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Physiology · Metabolism and Energy

Energy Metabolism

Energy metabolism is the totality of transformation and utilization processes of energy in living systems. The human body obtains energy from nutrients and the sun, converting it into chemical, electrical, mechanical, and osmotic forms to maintain vital activity.

Main moleculeATP (Adenosine triphosphate)
ATP lifespanConsumed within 1 minute, not stored
Energy reserveCreatine phosphate (for ATP resynthesis)
DissipationPart of the energy is inevitably lost as heat
4 min readFor medical studentsUpdated 09/24/2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

ATP and creatine phosphate: how the cell manages energy

The most important intracellular energy carrier is ATP (adenosine triphosphate). The molecule is formed via aerobic or anaerobic oxidation (glycolysis, oxidative phosphorylation) when the potential energy of nutrient chemical bonds is converted into the energy of high-energy phosphate bonds.

A key feature of ATP is that it is not stored within the cell. Immediately after formation, the molecule is consumed for current needs within one minute.

For emergency situations, creatine phosphate exists. Its cleavage releases the energy required for the immediate restoration (resynthesis) of ATP. This is critically important for maintaining a stable ATP concentration and ensuring "burst" muscular activity.

Thermodynamics of living systems

Energy processes in the body obey the physical laws of thermodynamics, but have their own specific features. The organism is an open, stationary, non-equilibrium system that constantly exchanges matter and energy with the environment.

  • First law (conservation of energy): Energy is neither created nor destroyed. Within the body, it is converted into mechanical work, kinetic energy, or heat.
  • Second law: All energy is divided into that capable of performing useful work (free) and that which is simply dissipated as heat. Entropy serves as a measure of dissipated, disordered energy.

According to E.S. Bauer's principle of stable non-equilibrium, living systems never reach a state of equilibrium with the external environment. They expend internal energy to constantly work against this equilibrium. An important limitation: the body cannot reuse the generated heat — it is irrevocably lost.

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Rubner's isodynamic law

The body obtains energy predominantly from nutrients. The isodynamic law states that nutrients can substitute for each other based on their energy value (caloric content). However, this law has strict biochemical limits:

  1. Proteins cannot be replaced by anything. They perform a plastic (structural) function, making them absolutely essential.
  2. Carbohydrates cannot be completely replaced by fats. There is a rule: "fats burn in the flame of carbohydrates".
  3. Fats can only be replaced by carbohydrates to a certain extent.

Solar energy and expenditure pathways

The Sun is a source of non-atomic electromagnetic energy. Light quanta collide with electrons in atoms, transferring them to higher orbits (into an excited state). Returning back, the electron releases energy, and the atom acquires the ability to enter into chemical reactions. Visible light and IR radiation have relatively low energy, but it is sufficient to trigger reactions (e.g., the synthesis of active substances in the skin and retina). Short-wave radiation (UV, X-rays, gamma) carries high energy and is capable of destroying tissues.

Transformed energy is expended on cellular metabolism, muscle contraction, glandular secretion, and nerve excitation. The level of energy expenditure depends on biological data (gender, age, weight), load intensity, chronobiology (time of day, season), and environmental factors (temperature, humidity, pressure).

Briefly: answers to topical questions

What methods are used in physiology to determine the body's energy expenditure?

To determine the body's energy expenditure, methods of direct and indirect calorimetry are used.

  • Direct calorimetry is a method based on the direct and complete accounting of heat released by the body, using special thermally insulated sealed biocalorimeters.
  • Indirect calorimetry is a method based on gas analysis. It is divided into indirect calorimetry with complete and incomplete gas analysis.

Under what standard conditions is the basal metabolic rate measured?

Measurement of the basal metabolic rate is carried out under strict observance of the following standard conditions:

  • Time — in the morning, immediately after sleep.
  • Nutrition — on an empty stomach (12–14 hours after the last meal). Protein intake is restricted 2–3 days prior to the study to exclude its specific dynamic action.
  • Body position — lying down.
  • State — complete physical (muscular) and psycho-emotional (neuropsychic) relaxation and rest.
  • Temperature — under conditions of thermal comfort (microclimate around 22 °C).

What stages are included in the process of cellular respiration and oxidative phosphorylation in mitochondria?

The process of oxidative phosphorylation occurs on the inner mitochondrial membrane and includes the following stages:

  • Oxidation of carriers — reduced coenzymes transfer hydrogen atoms to the proteins of the respiratory chain.
  • Separation of fluxes — electrons are transferred along the protein chain to oxygen, while protons are pumped to the outer side of the inner membrane, creating a gradient in the intermembrane space.
  • Water formation — electrons, protons, and oxygen combine.
  • ATP synthesis — carried out by the ATP synthase enzyme due to the proton gradient. Coupling (formation of ATP from ADP and phosphate) occurs at the level of Complex I, Complex III, and Complex IV.
How to memorize

Rubner's rule with its limitations is easy to remember by the phrase: "Proteins are bricks (cannot be replaced), while fats burn in the flame of carbohydrates."

Class and exam questions

Why doesn't the cell store ATP?

ATP is a very active molecule that is consumed immediately after synthesis (within 1 minute) for ongoing internal metabolic reactions. The organism prefers to store energy "for future use" in the form of creatine phosphate or the chemical bonds of nutrients.

What is creatine phosphate needed for?

It is needed for the immediate resynthesis of ATP during sudden loads (for example, during "burst" muscular activity) so that the ATP concentration in the cell remains constant.

What is the principle of stable non-equilibrium?

This is E.S. Bauer's principle, according to which a living system constantly expends its internal energy to work against equilibrium with the environment. As soon as complete equilibrium sets in, the system dies.

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What else to study on this topic

  • Mechanisms of glycolysis and oxidative phosphorylation
  • A. Szent-Györgyi's theory of electron transfer
  • Specific dynamic action of food
  • Influence of hormones on the intensity of energy metabolism
  • Methods of calorimetry (direct and indirect)

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