1. Human Anatomy & Physiology FIFTH EDITION Elaine N. Marieb PowerPoint ® Lecture Slide Presentation by Vince Austin Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Chapter 25 Nutrition, Metabolism, and Body Temperature Regulation Part C

2. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Absorptive State The major metabolic thrust is anabolism and energy storage Amino acids become proteins Glycerol and fatty acids are converted to triglycerides Glucose is stored as glycogen Dietary glucose is the major energy fuel Excess amino acids are deaminated and used for energy or stored as fat in the liver

3. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Absorptive State Figure 25.17a

4. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Principal Pathways of the Absorptive State In muscle Amino acids become protein Glucose is converted to glycogen In the liver Amino acids become protein or are deaminated to keto acids Glucose is stored as glycogen or converted to fat In adipose tissue Glucose and fats are converted and stored as fat All tissues use glucose to synthesize ATP

5. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Principal Pathways of the Absorptive State Figure 25.17b

6. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Insulin Effects on Metabolism Insulin controls the absorptive state and its secretion is stimulated by: Increased blood glucose Elevated amino acid levels in the blood Gastrin, CCK, and secretin Insulin enhances: Active transport of amino acids into tissue cells Facilitated diffusion of glucose into tissue

7. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Insulin Effects on Metabolism Figure 25.18

8. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Diabetes Mellitus A consequence of inadequate insulin production or abnormal insulin receptors Glucose becomes unavailable to most body cells Metabolic acidosis, protein wasting, and weight loss results as fats and tissue proteins are used for energy

9. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Postabsorptive State The major metabolic thrust is catabolism and replacement of fuels in the blood Proteins are broken down to amino acids Triglycerides are turned into glycerol and fatty acids Glycogen becomes glucose Glucose is provided by glycogenolysis and gluconeogenesis Fatty acids and ketones are the major energy fuels Amino acids are converted to glucose in the liver

10. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Postabsorptive State Figure 25.19a

11. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Principle Pathways in the Postabsorptive State In muscle: Protein is broken down to amino acids Glycogen is converted to ATP and pyruvic acid (lactic acid in anaerobic states)

12. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Principle Pathways in the Postabsorptive State In the liver: Amino acids, pyruvic acid, stored glycogen, and fat are converted into glucose Fat is converted into keto acids that are used to make ATP Fatty acids (from adipose tissue) and ketone bodies (from the liver) are used in most tissue to make ATP Glucose from the liver is used by the nervous system to generate ATP

13. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Principle Pathways in the Postabsorptive State Figure 25.19b

14. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Decreased plasma glucose concentration and rising amino acid levels stimulate alpha cells of the pancreas to secrete glucagon (the antagonist of insulin) Glucagon stimulates: Glycogenolysis and gluconeogenesis Fat breakdown in adipose tissue Glucose sparing In response to low plasma glucose, the sympathetic nervous system releases epinephrine, which acts on the liver, skeletal muscle, and adipose tissue to mobilize fat and promote glycogenolysis Hormonal and Neural Controls of the Postabsorptive State

15. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Liver Metabolism Hepatocytes carry out over 500 intricate metabolic functions A brief summary of liver functions Packages fatty acids to be stored and transported Synthesizes plasma proteins Forms nonessential amino acids Converts ammonia from deamination to urea Stores glucose as glycogen, and regulates blood glucose homeostasis Stores vitamins, conserves iron, degrades hormones, and detoxifies substances

16. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Cholesterol Is the structural basis of bile salts, steroid hormones, and vitamin D Makes up part of the hedgehog (Hh) molecule that directs embryonic development Is transported to and from tissues via lipoproteins

17. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Cholesterol Lipoproteins are classified as: HDLs – high-density lipoproteins have more protein content Figure 25.21

18. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Cholesterol LDLs – low-density lipoproteins have a considerable cholesterol component VLDLs – very low density lipoproteins are mostly triglycerides Figure 25.21

19. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Lipoproteins The liver is the main source of VLDLs, which transport triglycerides to peripheral tissues (especially adipose) LDLs transport cholesterol to the peripheral tissues and regulate cholesterol synthesis HDLs transport excess cholesterol from peripheral tissues to the liver Also serve the needs of steroid-producing organs (ovaries and adrenal glands)

20. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Lipoproteins High levels of HDL are thought to protect against heart attack High levels of LDL, especially lipoprotein (a), increase the risk of heart attack

21. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Plasma Cholesterol Levels The liver produces cholesterol: At a basal level of cholesterol regardless of dietary intake Via a negative feedback loop involving serum cholesterol levels In response to saturated fatty acids Fatty acids regulate excretion of cholesterol Unsaturated fatty acids enhance excretion Saturated fatty acids inhibit excretion Certain unsaturated fatty acids (omega-3 fatty acids, found in cold-water fish) lower the proportions of saturated fats and cholesterol

22. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Non-Dietary Factors Effecting Cholesterol Stress, cigarette smoking, and coffee drinking increase LDL levels Aerobic exercise increases HDL levels Body shape is correlated with cholesterol levels Fat carried on the upper body is correlated with high cholesterol levels Fat carried on the hips and thighs is correlated with lower levels

23. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Body Energy Balance Bond energy released from catabolized food must equal the total energy output Energy intake – equal to the energy liberated during the oxidation of food Energy output includes the energy: Immediately lost as heat (about 60% of the total) Used to do work (driven by ATP) Stored in the form of fat and glycogen

24. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Body Energy Balance Nearly all energy derived from food is eventually converted to heat Cells cannot use this energy to do work, but the heat: Warms the tissues and blood Helps maintain the homeostatic body temperature Allows metabolic reactions to occur efficiently

25. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Regulation of Food Intake When energy intake and energy outflow are balanced, body weight remains stable The hypothalamus releases peptides that influence feeding behavior Orexins are powerful appetite enhancers Neuropeptide Y causes a craving for carbohydrates Galanin produces a craving for fats GLP-1 and serotonin make us feel full and satisfied

26. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Feeding Behaviors Feeding behavior and hunger depends on one or more of five factors Neural signals from the digestive tract Bloodborne signals related to the body energy stores Hormones, body temperature, and psychological factors

27. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Nutrient Signals Related to Energy Stores High plasma levels of nutrients that signal depressed eating Plasma glucose levels Amino acids in the plasma Fatty acids and leptin

28. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Hormones, Temperature, and Psychological Factors Glucagon and epinephrine stimulate hunger Insulin and cholecystokinin depress hunger Increased body temperature may inhibit eating behavior Psychological factors that have little to do with caloric balance can also influence eating behaviors

29. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Control of Feeding Behavior and Satiety Leptin, secreted by fat tissue, appears to be the overall satiety signal Acts on the ventromedial hypothalamus Controls appetite and energy output Suppresses the secretion of neuropeptide Y, a potent appetite stimulant Blood levels of insulin and glucocorticoids play a role in regulating leptin release

30. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Control of Feeding Behavior and Satiety Figure 25.22

31. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Metabolic Rate Rate of energy output (expressed per hour) equal to the total heat produced by: All the chemical reactions in the body The mechanical work of the body Measured directly with a calorimeter or indirectly with a respirometer

32. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Metabolic Rate Basal metabolic rate (BMR) Reflects the energy the body needs to perform its most essential activities Total metabolic rate (TMR) Total rate of kilocalorie consumption to fuel all ongoing activities

33. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Factors that Influence BMR Surface area, age, gender, stress, and hormones As the ratio of surface area to volume increases, BMR increases Males have a disproportionately high BMR Stress increases BMR Thyroxine increases oxygen consumption, cellular respiration, and BMR

34. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Regulation of Body Temperature Body temperature – balance between heat production and heat loss At rest, the liver, heart, brain, and endocrine organs account for most heat production During vigorous exercise, heat production from skeletal muscles can increase 30–40 times Normal body temperature is 36.2  C (98.2  F); optimal enzyme activity occurs at this temperature Temperature spikes above this range denature proteins and depress neurons

35. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Regulation of Body Temperature Figure 25.24

36. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Core and Shell Temperature Organs in the core (within the skull, thoracic, and abdominal cavities) have the highest temperature The shell, essentially the skin, has the lowest temperature Blood serves as the major agent of heat transfer between the core and shell Core temperature remains relatively constant, while shell temperature fluctuates substantially (20  C–40  C)

37. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Mechanisms of Heat Exchange The body uses four mechanisms of heat exchange Radiation – loss of heat in the form of infrared rays Conduction – transfer of heat by direct contact Convection – transfer of heat to the surrounding air Evaporation – heat loss due to the evaporation of water from the lungs, mouth mucosa, and skin (insensible heat loss) Evaporative heat loss becomes sensible when body temperature rises and sweating produces increased water for vaporization

38. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Role of the Hypothalamus The main thermoregulation center is the preoptic region of the hypothalamus The heat-loss and heat-promoting centers comprise the thermoregulatory centers The hypothalamus: Receives input from thermoreceptors in the skin and core Responds by initiating appropriate heat-loss and heat-promoting activities

39. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Heat-Promoting Mechanisms Low external temperature or low temperature of circulating blood activates heat-promoting centers of the hypothalamus to cause: Vasoconstriction of cutaneous blood vessels Increased metabolic rate Shivering Enhanced thyroxine release

40. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Heat-Loss Mechanisms When the core temperature rises, the heat-loss center is activated to cause: Vasodilation of cutaneous blood vessels Enhanced sweating Voluntary measures commonly taken to reduce body heat include: Reducing activity and seeking a cooler environment Wearing light-colored and loose-fitting clothing

41. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Mechanisms of Body Temperature Regulation Figure 25.26

42. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Hyperthermia Normal heat loss processes become ineffective and elevated body temperatures depress the hypothalamus This sets up a positive-feedback mechanism, sharply increasing body temperature and metabolic rate This condition, called heat stroke, can be fatal if not corrected

43. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Heat Exhaustion Heat-associated collapse after vigorous exercise, evidenced by elevated body temperature, mental confusion, and fainting Due to dehydration and low blood pressure Heat-loss mechanisms are fully functional Can progress to heat stroke if the body is not cooled and rehydrated

44. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Fever Controlled hyperthermia, often a result of infection, cancer, allergic reactions, or central nervous system injuries White blood cells, injured tissue cells, and macrophages release pyrogens that act on the hypothalamus, causing the release of prostaglandins Prostaglandins reset the hypothalamic thermostat The higher set point is maintained until the natural body defenses reverse the disease process

45. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Developmental Aspects Good nutrition is essential in utero as well as throughout life Lack of proteins needed for fetal growth and in the first three years of life can lead to mental deficits and learning disorders With the exception of insulin-dependent diabetes mellitus, children free of genetic disorders rarely exhibit metabolic problems In later years, non-insulin-dependent diabetes mellitus becomes a major problem

46. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Developmental Aspects Many agents prescribed for age-related medical problems influence nutrition Diuretics can cause hypokalemia by promoting potassium loss Antibiotics can interfere with food absorption Mineral oil interferes with absorption of fat-soluble vitamins Excessive alcohol consumption leads to malabsorption problems, certain vitamin and mineral deficiencies, deranged metabolism, and damage to the liver and pancreas