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Chapter 25 - Fat Metabolism

Published online by Cambridge University Press:  27 July 2023

Asma Khalil
Affiliation:
St George's University of London
Anthony Griffiths
Affiliation:
University Hospital of Wales, Cardiff
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Summary

Fats have energy-storing, structural and regulatory roles in the body (Table 25.1). Depots of white adipose tissue (WAT) therefore not only function to store energy but also to provide precursors for synthesis of other species. Specific roles are played by certain fatty acids in this regard. For example, long-chain derivatives of the essential fatty acids of the omega 3 series (which cannot be synthesised de novo but must be taken in through the diet and modified) contribute to membrane formation in the CNS and the retina. The importance of the roles played by omega 3 fatty acids in anchoring specific membrane proteins involved in signalling is illustrated by the effects of dietary deficiencies. About ⅔ of the total content of docosahexaenoic acid (22 carbon fatty acid derived from linolenic acid) are assimilated in the final three months of gestation and the remaining ⅓ during the first three months of life. An interruption of supply during these crucial periods produces a measurable adverse effect on the development of cognitive function and of visual acuity.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

Albrink, M.J. and Newirth, R.S. (1960) Effect of previous starvation on the response of plasma lipids and free fatty acids to a fat meal. J. Clin. Invest. 39, 441–6.CrossRefGoogle ScholarPubMed
Friedberg, S.J., Harlan, W.R., Trout, D.I. and Estes, E.H. (1960) The effect of exercise on the concentrations and turnover of plasma non-esterified fatty acids. J. Clin. Invest. 39, 215–20.CrossRefGoogle Scholar
Taggart, P. and Carruthers, M. (1971) Endogenous hyperlipidaemia induced by emotional stress of racing drivers. Lancet I, 363–6.Google Scholar
Watkins, P.J., Hill, D.M., Fitzgerald, M.G. and Malins, J.M. (1970) Ketonaemia in uncontrolled diabetes. Br. Med. J. 4, 522–5.Google Scholar
Meyer, B., Calvert, D. and Moses, R. (1996) Free fatty acids and gestational diabetes mellitus. Aust. N.Z. J. Obstet. Gynaecol. 36, 255–7.CrossRefGoogle ScholarPubMed
Yanai, H., Katsuyama, H., Hamasaki, H., Abe, S., Tada, N. and Sako, A. (2015) Effects of dietary fat intake on HDL metabolism. J. Clin. Med. Res. 7 (3) 145–9.Google Scholar
Castano, G., Mas, R., Fernandez, L., Illnait, J., Gomez, R. and Alvarez, E. (2001) Effects of policosanol 20 versus 40 mg/day in the treatment of patients with type II hypercholesterolemia: A 6 month double blind study. Int. J. Pharmacol. Res. 21 (1) 4357.Google Scholar
Matern, D. and Rinaldo, P. (updated March 2015) Medium chain acyl coenzyme A dehydrogenase deficiency gene. www.ncbi.nlm.nih.gov/books/NBK1424.Google Scholar
Wilson, C.J., Champion, M.P., Collins, J.E., Clayton, P.T. and Leonard, J.V. (1999) Outcome of medium chain acyl CoA dehydrogenase deficiency after diagnosis Arch. of Dis. in Childhood 80, 459–62.CrossRefGoogle ScholarPubMed
Gasior, M., Rogawski, M.A. and Hartman, A.L. (2006) Neuroprotective and disease-modifying effects of the ketogenic diet. Behav. Pharmacol. 17 (5–6), 431–9.Google Scholar
Bough, K.J. and Rho, J.M. (2007) Anticonvulsant mechanisms of the ketogenic diet. Epilepsia 48 (1), 4358.Google Scholar
Freeman, J.M., Vining, E.P.G., Pillas, D.J., Pyzik, P.L., Casey, J.C. and Kelly, M.T. (1998) The efficacy of the ketogenic diet: A prospective evaluation of intervention in 150 children. Paediatrics 102(6),1358–63.CrossRefGoogle ScholarPubMed
Reger, M.A., Henderson, S.T., Hale, C., Cholerton, B., Baker, L.D., Watson, G.S., et al. (2004) Effects of β-hydroxybutyrate on cognition in memory-impaired adults. Neurobiol Aging. 25, 311–14.CrossRefGoogle ScholarPubMed
VanItallie, T.B., Nonas, C., Di, R.A., Boyar, K., Hyams, K. and Heymsfield, S.B. (2005) Treatment of Parkinson disease with diet-induced hyperketonemia: a feasibility study. Neurology. 64,728–30.CrossRefGoogle ScholarPubMed
Prins, M.L., Fujima, L.S. and Hovda, D.A. (2005) Age-dependent reduction of cortical contusion volume by ketones after traumatic brain injury. J Neurosci Res 82, 413420.Google Scholar

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  • Fat Metabolism
  • Edited by Asma Khalil, St George's University of London, Anthony Griffiths, University Hospital of Wales, Cardiff
  • Book: Part 1 MRCOG Synoptic Revision Guide
  • Online publication: 27 July 2023
  • Chapter DOI: https://doi.org/10.1017/9781108644464.025
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  • Fat Metabolism
  • Edited by Asma Khalil, St George's University of London, Anthony Griffiths, University Hospital of Wales, Cardiff
  • Book: Part 1 MRCOG Synoptic Revision Guide
  • Online publication: 27 July 2023
  • Chapter DOI: https://doi.org/10.1017/9781108644464.025
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Fat Metabolism
  • Edited by Asma Khalil, St George's University of London, Anthony Griffiths, University Hospital of Wales, Cardiff
  • Book: Part 1 MRCOG Synoptic Revision Guide
  • Online publication: 27 July 2023
  • Chapter DOI: https://doi.org/10.1017/9781108644464.025
Available formats
×