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Appetite sensations as a marker of overall intake

  • Vicky Drapeau (a1), John Blundell (a2), Fanny Therrien (a3), Claire Lawton (a2), Denis Richard (a3) and Angelo Tremblay (a1)...


The aim of this study was to evaluate the clinical utility of appetite sensations to characterize individual overall energy intake. A group of men (n 28) and women (n 23) was recruited to record their ‘desire to eat’, ‘hunger’, ‘fullness’ and ‘prospective food consumption’ (PFC) on visual analogue scales before a standardized meal test, immediately after and every 10 min for a period of 1 h after the meal. The 1 h post-meal area under the curve (1 h AUC) and the satiety quotient (SQ) were calculated for all appetite sensations. In a second visit, all participants were invited to eat three meals in order to measure total energy intake (TEI) and food preferences. Metabolic rate (MR) was also assessed to derive daily relative energy intake (REI) by subtracting this variable from TEI (TEI−MR=REI). The Three-Factor Eating Questionnaire scores were also calculated for all participants. One h AUC for fullness was the appetite sensation most strongly associated with TEI and REI (r−0·42, P≤0·003 and r−0·32, P≤0·05, respectively). SQ for fullness was the only predictor of TEI and REI (r−0·42, P≤0·0003 and r−0·30, P≤0·05, respectively). Restraint, disinhibition and hunger scores were not associated with appetite sensation variables. These results suggest that the fullness dimension seems to be a useful appetite sensation to predict long-term TEI and REI. Thus, assessment of appetite sensation such as fullness in response to a fixed load may be useful to evaluate individual overall energy intake.

