Fuel utilization flexibility, or metabolic flexibility, is the body’s adaptive capacity to efficiently switch between utilizing different energy substrates—primarily glucose (carbohydrates) and fatty acids (fats)—in response to nutrient availability and energy demand. This physiological adaptability is a hallmark of robust metabolic health and is closely regulated by insulin and glucagon signaling. Impaired flexibility is a precursor to insulin resistance and metabolic dysfunction.
Origin
This term arises from the convergence of exercise physiology and metabolic endocrinology, emphasizing the biological system’s ‘flexibility’ or versatility in fuel source selection. It represents a state of optimal metabolic health where the organism can seamlessly transition between fed (glucose-dominant) and fasted (fatty acid-dominant) states. The concept is central to modern dietary and longevity science.
Mechanism
The switch is largely mediated by mitochondrial health and the activity of key enzymes like pyruvate dehydrogenase and carnitine palmitoyltransferase. When glucose is abundant, insulin promotes glucose uptake and utilization; conversely, during fasting or low carbohydrate states, glucagon and catecholamines signal the release of fatty acids for oxidation. Optimal hormonal signaling is essential for the mitochondria to efficiently adjust their substrate preference and maintain cellular energy supply.
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