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Naltrexone, an opioid blocker, alters taste perception and nutrient intake in humans.

To test the hypothesis that reduced food intake produced by opioid blockade is due to a reduction in the pleasant aspects of tastes, 18 fasted male college students rated the intensity and pleasantness of soup that contained various concentrations of NaCl and of Kool-Aid that contained various concentrations of sucrose at hourly intervals after ingesting either naltrexone (50 mg) or a placebo in a double-blind study. Hunger, fullness, nausea, and current mood state were also assessed. Lunch followed and food intake was recorded. After placebo, the pleasantness of the salted soup increased as lunchtime approached. After naltrexone, however, soup pleasantness remained unchanged across time. Similar changes were obtained for perceived sweetness and pleasantness of Kool-Aid and for the perceived saltiness of soup. Naltrexone also blocked the increases in hunger ratings that occurred across time in the placebo condition. Nausea was higher after naltrexone. After naltrexone, subjects consumed approximately 500 kcal less at lunch than after placebo. Analysis of covariance suggested that decreased hunger (but not nausea or taste pleasantness) accounted for the naltrexone-induced reduction of food intake.

Adult↗

Interaction between CCK and a preload on reduction of food intake is mediated by CCK-A receptors in humans.

Cholecystokinin (CCK) interacts with neural signals to induce satiety in several species, but the mechanisms are unclear. We therefore tested the hypothesis that alimentary CCK (CCK-A) receptors mediate the interaction of CCK with an appetizer on food intake in humans. CCK octapeptide (CCK-8, 0.75 microgram infused over 10 min) or saline (placebo) with concomitant infusions of saline (placebo) or loxiglumide, a specific CCK-A antagonist, was infused into 16 healthy men with use of a double-blind, four-period design. All subjects received a standard 400-ml appetizer (amounting to 154 kcal) but were free to eat and drink thereafter as much as they wished. The effect of these infusions on feelings of hunger and satiety and on food intake was quantified. CCK-8 induced a reduction in calorie intake (P < 0.05) compared with saline. Furthermore, a decrease in hunger feelings (P < 0.05, saline-CCK-8 vs. all other treatments) and an increase in fullness were observed. These effects were antagonized for hunger and fullness by loxiglumide. We conclude that CCK-8 interacts with an appetizer to modulate satiety in humans. These effects are mediated by CCK-A receptors.

Adult↗

Differential responses of circulating ghrelin to high-fat or high-carbohydrate meal in healthy women.

The effects of specific nutritional factors on ghrelin secretion have not been investigated in humans. Therefore, we assessed ghrelin responses to a high-carbohydrate meal (1217 kcal with 77% carbohydrates, 10% protein, and 13% lipids) and to an isocaloric high-fat meal (15% carbohydrates, 10% proteins, and 75% lipids) in 14 nonobese healthy women. Eleven subjects also rated their hunger feelings on visual analog scales. Circulating ghrelin abruptly fell after both meals, but, after the carbohydrate meal, its maximum percent decrease was significantly greater than after the fat meal (P = 0.02). Plasma insulin and glucose levels rose after the meals, but their increases were significantly higher after the carbohydrate meal than after the fat meal. No significant change was observed in circulating leptin after both meals. Moreover, compared with the fat meal, the carbohydrate meal had a significantly greater suppressant effect on hunger feelings. Plasma ghrelin changes were significantly associated with hunger changes (P < 0.007). These findings show that circulating ghrelin is differently suppressed by diet manipulations. The mechanisms responsible for such a phenomenon and its possible implication in the physiology of human satiety remain to be elucidated.

Adult↗

Terminal nerve-derived neuropeptide y modulates physiological responses in the olfactory epithelium of hungry axolotls (Ambystoma mexicanum).

