Knowledge (XXG)

Hypermetabolism

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208: 37:(REE) > 110% of predicted REE. Hypermetabolism is accompanied by a variety of internal and external symptoms, most notably extreme weight loss, and can also be a symptom in itself. This state of increased metabolic activity can signal underlying issues, especially 45:
can also present with hypermetabolism; however, this universally fatal disorder is exceedingly rare, with only a few known cases worldwide. The drastic impact of the hypermetabolic state on patient nutritional requirements is often understated or overlooked as well.
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Symptoms may last for days, weeks, or months until the disorder is healed. The most apparent sign of hypermetabolism is an abnormally high intake of calories followed by continuous weight loss. Internal symptoms of hypermetabolism include: peripheral
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Ibuprofen, polyunsaturated fatty acids, and beta-blockers have been reported in some preliminary studies to decrease REE, which may allow patients to meet their caloric needs and gain weight.
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Many different illnesses can cause an increase in metabolic activity as the body combats illness and disease in order to heal itself. Hypermetabolism is a common symptom of various
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forces the body into starvation mode. Some patients recovering from these disorders experience hypermetabolism until they resume normal diets.
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Quantitation by indirect calorimetry, as opposed to the Harris-Benedict equation, is needed to accurately measure REE in cancer patients.
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can reveal extremely important information about the patient's nutritional state. The most important up-regulated protein is
273: 389: 251: 42: 464: 245: 34: 248:: Manifestation: Local cerebral metabolic activity is increased extensively as the disease progresses. 420:"Pre-symptomatic diagnosis in fatal familial insomnia: serial neurophysiological and FDG-PET studies" 390:"Cerebral Glucose Hypermetabolism in Friedreich's Ataxia Detected with Positron Emission Tomography" 558: 118: 103: 98: 333:
Dev R, Wong A, Hui D, Bruera E (2017). "The Evolving Approach to Management of Cancer Cachexia".
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of others. Measuring the serum level of proteins that are up- and down-regulated during the
269: 235: 156: 123: 38: 231:. Some of the most prevalent diseases characterized by hypermetabolism are listed below. 363: 552: 259: 184: 176: 152: 72: 68: 113: 486: 457:"Graves' Disease: Proptosis, Lid Retraction, Strabismus, Optic Nerve Compression" 529: 512: 293: 228: 220: 212: 168: 160: 140: 83: 172: 60: 17: 188: 538: 346: 286:: Manifestation: The prolonged stress put on the body as a result of these 513:"Diagnosis of Recurrent Astrocytoma with Fludeoxyglucose F18 PET Scanning" 255: 216: 180: 108: 76: 276:
pathways, causing the eyelids to retract and remain constantly elevated.
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balance in the body. Outward symptoms of hypermetabolism may include:
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Families Empowered and Supporting Treatment of Eating Disorders
463:. University of Michigan Kellogg Eye Center. Archived from 167:, which can rapidly increase 20- to 1,000-fold during the 242:
often causes a state of increased metabolic activity.