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Corresponding author

*Corresponding author: Dr A. Tremblay, fax +1 418 656 2441, email


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Asbeck, I, Mast, M, Bierwag, A, Westenhofer, J, Acheson, KJ & Muller, MJ (2002) Severe underreporting of energy intake in normal weight subjects: use of an appropriate standard and relation to restrained eating. Public Health Nutr 5, 683690.
Barkeling, B, Rossner, S & Sjoberg, A (1995) Methodological studies on single meal food intake characteristics in normal weight and obese men and women. Int J Obes Relat Metab Disord 19, 284290.
Bjorvell, H, Aly, A, Langius, A & Nordstrom, G (1994) Indicators of changes in weight and eating behaviour in severely obese patients treated in a nursing behavioural program. Int J Obes Relat Metab Disord 18, 521525.
Boschi, V, Iorio, D, Margiotta, N, D'Orsi, P & Falconi, C (2001) The Three-Factor Eating Questionnaire in the evaluation of eating behaviour in subjects seeking participation in a dietotherapy programme. Ann Nutr Metab 45, 7277.
Buhl, KM, Gallagher, D, Hoy, K, Matthews, DE & Heymsfield, SB (1995) Unexplained disturbance of body weight regulation: diagnostic outcome assessed by doubly labeled water and body composition analyses in obese patients reporting low energy intakes. Am J Diet Assoc 95, 13931400.
Clark, MM, Marcus, BH, Pera, V & Niaura, RS (1994) Changes in eating inventory scores following obesity treatment. Int J Eat Disord 15, 401405.
de Castro, J (1993) Independence of genetic influences on body size, daily intake, and meal patterns of humans. Physiol Behav 54, 633639.
de Castro, J (1999) Heritability of hunger relationships with food intake in free-living humans. Physiol Behav 67, 249258.
Doucet, E, St-Pierre, S, Almeras, N & Tremblay, A (2003) Relation between appetite ratings before and after a standard meal and estimates of daily energy intake in obese and reduced obese individuals. Appetite 40, 137143.
Flint, A, Raben, A, Blundell, JE & Astrup, A (2000) Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes Relat Metab Disord 24, 3848.
Foster, GD, Wadden, TA, Swain, RM, Stunkard, AJ, Platte, P & Vogt, RA (1998) The Eating Inventory in obese women: clinical correlates and relationship to weight loss. Int J Obes Relat Metab Disord 22, 778785.
Green, SM, Delargy, H, Joanes, D & Blundell, JE (1997) A satiety quotient: a formulation to assess the satiating effect of food. Appetite 29, 291303.
Haugen, HA, Melanson, EL, Tran, ZV, Kearney, JT & Hill, JO (2003) Variability of measured resting metabolic rate. Am J Clin Nutr 78, 11411145.
Heitmann, BL & Lissner, L (1995) Dietary underreporting by obese individuals – is it specific or non-specific?. Br Med J 311, 986989.
Hill, AJ & Blundell, JE (1986) The effects of a high-protein or high-carbohydrate meal on subjective motivation to eat and food preferences. Nutr Behav 3, 133144.
Hulshof, T, De Graaf, C & Weststrate, JA (1993) The effects of preloads varying in physical state and fat content on satiety and energy intake. Appetite 21, 273286.
Jéquier, E & Tappy, L (1999) Regulation of body weight in humans. Physiol Rev 79, 451480.
Johnson, RK, Goran, MI & Poehlman, ET (1994) Correlates of over- and underreporting of energy intake in healthy older men and women. Am J Clin Nutr 59, 12861290.
Kiernan, M, King, AC, Stefanick, ML & Killen, JD (2001) Men gain additional psychological benefits by adding exercise to a weight-loss program. Obes Res 9, 770777.
Kissileff, HR (1984) Satieting efficiency and strategy for conducting food loading experiments. Neurosci Biobehav Rev 8, 129135.
Klem, ML, Wing, RR, McGuire, MT, Seagle, HM & Hill, JO (1998) Psychological symptoms in individuals successful at long-term maintenance of weight loss. Health Psychol 17, 336345.
Laessle, RG, Tuschl, RJ, Kotthaus, BC & Pirke, KM (1989) A comparison of the validity of three scales for the assessment of dietary restraint. J Abnorm Psychol 98, 504507.
Lafay, L, Basdevant, A, Charles, MA, Vray, M, Balkau, B, Borys, JM, Eschwege, E & Romon, M (1997) Determinants and nature of dietary underreporting in a free-living population: the Fleurbaix Laventie Ville Sante (FLVS) Study. Int J Obes Relat Metab Disord 21, 567573.
Lawton, CL, Burley, VJ, Wales, JK & Blundell, JE (1993) Dietary fat and appetite control in obese subjects: weak effects on satiety. Int J Obes Relat Metab Disord 17, 409416.
Lichtman, SW, Pisarska, K, Berman, ER, Pestone, M, Dowling, H, Offenbacher, E, Weisel, H, Heshka, S, Matthews, DE & Heymsfield, SB (1992) Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N Engl J Med 327, 18931898.
Lluch, A (1995) Identification des conduites alimentaires par approches nutritionnelles et psychométriques: implications thérapeutiques et préventives dans l'obésité humaine (Identification of food intake behaviors by nutritional and psychometric means: implications for prevention and treatment of human obesity). Thesis, Université Henri Poincaré, Nancy.
Lohman, T, Roche, A & Martorell, R (1988) The Airlie (VA) consensus. In Standardization of Anthropometric Measurements, pp. 3980 [Lonman, T, Roche, A and Martorell, R, editors]. Champaign, IL: Human Kinetics Publishers.
Mattes, R (1990) Hunger ratings are not a valid proxy measure of reported food intake in humans. Appetite 15, 103113.
Pannemans, DL & Westerterp, KR (1993) Estimation of energy intake to feed subjects at energy balance as verified by doubly labelled water: a study in the elderly. Eur J Clin Nutr 47, 490496.
Pekkarinen, T, Takala, I & Mustajoki, P (1996) Two year maintenance of weight loss after a VLCD and behavioural therapy for obesity: correlation to the scores of questionnaires measuring eating behaviour. Int J Obes Relat Metab Disord 20, 332337.
Perneger, TV (1998) What's wrong with Bonferroni adjustments. Br Med J 316, 12361238.
Porrini, M, Crovetti, R, Testolin, G & Silva, S (1995) Evaluation of satiety sensations and food intake after different preloads. Appetite 25, 1730.
Provencher, V, Drapeau, V, Tremblay, A, Despres, JP & Lemieux, S (2003) Eating behaviors and indexes of body composition in men and women from the Quebec family study. Obes Res 11, 783792.
Schoeller, DA (1995) Limitations in the assessment of dietary energy intake by self-report. Metabolism 44, 1822.
Siri, WE (1956) The gross composition of the body. Adv Biol Med Phys 4, 239280.
Stubbs, RJ, Hughes, DA, Johnstone, AM, Rowley, E, Reid, C, Elia, M, Stratton, R, Delargy, H, King, N & Blundell, JE (2000) The use of visual analogue scales to assess motivation to eat in human subjects: a review of their reliability and validity with an evaluation of new hand-held computerized systems for temporal tracking of appetite ratings. Br J Nutr 84, 405415.
Stunkard, AJ & Messick, S (1985) The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 29, 7183.
Tuomisto, T, Tuomisto, MT, Hetherington, M & Lappalainen, R (1998) Reasons for initiation and cessation of eating in obese men and women and the affective consequences of eating in every day situations. Appetite 30, 211222.
Wadden, TA, Berkowitz, RI, Vogt, RA, Steen, SN, Stunkard, AJ & Foster, GD (1997) Lifestyle modification in the pharmacologic treatment of obesity: a pilot investigation of a potential primary care approach. Obes Res 5, 218226.
Weir, JB (1949) New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol 109, 19.
Westerterp, K, Verboeket-van, de, Venne, WPHG, Meijer, JAL & Hoor, F (1991) Self-reported intake as a measure for energy intake. A validation against the doubly labelled water. Obes Res 91, 1722.
Yeomans, MR (1996) Palatability and the microstructure of eating in humans: the appetiser effect. Appetite 26, 119133.


Appetite sensations as a marker of overall intake

  • Vicky Drapeau (a1), John Blundell (a2), Fanny Therrien (a3), Claire Lawton (a2), Denis Richard (a3) and Angelo Tremblay (a1)...


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