Metabolic suppression is a physiological state characterized by a deliberate or compensatory reduction in the body’s overall energy expenditure, primarily the Basal Metabolic Rate (BMR), as a response to perceived caloric scarcity or chronic systemic stress. This adaptive response conserves energy stores by decreasing the rate of cellular processes, including thermogenesis and non-essential hormonal synthesis. While protective in acute survival scenarios, prolonged metabolic suppression can lead to adverse health outcomes, including hormonal dysregulation and difficulty maintaining body weight.
Origin
The term originates from comparative physiology and endocrinology, specifically the study of starvation responses and energy balance. It describes the body’s conserved evolutionary mechanism to survive periods of famine. Clinically, it is observed in chronic dieting, prolonged energy deficits, and certain endocrine disorders that impact thyroid and adrenal function.
Mechanism
The suppression is largely mediated by the hypothalamic-pituitary-thyroid (HPT) axis and the sympathetic nervous system. Caloric restriction leads to a decrease in the conversion of the prohormone thyroxine (T4) to the metabolically active triiodothyronine (T3), thereby slowing the cellular metabolism. Simultaneously, the sympathetic drive is reduced, decreasing energy-expensive processes like non-shivering thermogenesis. This coordinated hormonal and neural action lowers the energetic cost of sustaining life.
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