268:: Manifestation: Excess hypermetabolically-induced 8: 358: 356: 528: 254:: Manifestation: Hypermetabolism in the 171:. Hypermetabolism also causes expedited 328: 326: 324: 322: 318: 296:: Manifestation: Causes hypermetabolic 7: 517:The New England Journal of Medicine 399:. American Neurological Association 211:Hypermetabolism is one symptom of 25: 429:. Oxford Journal. Archived from 238:: Manifestation: An overactive 187:in order to meet the increased 1: 511:Mirzaei; et al. (2001). 262:formation that occurs there. 27:Metabolic disorder in humans 530:10.1056/NEJM200106283442615 575: 364:"What is Hypermetabolism?" 35:resting energy expenditure 33:is defined as an elevated 335:Oncology (Williston Park) 155:of certain proteins and 455:Trobe, M.D., Jonathan. 252:Fatal familial insomnia 43:Fatal familial insomnia 224: 203:Differential diagnosis 210: 388:Gilman; et al. 258:occurs and disrupts 397:Annals of Neurology 246:Friedreich's ataxia 215:. Shown above is a 119:Shortness of breath 104:Irregular heartbeat 99:Elevated heart rate 418:Cortelli, Pietro. 225: 219:of hypermetabolic 165:C-reactive protein 129:Excessive sweating 57:insulin resistance 50:Signs and symptoms 523:(26): 2030–2031. 149:protein synthesis 75:, and a negative 16:(Redirected from 566: 543: 542: 532: 508: 502: 501: 499: 497: 483: 477: 476: 474: 472: 467:on 28 March 2013 461:The Eyes Have It 452: 446: 445: 443: 441: 436:on 27 March 2014 435: 424: 415: 409: 408: 406: 404: 394: 385: 379: 378: 376: 374: 360: 351: 350: 330: 288:eating disorders 41:. Patients with 21: 574: 573: 569: 568: 567: 565: 564: 563: 549: 548: 547: 546: 510: 509: 505: 495: 493: 485: 484: 480: 470: 468: 454: 453: 449: 439: 437: 433: 422: 417: 416: 412: 402: 400: 392: 387: 386: 382: 372: 370: 362: 361: 354: 332: 331: 320: 315: 307: 270:thyroid hormone 266:Graves' disease 236:Hyperthyroidism 205: 197: 157:down-regulation 137: 135:Pathophysiology 124:Muscle weakness 52: 39:hyperthyroidism 31:Hypermetabolism 28: 23: 22: 15: 12: 11: 5: 572: 570: 562: 561: 551: 550: 545: 544: 503: 478: 447: 410: 380: 352: 317: 316: 314: 311: 306: 303: 302: 301: 291: 277: 263: 249: 243: 204: 201: 196: 193: 136: 133: 132: 131: 126: 121: 116: 111: 106: 101: 96: 91: 86: 51: 48: 26: 24: 18:Hypercatabolic 14: 13: 10: 9: 6: 4: 3: 2: 571: 560: 557: 556: 554: 540: 536: 531: 526: 522: 518: 514: 507: 504: 492: 488: 482: 479: 466: 462: 458: 451: 448: 432: 428: 421: 414: 411: 398: 391: 384: 381: 369: 365: 359: 357: 353: 348: 344: 340: 336: 329: 327: 325: 323: 319: 312: 310: 304: 299: 295: 292: 289: 285: 281: 278: 275: 271: 267: 264: 261: 260:sleep spindle 257: 253: 250: 247: 244: 241: 237: 234: 233: 232: 230: 223:in the brain. 222: 218: 214: 209: 202: 200: 194: 192: 190: 186: 185:triglycerides 182: 178: 177:carbohydrates 174: 170: 166: 162: 158: 154: 153:up-regulation 150: 146: 142: 134: 130: 127: 125: 122: 120: 117: 115: 112: 110: 107: 105: 102: 100: 97: 95: 92: 90: 87: 85: 82: 81: 80: 78: 74: 73:triglycerides 70: 69:carbohydrates 66: 62: 58: 49: 47: 44: 40: 36: 32: 19: 520: 516: 506: 494:. Retrieved 490: 487:"Re-Feeding" 481: 469:. Retrieved 465:the original 460: 450: 438:. Retrieved 431:the original 426: 413: 401:. Retrieved 396: 383: 371:. Retrieved 367: 341:(1): 23–32. 338: 334: 308: 300:in the brain 226: 198: 138: 114:Dysautonomia 53: 30: 29: 496:29 November 471:29 November 440:29 November 403:29 November 373:29 November 294:Astrocytoma 274:sympathetic 229:pathologies 221:Astrocytoma 213:Astrocytoma 169:acute phase 161:acute phase 141:acute phase 139:During the 84:Weight loss 59:, elevated 559:Metabolism 313:References 272:activates 173:catabolism 151:, causing 147:redirects 61:catabolism 368:Wise Geek 305:Treatment 195:Diagnosis 191:demands. 189:metabolic 553:Category 539:11430342 347:28090619 280:Anorexia 256:thalamus 217:PET scan 181:proteins 109:Insomnia 77:nitrogen 298:lesions 284:bulimia 240:thyroid 94:Fatigue 65:protein 537:  345:  183:, and 143:, the 89:Anemia 434:(PDF) 427:Brain 423:(PDF) 393:(PDF) 145:liver 535:PMID 498:2012 473:2012 442:2012 405:2012 375:2012 343:PMID 282:and 71:and 525:doi 521:344 175:of 63:of 555:: 533:. 519:. 515:. 489:. 459:. 425:. 395:. 366:. 355:^ 339:31 337:. 321:^ 179:, 67:, 541:. 527:: 500:. 475:. 444:. 407:. 377:. 349:. 20:)

Index

Hypercatabolic
resting energy expenditure
hyperthyroidism
Fatal familial insomnia
insulin resistance
catabolism
protein
carbohydrates
triglycerides
nitrogen
Weight loss
Anemia
Fatigue
Elevated heart rate
Irregular heartbeat
Insomnia
Dysautonomia
Shortness of breath
Muscle weakness
Excessive sweating
acute phase
liver
protein synthesis
up-regulation
down-regulation
acute phase
C-reactive protein
acute phase
catabolism
carbohydrates

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