The vertebrate brain actively regulates incoming sensory information, effectively filtering input and focusing attention toward environmental stimuli that are most relevant to the animal's behavioral context or physiological state. Such centrifugal modulation has been shown to play an important role in processing in the retina and cochlea, but has received relatively little attention in olfaction. The terminal nerve, a cranial nerve that extends underneath the lamina propria surrounding the olfactory epithelium, displays anatomical and neurochemical characteristics that suggest that it modulates activity in the olfactory epithelium. Using immunocytochemical techniques, we demonstrate that neuropeptide Y (NPY) is abundantly present in the terminal nerve in the axolotl (Ambystoma mexicanum), an aquatic salamander. Because NPY plays an important role in regulating appetite and hunger in many vertebrates, we investigated the possibility that NPY modulates activity in the olfactory epithelium in relation to the animal's hunger level. We therefore characterized the full-length NPY gene from axolotls to enable synthesis of authentic axolotl NPY for use in electrophysiological experiments. We find that axolotl NPY modulates olfactory epithelial responses evoked by l-glutamic acid, a food-related odorant, but only in hungry animals. Similarly, whole-cell patch-clamp recordings demonstrate that bath application of axolotl NPY enhances the magnitude of a tetrodotoxin-sensitive inward current, but only in hungry animals. These results suggest that expression or activity of NPY receptors in the olfactory epithelium may change with hunger level, and that terminal nerve-derived peptides modulate activity in the olfactory epithelium in response to an animal's changing behavioral and physiological circumstances.

Ambystoma↗

The effectiveness of a short form of the Household Food Security Scale.

OBJECTIVES: On the basis of an 18-item Household Food Security Scale, a short form was developed to assess financially based food insecurity and hunger in surveys of households with and without children. METHODS: To maximize the probability that households would be correctly classified with respect to food insecurity and hunger, 6 items from the full scale were selected on the basis of April 1995 Current Population Survey data. RESULTS: The short form classified 97.7% of households correctly and underestimated the prevalence of overall food insecurity and of hunger by 0.3 percentage points. CONCLUSIONS: The short form of the Household Food Security Scale is a brief but potentially useful tool for national surveys and some state/local applications.

Adult↗

Blood glucose concentration influences postprandial fullness in IDDM.

OBJECTIVE: Upper gastrointestinal (GI) symptoms and delayed gastric emptying both occur frequently in patients with long-standing IDDM, but the relationship between them is relatively weak. Recent studies in normal subjects have indicated that blood glucose concentration may increase the perception of sensations arising from the upper GI tract. The purpose of this study was to examine the relationships among postprandial fullness, the rate of gastric emptying, and blood glucose concentration in IDDM patients. RESEARCH DESIGN AND METHODS: We studied measurements of gastric emptying, blood glucose concentrations, cardiovascular autonomic nerve function, upper GI symptoms, and postprandial hunger and fullness in 40 IDDM patients (16 men, 24 women). ages 19-63 years. Gastric emptying of solids and liquids was measured scintigraphically, upper GI symptoms were measured by questionnaire immediately before ingestion of the test meal, and fullness and hunger were measured by visual analog scales every 15 min. Blood glucose concentrations were measured at -5, 30, 60, 90, and 120 min. RESULTS: Solid gastric emptying was delayed in 58% of the patients, and both solid and liquid gastric emptying were slower (P < 0.05) in women than in men. The score for upper GI symptoms was not significantly related to gastric emptying. In contrast, postprandial fullness, but not hunger, was related to the amount of solid (r = 0.36, P < 0.05) but not liquid in the stomach. Both before (r = 0.39, P < 0.05) and after (r = 0.47, P < 0.01) the meal, fullness was related to blood glucose concentration. Postprandial fullness was also related to autonomic nerve dysfunction (r = 0.39, P < 0.05). Multiple regression analysis confirmed that blood glucose concentration, the rate of solid gastric emptying, and autonomic nerve dysfunction were independent determinants of postprandial fullness, together accounting for 47% of the variance. CONCLUSIONS: These observations demonstrated that, in IDDM, postprandial fullness is influenced by blood glucose concentration, the rate of solid gastric emptying, and autonomic nerve function.

