1. Energy Requirements Living tissue is maintained by constant expenditure of energy (ATP). ATP is Indirectly generated from –glucose, fatty acids, ketones, amino acids and other organic molecules. Energy of food is commonly measured in kilocalories.

2. Anabolism Synthesis (build up): –Synthesizing: Proteins. Triglycerides. Glycogen. Must occur constantly to replace molecules that are hydrolyzed.

3. Catabolism Hydrolysis (break down): –Hydrolysis reactions. A + B + H 2 O OH A + H B Gluconeogenesis − from stored Glycogen = Glycogenolysis − from stored fat = Lipolysis

5. Regulation of Adipose Tissue Adipocytes secrete Leptin: This Hormone signals the hypothalamus to indicate the level of fat storage. Neuropeptides that stimulate appetite are inhibited by leptin.

6. Obesity Obesity is often diagnosed by using using a body mass index (BMI). BMI = w h 2 W = weight in kilograms H = height in meters Obesity in childhood is due to an increase in both the size and the # of adipocytes. Obesity defined as BMI > 30. Healthy weight as BMI between 19 – 25.

9. Energy Regulation of Pancreas Islets of Langerhans 3 cell types:  Alpha or A  glucagon.  Beta or B  insulin.  Delta or D  somatostatin.

10. Regulation of Insulin and Glucagon Increased plasma glucose. Glucose binds to receptors in  cells stimulating production and release of insulin. Insulin: Stimulates skeletal muscle cells and adipocytes to incorporate a facilitated diffusion carrier for glucose. Promotes anabolism.

11. Regulation of Insulin and Glucagon Parasympathetic Nervous System: –Stimulates insulin secretion. Sympathetic Nervous System: –Stimulates glucagon secretion. Gastric inhibitory peptide –Slows stomach functions –Stimulates insulin secretion. GLP-1(glucagon-like peptide-1 ): –Stimulates insulin secretion. –Slows stomach functions CCK: (released by duodenal mucosa when food is present) in it –causes increse saitiery (to stop eating )  Stimulates insulin secretion.

13. The food Absorbing State Insulin = major hormone promoting anabolism Plasma insulin increases. –Promotes cellular uptake of glucose. –Stimulates glycogen storage in the liver and muscles. –Stimulates triglyceride storage in adipose cells. –Promotes cellular uptake of amino acids and synthesis of proteins.

14. After Absorption Maintaining plasma glucose concentration. Plasma Glucagon increases: –Stimulates glycogenolysis in the liver –Stimulates gluconeogenesis (glucose from fat & protein). –Skeletal muscle, heart, liver and kidneys use fatty acids as major source of fuel.

17. Diabetes Mellitus Chronic high plasma glucose. 2 forms of diabetes mellitus: –Type I: Insulin dependent diabetes (IDDM) –Type II: non-insulin dependent diabetes (NIDDM)

18. Glucocorticoids Support the effects of increased glucagon. Promote lipolysis and ketogenesis. Promote protein breakdown in the muscles. Promote liver gluconeogenesis.

19. Growth Hormone Somatotropin. Inhibited by somatostatin. Stimulates growth in children and adolescents. Stimulated by: – GHRH. –Increase in plasma amino acids. –Decrease in plasma glucose. Pulsitile, increasing during sleep, decreased during day.