The instantaneous, precise, and metabolically healthy transition between utilizing glucose and fatty acids as primary energy substrates in response to changes in nutrient status or physical activity. This dynamic metabolic adaptability is essential for maintaining blood glucose stability and optimizing energy production across varying physiological demands. Impaired fuel switching is a primary characteristic of metabolic syndrome. Optimal function prevents energy bottlenecks.
Origin
The term specifically focuses on the functional or practical application of metabolic flexibility, emphasizing the operational efficiency of the body’s energy system. It is a direct clinical metric for assessing metabolic health, derived from the foundational concepts of bioenergetics.
Mechanism
This process is hormonally mediated, with insulin and glucagon playing central roles in regulating glucose uptake and glycogenolysis versus lipolysis and fatty acid oxidation. At the cellular level, the pyruvate dehydrogenase complex and carnitine palmitoyltransferase 1 (CPT1) are key enzymatic checkpoints governing the switch between carbohydrate and fat metabolism. Mitochondrial efficiency is paramount for executing this switch without energy lag.
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