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Summary of 6 pages for the course Foundations Of Biomedical, Behavioural And Social Sciences For Medicine 2020/21 at UoS (YR 2 CONTENT)










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Uploaded on
February 19, 2024
Number of pages
6
Written in
2023/2024
Type
Summary

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Ingestive behaviours
The need for food:
● Fuel-energy

● Nutrition-chemicals and nutrients,vitamins

What are the factors that affect out eating habits

Biological:
Genetics
Economic-availability and cost
Social: cultural,religiou,pressures
Psychological factors: food preferences,comfort eating
Associative learning-reduced stress and increased pleasure-self medication

Physiological regulatory mechanisms:
Regulated by negative feedback

Correctional mechanisms-replenish body depleted stores of water/nutrients

Detectors- initiate Correctional mechanisms
Satiety mechanisms-monitor the activity of the correctional mechanisms and will inhibit
further actions= maintains internal environment at its optimal state

These are needed as there is a delay between ingestion and replenishment

Eg control of drinking:




Thirst:
Triggers of thirst:
Increase in plasma osmolariy, angiotensin 2 and relaxin via subforminal organ and organum
vasculosum of the lamina terminalis

Modulated by GI afferent and baroreceptor inputs

Median preoptic nucleus-signals to insula and cingulate cortex

CNS and hunger-hypothalamus-key controller

, 2 regions-influence feeding behaviour
Lateral hypothalamus- hunger centre
Damage=anorexia

Ventromedial hypothalamus-satiety centre
Damage=obesity-won’t stop eating

Feedback mechanisms-control food intake:

Inhibition of food intake
Stretch receptors-inhibit food intake
Activate sensory afferent pathways in the vagus nerve

Peptide yy- released by SI after meal-proportional to calories ingested

CCK- related to the number of nutrients,provides a satiety signal to the brain

Insulin- detection of insulin levels-absorptive phase of metabolism

Leptin- produced in increasing amounts of fat cells- increase in size-inhibits food intake

Promotion of food intake:
Hypoglycemia

Ghrelin- binds to receptors in the hypothalamus-stimualtes
High levels-with fasting
Blocking ghrelin-weight loss
Increasing ghrelin-weight gain

5 modalities of taste
Sweet-sugars,alcohols,esters
Sour-H+
Salty-ionsied salts
Ummai-L- glummate
Bitter- nitrogen and alkaloids

Modulation of taste:
Angiotensin 2-decreases sensitviity to salty increases to sweet

Glucagon-increases sensitity to sweet
TNF alpha-decrease sensitivity to bitter tating

Pica-craving to non-foods
Association with micronutrient deficiencies

Sodium appetite:
Increased palatability and drive to ingest salty substances
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