Metabolic Substrate Preference refers to the body’s primary fuel source utilized by cells, particularly muscle and liver tissue, for energy generation at a given time, typically favoring either glucose (carbohydrates) or fatty acids (fats). A flexible preference, allowing the body to efficiently switch between these substrates, is a hallmark of metabolic health and insulin sensitivity. Clinical optimization of this preference is key to maintaining healthy body composition and energy levels.
Origin
This is a term from cellular metabolism and nutritional science, combining “Metabolic Substrate,” the raw material for energy, with “Preference,” indicating the dominant choice. The concept underpins the understanding of metabolic flexibility.
Mechanism
The mechanism is acutely regulated by key hormones, predominantly insulin and glucagon, which dictate the cellular uptake and utilization of glucose versus fatty acids. High insulin sensitivity promotes efficient glucose uptake, while a state of fasting or low-carbohydrate intake shifts the preference toward fatty acid oxidation. Hormones like thyroid hormone also increase the overall metabolic rate, thereby influencing the demand for and utilization of these substrates.
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