Adult↗

Self-reported concern about food security--eight states, 1996-1998.

Food security is defined as having access at all times to enough food for an active, healthy lifestyle (1,2). This definition implies that safe and nutritious foods are available and that household resources are sufficient to meet cost. Recognition that hunger and food security are problems in the United States led to the development and implementation of measures of hunger and food security on national surveys. One of the national health objectives for 2010 is to increase food security and reduce the risk for hunger among all households (objective 19-18) (1). To characterize state-level prevalence of concern about food security, data were analyzed for the eight states that used the Social Context Module of the Behavioral Risk Factor Surveillance System (BRFSS) during 1996-1998. This report summarizes the results of this analysis and indicates that approximately 4%-6% of adults reported a concern about having enough food for themselves or their family during the preceding month.

Food↗

Psychological aspects of dietary weight loss and medication with the atypical beta agonist BRL 26830A in obese subjects.

Psychological aspects of dieting, including hunger and satiety sensations were explored in obese subjects during a placebo-controlled trial of the weight reducing potential of BRL 26830A, a thermogenic beta-3-agonist drug. Successful weight loss was associated with a reduction in the severity of reported depression. The initial degree of emotional disturbance and level of learned resourcefulness appeared to influence the subsequent weight lost. Subjects described few specific hunger and satiety sensations and these sensations did not generally alter during the trial. BRL 26830A, which promoted weight loss, did not significantly influence hunger and satiety sensations and was not associated with emotional disturbances during dieting. With BRL 26830A there was a reduction in the reported somatic symptoms of anxiety which was not apparent on placebo. These results suggest that the subjects' initial psychological state influences outcome when dieting and also that dynamic changes in psychological parameters occur with successful weight loss. Further, BRL 26830A had no effect on appetite and no adverse influence on the psychological functions tested during this study.

Adrenergic beta-Agonists↗

[Conditioned food reflexes acquired on the basis of a dominant].

By means of daily alimentary deprivation and presentation of acoustic stimuli, a hunger dominant was created in rabbits. After dominant testing by eye stimulation with air puff, when not only winking of one eye but also swallowing or chewing appeared,--the dominant was disrupted by giving food to the animal. Disruption of motivational hunger dominant led to rapid formation of stable temporary connection. At subsequent creation of hunger dominant the animal itself disrupted it by winking reaction with the significant eye. The basis of goal-directed reaction is the activation of feedback temporary connection, established at the dominant summation stage. The conditioned alimentary reflex, elaborated on the basis of dominant disruption is designated as endogenous alimentary conditioned reflex.

Acoustic Stimulation↗

The effect of motivation and word characteristics on recognition.

Two tachistoscopic studies assessed the effects of motivation on high-speed word processing. Study 1 assessed the effect of anxiety and Study 2 the effect of hunger compared to satiation. Words differed in interletter associative frequency (generated value), Thorndike-Lorge word frequency, and categories. In both studies, all three word variables yielded significant main effects. Motivational relevance of words did not significantly alter word recognition, the food words being most readily recognized and negatively emotional words least readily recognized in both studies. Anxiety did not have a significant effect, but hunger in interaction with word characteristics was found to be facilitating. Contrary to Hullian theory regarding word dominance and drive interaction and to Broadbent's "filtering" hypothesis, hunger in comparison to satiation increasingly facilitated word recognition the more infrequent the words and the more rare were the interletter associations.

Anxiety↗

Food resources of low-income households in Southwest Mississippi.

