The complex physiological system regulating hunger and satiety through the integrated action of neuropeptides and endocrine hormones. This highly sophisticated system maintains energy homeostasis by precisely modulating food intake behavior and energy expenditure. Clinical understanding of this control is crucial for effectively addressing the multifactorial nature of conditions like obesity and metabolic dysfunction.
Origin
The term combines concepts from endocrinology, relating to the peripheral “hormonal” signals, and neuroscience, addressing the central “neuro” processing within the brain. Its clinical relevance grew exponentially with the discovery of key peripheral and central signaling molecules that govern the body’s intricate energy balance. The foundation lies in the ancient biological drive for survival, translated into a modern understanding of metabolic regulation.
Mechanism
Gastrointestinal hormones, such as the orexigenic ghrelin and the anorexigenic PYY and GLP-1, signal the body’s current energy status to the arcuate nucleus of the hypothalamus. This central nervous system region processes these peripheral signals, integrating them with neuronal input from other hedonic and homeostatic brain areas. The precise balance of these complex signaling cascades dictates the individual’s subjective feeling of hunger or sustained fullness, ultimately controlling caloric intake.
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