Integrative Metabolism
High-Yield Summary
- Respiratory quotient (RQ) = CO2 produced / O2 consumed: ~1.0 indicates carbohydrate metabolism, ~0.7 indicates fat metabolism, intermediate values reflect mixed fuel use.
- Basal metabolic rate (BMR) = energy cost of essential functions at rest; influenced by age, sex, genetics, and especially lean body mass (more lean mass = higher BMR).
- Body weight reflects energy intake vs. expenditure balance — excess energy is stored mainly as adipose triglycerides.
- Hunger/appetite hormones: ghrelin (stomach) increases hunger; leptin (adipose tissue) decreases appetite, signals energy sufficiency; orexin promotes appetite and arousal.
- Thyroid hormones raise BMR; insulin, glucagon, cortisol, and catecholamines coordinate fuel mobilization depending on nutritional/stress state — tying hormonal, tissue-level, and whole-body regulation together.
Key Terms
- Respiratory quotient (RQ)
- Ratio of CO2 produced to O2 consumed; estimates which fuel (carb vs. fat) the body is using.
- Basal metabolic rate (BMR)
- Energy required to maintain essential physiological functions at rest.
- Ghrelin
- Stomach hormone that increases hunger.
- Leptin
- Adipose-tissue hormone that decreases appetite and signals energy sufficiency.
Respiratory Quotient Interpretation
| RQ Value | Predominant Fuel |
|---|---|
| ≈ 1.0 | Carbohydrate |
| ≈ 0.7 | Fat |
| In between | Mixed fuel use |
Hunger/Appetite Hormones
| Hormone | Source / Effect |
|---|---|
| Ghrelin | Stomach / Increases hunger |
| Leptin | Adipose tissue / Decreases appetite, signals energy sufficiency |
| Orexin | — / Promotes appetite and arousal |
Common MCAT Trap
- RQ ≈ 1.0 means carbohydrate use, NOT fat — a common inversion trap given fat's lower RQ (0.7).
- Ghrelin increases hunger; leptin decreases appetite — opposite directions, easy to swap under time pressure.
- BMR is about resting energy cost, not total daily energy expenditure (which also includes activity and diet-induced thermogenesis).
Quick Recall
What RQ value indicates predominant fat metabolism?
What hormone increases hunger, and where is it produced?
What factor most influences BMR besides age and sex?