Demographic data and food resources were studied for 1,400 households in seven counties in Southwest Mississippi. The results were compared for industrialized and non-industrialized counties and the urban areas. Household incomes and the educational levels of household heads were far below the national level. Hunger is still prevalent among those with the lowest incomes and the least education. Since most of the household heads with lower incomes either were unemployed or had unskilled jobs, the government was their main food resource. Welfare accounted for 25% and Food Stamps for 30%. The next important source was the school. Such critical conditions as lower income, limited education, unemployment, hunger, and need for government assistance were more prevalent in non-industrialized counties than in industrialized counties and the urban areas. The government assistance programs for food are necessary to prevent hunger, to maintain nutritional adequacy, and, consequently, to reduce medical bills. This is especially true for the poverty-level families, who need the federal food programs for daily survival.

Educational Status↗

Alcohol reinforcement and neuropharmacological therapeutics.

The pleasant subjective effects produced by alcohol undoubtedly reinforce drinking behaviour. Alcohol positively reinforces or rewards drinking by producing a mild euphoria. Alcohol also has anxiolytic effects that negatively reinforce drinking. The reinforcing effects of alcohol are mediated by several neurochemical systems, with dopamine and serotonin playing major roles in reward and the gamma-aminobutyric acid-benzodiazepine receptor system playing a major role in negative reinforcement. Research from our laboratory suggests that the behavioural effects of alcohol change when blood alcohol levels are changing and that these changes correspond to alterations of specific neurochemical systems. Behavioural activation and reward effects appear to occur as blood alcohol concentrations (BACs) increase. Depressive and aversive effects of alcohol occur during the period when BACs decrease. The observed correlation between behavioural and neuropharmacological changes and alcohol consumption suggest that alcohol produces a unique cascade over time that may provide clues to its long-sought specific mechanisms of action. In alcohol-dependent individuals, chronic exposure to alcohol may alter the function and communication between the liver, brain and other vital organ systems involved in hunger and the maintenance of nutrition. Under such conditions, the importance of alcohol in the diet may be enhanced such that hunger signals in the alcohol-dependent individual motivate the consumption of alcohol. Therefore, hunger for alcohol may provide an additional source of reinforcement. Endogenous opioid mechanisms may be important in this form of alcohol reinforcement.

Alcohol Deterrents↗

Afferents to the orexin neurons of the rat brain.

Emotions, stress, hunger, and circadian rhythms all promote wakefulness and behavioral arousal. Little is known about the pathways mediating these influences, but the orexin-producing neurons of the hypothalamus may play an essential role. These cells heavily innervate many wake-promoting brain regions, and mice lacking the orexin neurons have narcolepsy and fail to rouse in response to hunger (Yamanaka et al. [2003] Neuron 38:701-713). To identify the afferents to the orexin neurons, we first injected a retrograde tracer into the orexin neuron field of rats. Retrogradely labeled neurons were abundant in the allocortex, claustrum, lateral septum, bed nucleus of the stria terminalis, and in many hypothalamic regions including the preoptic area, dorsomedial nucleus, lateral hypothalamus, and posterior hypothalamus. Retrograde labeling in the brainstem was generally more modest, but labeling was strong in the periaqueductal gray matter, dorsal raphe nucleus, and lateral parabrachial nucleus. Injection of an anterograde tracer confirmed that most of these regions directly innervate the orexin neurons, with some of the heaviest input coming from the lateral septum, preoptic area, and posterior hypothalamus. In addition, hypothalamic regions preferentially innervate orexin neurons in the medial and perifornical parts of the field, but most projections from the brainstem target the lateral part of the field. Inputs from the suprachiasmatic nucleus are mainly relayed via the subparaventricular zone and dorsomedial nucleus. These observations suggest that the orexin neurons may integrate a variety of interoceptive and homeostatic signals to increase behavioral arousal in response to hunger, stress, circadian signals, and autonomic challenges.

Afferent Pathways↗

Independent effects of palatability and within-meal pauses on intake and appetite ratings in human volunteers.

