Saturday, March 29, 2014

To Eat or Not to Eat


Good day and thank you for attending To Eat or Not to Eat, a discussion on the diversities of why people desire to eat or not eat.  My name is Rebecca and I will be your counselor for this session.  I am here to facilitate healthy discussions on the physiological factors of hunger and satiety [state of fullness or satisfaction], and to answer any questions that you may have regarding healthy eating and eating disorders.  During this time I will be reviewing myths about hunger and satiety, but first, let me explain some of the physiological factors that cause people to eat or not eat, and then I will open the floor for questions.

Taste is a major factor in hunger, a fondness for something sweet, fatty, or salty normally carries with it a high positive-incentive value causing humans to eat.  Acquiring these taste preferences from our ancestors sweet, fatty foods mean high energy, rich in vitamins and minerals, whereas salty foods mean sodium enriched, all are vitamins and mineral which the body needs to stay in optimal health.  Most of us can think of a time when we have had a craving for something.  It may be the body’s way of indicating it is missing needed nutrients.  On the other end of the spectrum, humans have developed what is known as taste aversions.  Normally, foods that carry with them a bitter taste are associated with toxins or illness and should be avoided.  In essences, learning to eat healthy, nutritious foods is a learned trait, but caution should be used as todays manufactures create foods that we crave, but remove the nutrients during the manufacturing process (Pinel, 2009).
Just as we learn what to eat from our ancestors, when we eat is another factor passed on through cultural traditions.  Many families within the United States, for example, eat several full meals each day.  Whereas animals eat small meals throughout the day when food is readily available, when it is not, they adapt to their conditions.  Almost everyone becomes hungry just before it is time for a normally scheduled meal.  Why you ask; this is the body gearing up to balance the meal about to be consumed.  The body goes into what is called a cephalic phase, preparing to soften the intake of food, also called the “homeostasis-disturbing influx, by releasing insulin into the blood and thus reducing blood glucose” (Pinel, 2009, p. 301).  This means that hunger is caused by the anticipation of food, not that our body’s need energy.
Satiety helps to determine how much is eaten; caused by not only the amount of food, but also the nutritive density, which was discussed earlier, within the gut and glucose entering the bloodstream.  Repeatedly eating the same foods, as demonstrated through the studies of sensory-specific satiety, creates satiety more rapidly than when a variety of foods are introduced (Pinel, 2009).  Serving a variety of palatable foods, what Pinel (2009) calls a cafeteria diet, leads to overeating as satiety is taste-specific.  The positive-incentive value of food decreases the more you eat it causing you to move to other foods if available.  This is an important point when you consider introducing appetizers prior to consuming normal meals.  An appetizer effect takes place; small amounts of food increase the cephalic-phase of the eating process, increasing instead of decreasing hunger.  Additional studies indicate that satiety may depend on whether we eat alone or with others (Pinel, 2009).  Human females have been shown to eat less to conform to society’s visions of the acceptable body size, while yet others may tend to overeat to be sociable.  
Before we move to questions, I want to address a few myths about hunger and satiety.  First, early experiments suggested that the two regions within the hypothalamus [a neural control center in the brain] controlled satiety and hunger; the ventromedial hypothalamus (VMH) and the lateral hypothalamus (LH), respectively.  As it turns out, the hypothalamuses main function is to regulate energy metabolism; studies with bilateral VMH lesions were shown to increase blood insulin levels which control the production and breakdown of body fat for different forms of energy use.  Bilateral electrolytic lesions to the LH were shown to produce aphagia, complete restriction of hunger, and adipsia, complete restriction of thirst; however, further study also produced a wide range of severe motor disturbances and a general lack of responsiveness to sensory input.  Another myth is with respect to the gastrointestinal tract.  Initially, hunger was thought to be a product of contractions caused by an empty stomach and satiety the feeling of a full stomach.  Later it was “discovered that the stomach and other parts of the gastrointestinal tract release chemical signals to the brain, evidence began to accumulate that these chemicals were peptides, short chains of amino acids that can function as hormones and neurotransmitters” (Pinel, 2009, p. 307).  As you can see, even though initial conclusions may prove to be incorrect or only partially correct continued studies are always advisable and can provide more conclusive results.
Are there any questions?

Obesity Session:


Lindsey – My parents were both obese, is that why I am?


Although there are some indications that an insatiable appetite and the accumulation of body fat has genetic implications, the majority of obesity today is, more than likely, caused by our increasing meal sizes.  Throughout evolution consuming large amounts of high-calorie foods was used as a survival technique, excess food was stored as body fat and used during times of food shortages (Pines, 2009).  Although in today’s society this is no longer needed, as there is an abundance of positive-incentive value food supplies.  However, customs and traditions still pass on the consumption of large meals and eating at social gatherings.  This, according to Pinel (2009), unfortunately perpetuates the increasingly high rates of obesity.  Thanks to continued studies on such syndromes as Prader-Willi syndrome, a genetically caused chromosomal disruption causing insatiable hunger, researchers are continuing to look at many of the genes that affect appetite to provide additional answers on hunger and satiety. 

Robert – My girlfriend and I eat together all of the time, so we eat the same food and amounts of food, but she never gains weight like I do.  Why is that?


It appears that while your energy intake may be the same, each of you is at a different level of energy output.  As the question reflects, when energy intake exceeds energy output, a noticeable difference in weight gain will take place.  Concerning energy output, each person has three factors that differ in the degree to which energy is metabolized, regulated by the hypothalamus.  The basal metabolic rate is the rate at which a resting body utilizes energy to maintain itself.  An adjustment to the efficiency rate in which the body utilizes increasing levels of body fat is called diet-induced thermogenesis.  Finally, activities such as fidgeting, posture, and muscle tone are called nonexercise activity thermogenesis, according to researchers, this adds to dissipating excess energy (Pinel, 2009).  Again, the answer is each person has a different level to which he or she maintains and expels stored and excess energy.

Anorexia Session:


Nancy – My mom says that I became anorexic because I’ve been reading too many Cosmo magazines and want to look like those girls.  Maybe I did, but I really just don’t crave food.  What do you think it is?


While society provides extremely slender figures as an example of exuberance and health, this can become very confusing to a child as he or she experiences a blossoming body and raging hormones of pubescent’s.  With anorexia the body image is distorted, while a person may be a healthy, normal weight he or she views him or herself as fat (Pinel, 2009).  Thus, beginning and maintaining the obsession about body image, resulting in life threatening starvation processes to maintain slenderness.  This starvation increases the positive-incentive value of food; however, individuals who have had little to eat experience an adverse effect in the consumption of meals.  As mentioned previously, the gastrointestinal tract releases chemicals, called peptides, once released into the bloodstream, individuals with food deprivation experience extremely noxious effects which induce a conditioned taste aversion to food, acting as a satiety peptide; decreasing the appetite.

Tyra – I don’t eat because every time I do, I just feel sick! Do you know why this is?


Studies show that particular peptides in the gut, namely cholecystokinin (CKK), induce illness which creates the conditioned taste aversion, decreasing the appetite; it also creates nausea in humans (Pinel, 2009).  This may be what is causing you to feel sick.
I want to thank each of you for attending To Eat or Not to Eat.  It is my hope that you have learned some valuable information about the diversities of eating and that I have answered all your questions.  Please do not hesitate to contact me with additional questions you might have.  Thank you again, and have a wonderful day.


 

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