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PART IV – Obesity, Anorexia, and Nutrition

Chapter 27 – Appetite Regulation and Thermogenesis

Eleftheria Maratos-Flier

  Components of Feeding
  Components of Energy Expenditure
  Integration of Energy Balance
  Specific Hormones and Neuropeptides
  Adipose Tissue Derived
  The Hypothalamus
  The Gut

  The Role of Energy Expenditure in Body Weight Regulation
  Measuring Energy Expenditure
  How Does Energy Expenditure Contribute to Obesity?
  Regulation of Energy Expenditure
  Regulation of Thermogenesis
  Regulatory Inputs Acting on Energy Expenditure

  Summary

The classification of body weight as a regulated physiologic parameter is relatively novel. While obesity, including morbid obesity, has been recognized for thousands of years, the possibility that body weight was determined by a complex interaction between internal regulatory systems and the environment first received scientific attention in the mid-20th century. Studies of brain-lesioned animals indicated that disruption of the ventromedial hypothalamus produced a syndrome of …