The effects of the introduction of timed pauses within meals and palatability on food intake and changes in rated appetite during a meal were assessed in three experiments in which volunteers ate a lunch of pasta with a tomato sauce. Eating was monitored using a disguised electronic balance attached to a micro-computer, which also allowed the introduction of timed pauses within meals. In the first experiment, 16 subjects were tested with both a bland and palatable food (with 0.27% oregano), with eating uninterrupted or with pauses after every 50 g consumed during which appetite ratings were completed. Both the addition of oregano and the introduction of regular within-meal pauses enhanced overall intake. Rated hunger increased in the early stages of eating the palatable food in the interrupted condition, and then declined, whereas hunger declined throughout with the bland food. Similarly, the linear function relating intake to time in the uninterrupted condition was greater with the palatable food. In the second experiment, nine subjects ate the palatable food with no pauses within meals, with 30-second pauses with appetite ratings or with 30-second pauses in a non-appetite task. Intake was greater in both pause conditions than when eating was uninterrupted. In Experiment 3, the effect of pause duration was investigated in a further 16 subjects, with either no pause or a pause of 5, 30 or 60 seconds. Subjects ate more in all pause conditions than with no pauses, while ratings of hunger and fullness suggested that subjects were less satisfied at the end of the meal with longer pauses. These data confirm previous work which suggests that palatability exerts its effect by stimulating appetite and eating rate, but also suggest that the introduction of pauses within meals enhances intake as well, contradicting the idea that pausing within meals should reduce intake by allowing more time for post-ingestive satiety to develop.

Adolescent↗

Uncoupling the effects of energy expenditure and energy intake: appetite response to short-term energy deficit induced by meal omission and physical activity.

The effects of two methods of inducing an acute energy deficit (exercise and a low-energy breakfast) on appetite were investigated in 11 healthy females, all of whom were regular exercisers and regular breakfast eaters. There were four experimental days: with exercise and a high-energy (500 kcal) breakfast (EHB), exercise and a low-energy (64 kcal) breakfast (ELB), no exercise and a high-energy breakfast (NEHB) and no exercise and a low-energy breakfast (NELB). Hunger and moods were monitored each hour from 8 a. m. until 5 p.m. Energy and macronutrient intake were measured during an ad libitum lunch test meal 4 h after the exercise and breakfast. Heart rate was continuously monitored using the Polar sport tester. The low-energy breakfasts (ELB and NELB) led to increased hunger during the morning and an increase in energy intake at lunch compared with the high-energy breakfasts. Subjects also experienced significantly more food cravings after LBs than after HBs. Exercise failed to have any significant effect on these variables. Thus, two methods of inducing a short-term energy deficit had markedly different effects on appetite. The low-energy breakfast presumably fails to generate the inhibitory satiety signals induced by the 500 kcal breakfast, whereas the metabolic effects of an exercise session failed to generate excitatory signals to hunger and food intake.

Adult↗

Relative contributions of intestinal, gastric, oro-sensory influences and information to changes in appetite induced by the same liquid meal.

To investigate the contribution of oral, gastric and intestinal factors in the control of appetitc, 425 ml (400 kcal) tomato soup was administered either orally, intragastrically (covertly and overtly) or intraduodenally (overtly) to nine healthy, fasted, male volunteers. Ratings of fullness, hunger and desire to eat were recorded over a period of 2 h and gastric emptying was measured after soup fed orally and intragastrically. Infusion of the soup into the small intestine at a rate commensurate with normal gastric emptying exerted no significant suppression of ratings of hunger and desire to eat and no significant production of fullness. Covert, intragastric infusion of the same soup suppressed appetite and this suppression was increased when the subjects were informed of the nature of the infusion, but there were no differences in gastric emptying profiles between covert and overt intragastric infusions of soup. Oral administration of the soup produced the greatest suppression of appetite compared with other conditions and also generated a slower rate of gastric emptying compared with both intragastric soup infusions. Strong correlations were observed between appetite ratings and both gastric and intestinal contents following intragastric infusions of the soup meal and these were enhanced following oral administration of soup. These results indicate how information, orosensory, gastric and intestinal factors can interact to elicit optimal expression of fullness and suppression of hunger. Specifically, the data not only demonstrate how the influence of gastric distension appears to overwhelm any direct influence of intestinal chemostimulation on appetite and how information modulates this effect, but the data also support an important role in appetite suppression for psychophysiological mechanisms stimulated by orosensory mechanisms.

