Metabolic Regulation and Fasting

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30 Questions

What is the primary function of Ghrelin in the human body?

To stimulate appetite and increase food intake

What is the outcome for babies born with Leptin deficiency or Leptin receptor deficiency?

They are born with normal weight but develop obesity and T2DM

What is the primary location of Ghrelin secretion in the human body?

GI tract

What is the effect of IV and subcutaneous administration of Ghrelin on human subjects?

An increase in appetite and food intake

What is the relationship between Leptin and Ghrelin in terms of appetite regulation?

They have the opposite effect on appetite, with Leptin reducing hunger and Ghrelin stimulating hunger

What is the typical consequence of Leptin deficiency or Leptin receptor deficiency in humans?

Development of T2DM and obesity

What is the role of butyrate and propionate SCFA's produced via microbiome fermentation?

Stimulating release via L-cells

What is the primary function of pancreatic beta islet cells?

Stimulating insulin secretion

What is the characteristic of the fed state?

High insulin and low glucagon ratio

What is the primary source of energy for the brain during the fed state?

Glucose

What is the effect of raised levels of ghrelin on lipolysis?

Reduces lipolysis

What is the primary function of pancreatic alpha islet cells?

Stimulating glucagon release

What occurs immediately following food intake?

Nutrients converted to ATP for immediate use or storage

In obese individuals, what is the characteristic of post-prandial ghrelin levels?

Not as marked as in non-obese controls

Which gut peptide was the first to be discovered to impact appetite?

CCK

What is the effect of GLP-1 on appetite?

Decreases appetite

What is the effect of PYY on gastric emptying?

Reduces gastric emptying

What is the role of SCFA's from the microbiome in relation to GLP-1?

Stimulates GLP-1 release

What is the primary function of Leptin in the human body?

To regulate appetite and satiety

Which brain region is responsible for integrating multiple signals to regulate food intake?

Arcuate hypothalamus (ARC)

What is the main difference between satiation and satiety?

Satiation acts intra-meal, while satiety acts inter-meal

What is the primary driver of appetite in the absence of physical hunger?

Hedonic drive

What is the result of periods of energy restriction that deplete liver glycogen stores?

Metabolic switch towards the use of fatty acids and ketones

Which eating pattern involves limiting the daily window of time to eat food?

Time restricted eating

What is the primary source of energy for muscle during the post-absorptive state?

Free fatty acids

What is the primary function of gluconeogenesis during the fasting state?

To maintain blood glucose levels

What is the primary source of energy for the brain, skeletal muscle, and heart after 48 hours of fasting?

Ketone bodies

What is the primary mechanism by which the body spares protein during prolonged fasting?

Decreased rate of use of amino acids

What is the result of prolonged therapeutic fasting in obese individuals?

Reduced body weight and increased health risks

What is the result of shorter-term fasts in terms of metabolic benefits?

Decreased BMI and TC

This quiz covers the metabolic switch, appetite regulation, and the effects of intermittent fasting and time-restricted eating on the body. Learn about the roles of leptin, ghrelin, and the arcuate hypothalamus in energy homeostasis. Test your knowledge of the physiological responses to energy restriction and feeding patterns.

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