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FFA Issue 19 Appetite Enigmas

November 2003

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Of course, we all know that the main role of food is to satisfy hunger and to provide essential nutrients for growth and maintenance of health – yet so much of what we choose to eat is influenced by other factors such as the palatability of foods available, our emotional state, and social factors, such as the expectations of those around us.

So our appetite usually reflects a combination of both basic physical needs and other social and emotional motives. Understanding what these are and how they can be modified may be key to effective weight management. Researchers are still working to unravel all the factors that influence what we eat and why, but this article highlights some of the factors identified so far…

What make us feel full?

During a meal our stomach expands and the internal nerve receptors sense the volume of food and the pressure on the stomach wall. These receptors send signals to the brain via the vagus nerve causing the sensation of fullness. When the stomach contracts and empties, the sense of hunger is triggered again.  

Some foods contribute a feeling of fullness more than others, those which contribute the greatest sense of fullness are said to have high satiating power, and those which give the least sense of fullness for any given energy (kilo- calorie) content, have low satiating power: While protein seems to stave off hunger for longer than carbohydrate, fat exerts the weakest effect on satiation. This probably accounts for the many studies that have found a high fat diet is more likely to lead to passive over-eating, and resultant weight gain.

Energy (kilocalorie) values of foods of course do not reflect these differences in satiation power: For example, in one study of 38 common foods, men and women consumed foods with same energy contents and their feelings of fullness were recorded every fifteen minutes for two hours. The most satiating foods were those with high levels of protein (including fish, meat, beans, lentils and eggs), dietary fibre (such as wholegrain breads and cereals) and water (particularly fruit and vegetables). Foods with low satiation power were those with the highest proportion of energy in the form of fat, for example baked goods. 

Glycaemic Index

In recent years there has been great interest in exactly how carbohydrate foods can impact appetite. Glycaemic index (GI) is a way of measuring the effects of carbohydrate foods on blood sugar. The index ranks foods on a scale of 0 to 100. Foods which raise blood sugar the highest and most quickly such as white bread and potatoes have a high GI and those with low GI such as lentils and pasta release glucose into the blood stream more slowly. Those with a low GI will delay the onset of hunger sensations for longer and thus are helpful for individuals who are trying to limit their energy intake. It is important to consider the total amount of food consumed and other foods included in a meal or mixed dish –this is known as the glycaemic load (GL), and is a more accurate indicator of how the body reacts to a typical mixed ingredient meal. An extensive list of both GI and GL values, compiled by the University of Sydney can be found at http://www.glycemicindex.com 

Emotional Eating

Many of us have from time to time found ourselves eating when not actually hungry. Behaviours such as nibbling, bingeing or rooting in the fridge for a little something, in many instances, are examples of emotionally driven eating. Diet counselor and university dietetic lecturer J.McFadden in her book Diet No More describes how unmet emotional needs can become internal drivers for eating when not physically hungry. Unconsciously we may attempt to satisfy unmet needs for love, power, fun, freedom or survival through food.

McFadden recommends that the next time you find yourself reaching for food when not hungry, you allow yourself to eat your chosen food but try to tune into the emotional urges that are driving you to search out food.

Part of the solution is listening to your body s signals of hunger and satisfaction, and then taking some time to plan ways which don t involve food to meet these emotional needs to help you feel better, for example going for a walk, or writing down what is troubling you. That means the next time the emotional triggers are switched on, you have an alternative plan ready to put into action, and feel more in control.

As non-hungry eating habits are likely to be firmly entrenched, its important to recognize that devising and establishing alternative coping strategies is likely to be a long process. Therefore, developing alternative coping strategies should be approached slowly and incrementally to ensure new habits become long-term habits.

More information on this approach to weight maintenance can also be found at the website www.ifnotdieting.com

What is becoming apparent is that appetite is not only a complex interaction of physiological and psychological responses, but that the relative strength of these factors varies between individuals. The evidence is growing that each of us must start to understand our own personal profiles, so that we can learn to enjoy our daily diet, without guilt, without eating more than we need and without feeling hungry - bon appetit!

 

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