Obesity Flashcards

(15 cards)

1
Q

Talk about obesity

A
  • it occurs when theres increased energy storage
  • resutling from an imbalance between energy intake and energy expenditure
  • defines as body mass index more than 25 abd more than 30 kg/m
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2
Q

Potential mechanisms of herbal medicine for obesity?

A
  1. Decrease food intake, suppression of appetite (central)
  2. Decrease inflammation of liver
  3. Decrease lipogenesis
  4. Inhibition of lipid absorption
  5. Increase insulin secretion
  6. Increase thermogenisis
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3
Q

Anti obesity mechanisms?

A
  1. Metabolic and thermogenic stimulants
  2. Appetite regulation effect
  3. Lipase inhibition effect (strep. Toxytricini derivative)
  4. Amylase inhibition effect
    Inhibition of adipogenesus & induction of adipocytes apoptosis
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4
Q

Talk about glucomannan as an anti obesity component مهمهمهمهم

A
  • it’s a polysaccharide
  • it’s a natural fiber forbed by B 1,4 linked D mannose & D glucose monomets
    الجسم مابيقدر يكسرها بتحسسك انك full
    MOA: it has a capacity to absorb 50 times its weight of water volume, thus producing DELAYED gastric emptying with a stiety feeling
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5
Q

Side effects and precautions and intercations of glucomannan مهمهمهم

A

S/e: GIT complaints, diarrhea, loose stool, flatulence. Not for someone with GIT blockade
Precautions: pre-existing esophageal problems should avoid all of them
Interactions: antibiotics يمنع امتصاصهم

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6
Q

Talk about garcinia fruit

A
  • The extract of its exocarp has shown ANOREXIGENIC effects
  • contains high amounts of HYDROXYCITRIC ACID. What’s MOA of it?
    1. Reduce food intake (cns suppression of appetite)
    2. Reduce body fat by —> regulating serotonin levels to stiety (ssri intercation)
    3. Increase fat OXIDATION
    4. Decrease de novo lipogenesis
    5. It blocks synthesis of ATP citrate lyase
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7
Q

Garcinia is safe up to…?

A

2800 mg a day

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8
Q

T/F Garcinia has very mild s/e with the most common include GI complaints like nausea and diarrhea

A

True

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9
Q

Herb drug interactions of garcinia?

A
  1. Green tea: it might enhance the hepatotoxic effect of the tea
  2. SSRI: serotonin syndrome
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10
Q

Active ingredient of green coffee

A

Chlorogenic acid

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11
Q

Chlorogenic acid/green coffee mechanism of action in reducing weight?

A
  1. Reducing pancreatic lioase actibity
  2. Inhibition HMG-CoA reductase & Aacetyl-CoA cholesterol acyltransferase & fatty acid synthase
  3. Increasing B- oxidation
  4. Increasing expression of PPAR a in liver (a nutrient sensor that regulates genes important in 2 things: B oxidation & fatty acid transport8
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12
Q

Green tea causes thermogenesis & suppression of appetite. Why?

A

Probably because of caffeine

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13
Q

What are the antioxidants in green tea what do they do

A
  1. Catechins
    2.epigallocatechin 3 gallate
    They inhibit NE breakdown which causes an increase in calories burned
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14
Q

MOA of white kidney bean in obesity?

A

It contains PHASEOLAMIN which is an alpha amylase inhibitor.
It inhibits pancreatic amylase activity
Which lowers —> glycemia & calorie absorption
How? By delaying/preventing COMPLEX CARBOHYDARE DIGESTION

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15
Q

T/F chitosan cannot be absorbed by the GIT but it can…

A

It can absorb the fat that can prevent the digestive system from absorbing TG and cholesterol

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