臨牀消化器内科 Vol.34 No.4(1-3)


特集名 肥満と消化器
題名 肥満の基礎 (3) 食欲調節機序
発刊年月 2019年 04月
著者 河村 菜実子 鹿児島大学大学院医歯学総合研究科心身内科学分野
著者 勝浦 五郎 鹿児島大学大学院医歯学総合研究科心身内科学分野
著者 浅川 明弘 鹿児島大学大学院医歯学総合研究科心身内科学分野
【 要旨 】 摂食行動は,生体のエネルギーの恒常性を維持するために重要な機能であり,末梢からの情報が視床下部(ホメオスタティック調節系)と中脳辺縁系ドーパミン神経系(報酬系)に作用して調節されている.さらに,食文化の発展に伴い,高カロリー食およびスクロースはnatural rewardとして作用し,それらの食物に対する嗜好性や報酬強化による摂食調節のメカニズムも明らかになりつつある.また,ストレスが視床下部だけでなく,報酬系や情動をつかさどる大脳辺縁系に影響して摂食障害を引き起こす可能性が示唆されている.
Theme Obesity and Digestive Organ
Title Mechanisms of Appetite Regulation
Author Namiko Kawamura Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
Author Goro Katsuura Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
Author Akihiro Asakawa Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
[ Summary ] Feeding behavior is important for maintaining energy homeostasis and is mainly regulated by both blood‒borne signals and the central nervous system (CNS). In particular, the hypothalamus in the CNS maintaining homeostasis and the mesolimbic dopamine system as the reward system are involved in the regulation of feeding behavior. With the development of dietary culture, palatable foods, such as high‒calorie diets and sucrose, are considered natural rewards, and the preference and reinforcement of palatable foods are involved in the regulation of feeding behavior. In addition, stress is known to regulate feeding behavior via the corticolimbic system, which regulates emotion and memory and includes the cerebral cortex, hippocampus, and amygdala. Eating disorders are attributed to the dysfunction of the corticolimbic system, as well as the hypothalamus and mesolimbic dopamine system.
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