Adolescent↗

Emergent properties of food distribution among fire ant larvae

The flow of food into a fire ant colony is a decentralized process in which a global pattern, the even distribution of food among larvae, emerges from the interactions of individuals responding to each other with relatively simple rules of thumb. A simulation of worker-larva feeding interactions (rate and duration of worker-to-larva regurgitation) was employed to resolve the effect of each behavioral component on the distribution of food among larvae during one meal. When feeding interactions between workers and larvae simulated those of the fire ant (larvae signal for feedings at rates depending upon their size and their level of hunger; workers regurgitate a small, fixed volume of food), meal size was proportional to larval size, all larvae were brought to fullness together over an eight-hour period and the proportion of protein in each larva's meal was proportional to that found in the environment. These patterns of food distribution among larvae were the standard against which we compared simulated interactions. When simulated larvae signaled for feedings based upon their hunger (percent of midgut emptiness) but not their size, workers required nearly 12 hours to fill the last larva and, some larvae became full far sooner than others. When simulated larvae signaled for feedings based upon their size but not their hunger, they were brought to fullness evenly over time but were grossly overfed, absorbing food that would have been stored in worker crops. Lengthening the duration of worker-to-larva regurgitation generated substantial variation in the proportion of protein in larval meals, especially among small larvae. When simulated interactions were randomized, larvae received meals that varied substantially in volume and protein, some larvae were filled far sooner than others, and workers required over 24 hours and twice as much food to bring the last larva to fullness. Variation in worker response thresholds (simulated as variable worker-larvae ratios) affected only the total time required to deliver meals to larvae, Dissecting the relationship between worker-larva feeding interactions and the distribution of protein among larvae allowed us to propose a mechanism by which colony growth and reproduction could be regulated. Copyright 1998 Academic Press

Journal Article↗

Metabolic, hormonal and gastric fluid and pH changes after different preoperative feeding regimens.

PURPOSE: To evaluate the metabolic, hormonal and gastric fluid and pH changes after administration of a small volume of different preoperative feeding regimens. METHODS: In a prospective, randomized, double-blind study 375 adult patients were allocated to one of five groups. Patients ingested 60 ml honey, glucose-fructose-sucrose-maltose mixture (GFSM), apple juice or water two hours before surgery or continued their overnight fast (controls). Blood samples were obtained from an indwelling venous catheter before the administration of feeding regimens and before induction of anesthesia for determination of glucose, triglycerides, insulin, epinephrine and norepinephrine concentrations. Before anesthesia induction, patients were asked to grade the degree of thirst and hunger. After tracheal intubation residual gastric volume (RGV) was suctioned through an orogastric tube. RESULTS: Administration of honey, GFSM, apple juice or water resulted in increases in RGV without changes in the gastric pH. The median RGV values were 15 ml in controls and 20-25 ml in other groups. Thirst was noted after administration of fluids containing sugars. Hunger was noted in the apple juice group. Plasma concentrations of glucose increased and triglycerides decreased after ingestion of fluids containing sugars. Plasma insulin concentrations decreased in GFSM and apple juice groups. Norepinephrine concentrations increased in the control, apple juice and water groups. CONCLUSIONS: Small volumes of fluid increased RGV (P < 0.05). Apple juice resulted in increased incidence of thirst and hunger and plasma glucose and norepinephrine concentrations. Compared with GFSM or apple juice, honey had a gentler effect on plasma glucose and insulin concentrations.

Adult↗