Energy Substrate Regulation refers to the precise, hormonally-mediated control of the type and amount of metabolic fuel—glucose, fatty acids, or amino acids—that is oxidized or stored by the body’s tissues. This regulatory process is paramount for maintaining metabolic flexibility and ensuring continuous energy supply to critical organs, especially the brain and muscle tissue. Clinical optimization of this regulation is essential for preventing metabolic dysfunction and managing body composition.
Origin
This core concept stems directly from metabolic endocrinology and nutritional biochemistry, focusing on the actions of key regulatory hormones like insulin, glucagon, and cortisol. The term emphasizes the body’s dynamic ability to switch between fuel sources based on nutritional status and physiological demand. It is the basis of understanding nutrient partitioning.
Mechanism
Insulin plays a central role by promoting the uptake and storage of glucose and inhibiting lipolysis and gluconeogenesis. Conversely, during periods of energy deficit, glucagon and catecholamines stimulate the release of stored fatty acids and glucose from the liver. The liver and skeletal muscle are primary sites of regulation, controlling the flow of substrates through complex enzymatic and transport protein modulation in response to hormonal signals.
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