A fundamental metabolic transition where the body moves its primary source of energy production from the oxidation of carbohydrates (glucose) to the oxidation of fats (fatty acids and ketones). This shift is a key adaptive response to prolonged fasting, ketogenic dieting, or sustained low-intensity exercise. Clinically, enhancing metabolic flexibility, which is the body’s ability to execute this shift efficiently, is a major goal for improving insulin sensitivity and body composition.
Origin
The concept is rooted in metabolic biochemistry and the study of substrate utilization, recognizing the body’s evolutionary necessity to conserve limited glucose stores for the central nervous system. The term “systemic” emphasizes the coordinated change across multiple organs, including the liver, muscle, and adipose tissue. This metabolic flexibility is a hallmark of good health.
Mechanism
A reduction in carbohydrate availability lowers circulating insulin levels, which is the primary signal for the shift. This hormonal change promotes the release of stored fatty acids from adipocytes via lipolysis. The liver then increases beta-oxidation of these fatty acids, producing acetyl-CoA, which is channeled into ketone body synthesis for use by the brain and muscle as an alternative fuel source.
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