Adjustments:
Circadian Rhythm: Body temperature drops during sleep.
Fever: Elevated set zone to combat infection.
Redundancy in Homeostasis: Multiple systems ensure critical functions, like temperature control, are maintained.
Different hypothalamic areas control physiological and behavioral responses to temperature changes.
Both ectotherms and endotherms engage in temperature-regulating behaviors, such as:
Changing body exposure (e.g., huddling).
Adjusting external insulation (e.g., using clothing).
Altering surroundings (e.g., moving to find warmth).
Thermoregulation in Iguanas: Use behavioral adjustments for temperature control.
Diseases: High fevers above 104°F could harm body mechanisms.
Osmotic Thirst: Triggered by high extracellular fluid salt concentration, leading body to seek water intake.
Hypovolemic Thirst: Driven by low extracellular fluid volume and detecting fluid loss through baroreceptors.
Peripheral Mechanisms: Include sensors located in major blood vessels and hypothalamic regions to monitor fluid balances.
Intracellular vs Extracellular Compartments:
Intracellular: Fluid within cells.
Extracellular: Includes interstitial fluid (between cells) and blood plasma.
Osmosis: Movement of water across a selectively permeable membrane to equalize solute concentration (e.g., salt).
Osmotic Pressure: Forces water to move to achieve balance between solutions over membranes.
Physiological Responses to Thirst: Involvement of specialized neurons that monitor extracellular fluid concentration, and a network that triggers drinking behavior.
Hormones: Vasopressin (ADH) and aldosterone help regulate fluid balance and pressure.
The brain integrates multiple signals indicating need for fluid replacement:
Hypovolemic Thirst: Monitored by blood volume and pressure, leading to thirst and salt cravings.
Osmotic Thirst: Occurs when concentrating fluid conditions develop.
Energy Homeostasis: Key to maintaining proper levels of glucose for cellular fuel.
Metabolic Processes: Include energy consumption/restoration methods through insulin and glucagon regulation, glycogen synthesis and breakdown.
Obesity: Epidemic levels complicate weight loss efforts due to persistent metabolic adaptations.
Body resists significant weight changes by adjusting metabolism, therefore, maintaining a new steady state can be complicated.
Historical evidence supporting hypothalamus's critical role in appetite regulation as well as embedded redundancy.
Leptin & Ghrelin: Hormones from fat cells and stomach, respectively—leptin inhibits appetite, while ghrelin stimulates it.
Various pharmacological strategies include appetite control, increased metabolic rates, inhibition of fat storage, and absorption processes.
Surgery: Bariatric procedures provide significant weight loss through altered digestive pathway and hormone levels.
Anorexia Nervosa: Individuals become intensely obsessed with food but refuse to eat, leading to severe underweight.
Bulimia Nervosa: Cycles of binge eating followed by purging to avoid weight gain, often remains hidden yet dangerous.
Binge Eating Disorder: Characterized by uncontrolled eating beyond satiation, often leading to obesity.
Most interventions focus on cognitive-behavioral therapy, nutritional rehab, and addressing distorted body perception.
Cultural Influences: Societal pressures on body image contribute to the rise of various eating disorders.