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SILVERTHORN SAMENVATTING/SUMMARY - Chapter 22 (Metabolism)

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In this document, you get the chapter notes from Chapter 22 from ‘Human Physiology, An Integrated Approach’ (Dee Silverthorn) 7th Edition. I used these notes to prepare for the SUMMA entrance exam. I ultimately got selected for SUMMA in May 2025. This essentially means that my summaries really effectively and thoroughly cover each chapter (namely Chapters 7 through 26). In other words, you won't miss anything! I include digital images directly from the book. Whether you are trying to catch up in a course, or prepare for the SUMMA entrance exam (like I did), these summaries are excellent. These notes are written in English, as Silverthorn is written in English. If you need associated questions, check out the packet: COMPLEET SUMMA SELECTIE PAKKET, by me! This includes these notes AND over 1400 flashcards covering chapters 7 to 26 (NOTE: the questions I wrote are in Dutch).

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APPETITE & SATIETY (CHP 22)
The current model for behavioral food regulation involves two hypothalamic brain centers.
1.​ Feeding center: Tonically active center that promotes hunger / eating behaviors.
2.​ Satiety center: regulated center that acts on feeding center to inhibit it.
-​ The center can be influenced by neuropeptides, hormones secreted by the GI and adipocytokines


Signalling Molecules in Regulation Appetite:
There are two classic theories for regulation of food intake.
1.​ Glucostatic Theory: Glucose metabolism by the hypothalamic centers regulates food intake.
2.​ Lipostatic Theory: Proposes that signals from adipose tissue regulate food intake.
a.​ Leptin (protein hormone synthesized in adipocytes) provided evidence for the theory
b.​ As fat stores increase, adipose cells secrete more leptin, food intake decreases.
Leptin interacts with another key feed center stimulating NT known as neuropeptide Y.
-​ Neuropeptide Y is a brain NT responsible for signalling
food intake
-​ Leptin inhibits NPY in a negative feedback loop
In addition to leptin and NPY, other signalling molecules regulate
hunger.
-​ Ghrelin, a peptide secreted by the stomach during fasting,
helps signal food intake.
-​ CCK and GLP-1, released by the gut during a meal, help
decrease food intake.
-​ Orexins, released by the hypothalamus, help increase
food intake.


ENERGY BALANCE (CHP 22)
The first law of thermodynamics infers that all energy entering a biological system can be accounted for.
There are three forms of work, used to transform energy.
1.​ Transport work: movement of work from one side of a
membrane to another.
2.​ Mechanical work: use of intracellular fibers/filaments to
create movement (muscles, vesicles, etc.)
3.​ Chemical work: growth maintenance and storage of
information and energy (e.g. ATP, glycogen, fat)

, Measuring work:
The most direct way to measure energy content of food is through direct calorimetry.
-​ 1 kcal = amount of heat needed to raise the temperature of one liter of water by 1ºC
-​ The calorie content can also be calculatedmy multiplying the grams of each component by their
metabolic energy content:
-​ Fat: 9 kcal/g
-​ Carbohydrates: 4 kcal/g
-​ Protein: 4 kcal/g
Metabolic rate is defined as an individual’s energy expenditure.
-​ Simplest way to measure is oxygen consumption (rate at which the the body consumes oxygen)
-​ The measurement of oxygen consumption is through indirect calorimetry
-​ Can also be measured by carbon dioxide production (rate at which the the body produces CO)
-​ The ratio of CO2 of O2 produced is known as the respiratory quotient (RQ) or respiratory
exchange ratio (RER). This measure varies depending on diet.
-​ Pure carbohydrate diet = 1.
-​ Pure protein diet = 0.8
-​ Pure fat diet = 0.7
-​ Metabolic rate is calculated as the product of oxygen consumption and number of kcal metabolized
per liter of O2.
-​ 𝑚𝑒𝑡𝑎𝑏𝑜𝑙𝑖𝑐 𝑟𝑎𝑡𝑒 (𝑘𝑐𝑎𝑙/𝑑𝑎𝑦) = 𝐿 𝑂2 × 𝑘𝑐𝑎𝑙 / 𝐿 𝑂2

-​ Kcal / L O2 inferred using RQ, L O2 directly provided by resting oxygen consumption.
Basal metabolic rate is defined as a person lowest metabolic rate. Effected by several factors.
1.​ Age and sex. Women have higher %age adipose tissue (lower BMR). Both sexes decrease w age.
2.​ Amount of lean muscle mass. Muscle has higher oxygen consumption at rest than adipose tissue.
3.​ Activity level. Muscle contraction increases metabolic rate above BMR.
4.​ Diet. Resting metabolic rate increases after a meal (diet induced thermogenesis). Fats cause little
DIT, carbohydrates more, proteins the most DIT. Costs most energy to break down protein.
5.​ Hormones. BMR is increased by thyroid hormones and catecholamines.
6.​ Genetics. Effects efficiency of metabolism.
-​ Technically would need to be measured during sleep. Instead a 12 hour rested fast is used ⇒ resting
metabolic rate (RMR)
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