By K. Jungermann (auth.), Priv.-Doz. Dr. Manfred J. Müller, Prof. Dr. Elliot Danforth Jr., Prof. Dr. Alfred G. Burger, Dr. Uwe Siedentopp (eds.)
International specialists are introduced jointly during this e-book to provide easy in addition to medical info on weight problems and cachexia, and an built-in photo of the law of middleman metabolism in either events. the information offer facts that tissue catabolism and anabolism are regulated by way of related mechanisms, which back are the objective of alternative hormonal and metabolic elements. This joint dialogue of the similarities obtrusive in either parts will significantly profit destiny knowing and examine in weight problems and cachexia.
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Extra resources for Hormones and Nutrition in Obesity and Cachexia
Example text
These results, furthermore, demonstrate that the thermic effect of thyroid hormones is still a matter of debate, despite many decades of intensive scientific research. Conclusion Daily energy expenditure depends on many regulatory factors which contribute to its variation in healthy subjects and patients. Most of the terms we use today in regards to energy expenditure are descriptive. Whole body energy expenditure is a "net" result of many metabolic events. It is, therefore, difficult to gain clear understanding of the regulation of energy expenditure by its measurement alone.
8) might simply be due to an already maximally stimulated thermogenesis brought about by each factor itself, but may also suggest that both factors enhance epinephrine-induced thermogenesis by a common mechanism. In fact, insulin antagonizes epinephrine action [23], which could explain the increased thermic effect of epinephrine during hypoinsulinemia. 7 1564 1745 +22% 2380 +65 0/0 +9Ofo 1600 Substrate oxidation rates I kcal/day I 1400 o glucose ~ lipid o prolein 1200 1000 800 600 400 200 0 n l n l ··endogenous tuel mix " (%) Fig.
E. glucose storage and lipogenesis [10, 11]. Insulin alone does not increase EE in humans [12]. The stoichiometric calculation of the energy costs for glucose storage as either glycogen or lipid yields a considerable difference between the measured EE and the theoretical energy cost [10]. Thus, DIT not only results from the processing and/or storage of individual substrates, but also results from substrate-induced activation of the sympathetic nervous activity (Fig. 3). From a regulatory point of view DIT can be divided into two components: obligatory and facultative thermogenesis (Fig.