The starting point and basis for all human form and function
Nutrition
The source of fuel that provides energy for all biological work
The source of raw materials for replacement of worn-out biomolecules and cells
Body weight
Determined by the body's energy balance
If energy intake and output are equal
Body weight is stable
Gain weight if intake exceeds output
Lose weight if output exceeds intake
Weight set point
Varies from person to person, combination of heredity and environmental influences
30% to 50% of variation in human weight is hereditary
Environmental factors such as eating and exercise habits account for the rest of the variation in weight
Appetite
Control of weight involves several peptide hormones and regulatory pathways that control short- and long-term appetite
Gut-brain peptides
Act as chemical signals from the gastrointestinal tract to the brain
Short-term appetite regulators
Mechanisms work over periods of minutes to hours, make one feel hungry and begin eating, make one feel satiated (full) and stop eating
Arcuate nucleus of hypothalamus
Has receptors for appetite signals
Neural networks involved in hunger
Feeding center - secretes neuropeptide Y (NPY), a potent appetite stimulant (orexin hormone)
Satiety center - secretes melanocortin: inhibits eating
Ghrelin
Produces sensation of hunger, secreted from empty stomach, stimulates hypothalamus to secrete growth hormone-releasing hormone
Peptide YY (PYY)
Secreted by enteroendocrine cells of ileum and colon, signals satiety and terminates eating
Cholecystokinin (CCK)
Secreted by enteroendocrine cells in duodenum and jejunum, stimulates secretion of bile and pancreatic enzymes, suppresses appetite and stops eating
Appetite is briefly satisfied by chewing and swallowing, and stomach filling/inflation
Lasting satiation depends upon nutrients entering the blood
Neurotransmitters stimulate desire for different types of food
Norepinephrine: carbohydrates, Galanin: fats, Endorphins: protein
Long-term appetite regulators
Govern caloric intake/energy expenditure over weeks to years
Leptin
Secreted by adipocytes, informs brain on how much body fat we have
Most obese people have normal to high levels of leptin, but some have a defective leptin receptor
Insulin
Secreted by pancreatic beta cells, stimulates glucose and amino acid uptake and glycogen and fat synthesis, has receptors in the brain and weaker effect on appetite than leptin
The ob/ob mouse had a rare deficiency - this is why leptin was misnamed
Obese subjects have fewer dopamine receptors than control subjects
Calorie
Amount of heat that will raise the temperature of 1 g of water 1 degree C, 1000 calories is a kilocalorie, fats contain about 9 kcal/g, carbohydrates & proteins contain about 4 kcal/g, sugar and alcohol are "empty" calories -- no nutrients
Body weight remains stable if energy intake and output are equal
Nutrients
Any ingested chemical used for growth, repair or maintenance
Must be consumed in large amounts (proteins, fats & carbohydrates)
Micronutrients
Needed in small amounts (e.g. vitamins)
Essential nutrients
Are those the body can not synthesize (minerals, vitamins, 8 amino acids, some fatty acids) and MUST be consumed
Carbohydrates
Location: muscle & liver (glycogen) and blood (glucose), Function: Energy = ATP production, Structure: Eg nucleic acids, glycoproteins & glycolipids, Blood glucose is regulated through insulin and glucagon
Carbohydrates are rapidly oxidized, so their RDA is greater than any other nutrient (175 g/day)
Fibrous material that resists digestion, important to the diet (RDA is 30 g/day), Two types: water-soluble fiber (eg pectin in oats), water-insoluble fiber (absorbs water, softens the stool, eg cellulose)
Lipids
Average adult male is 15% fat; female 25% fat, Function: Energy store, Vitamin absorption, Structure of membranes, Cholesterol is precursor of steroids, bile salts & vitamin D
Should be less than 30% of daily calorie intake, typical American gets 40-50% of calories from fat