TM

Hunger and Eating

Key Learning Goals

  • Summarize evidence of the physiological factors implicated in the regulation of hunger.

  • Explain how food availability, situational factors, culture, and learning influence hunger.

  • Describe evidence of the prevalence, health consequences, and roots of obesity.

The Motivation of Hunger and Eating

  • Hunger is a complex motivational system, not a simple one.

Biological Factors in the Regulation of Hunger

  • Early theories linked stomach contractions to hunger, based on observations.

  • Walter Cannon and A. L. Washburn (1912) verified the association between stomach contractions and hunger.

  • Cannon theorized that stomach contractions cause hunger.

  • This theory was discredited because people still experience hunger after stomach removal (Wangensteen & Carlson, 1931).

  • Current theories focus on:

    • The role of the brain

    • Digestive factors

    • Hormones

Brain Regulation
  • Research with lab animals suggested that hunger is controlled in the brain, specifically the hypothalamus.

  • The hypothalamus regulates biological needs related to survival.

  • Lateral Hypothalamus (LH):

    • Destroying the LH in rats led to a decrease or loss of interest in eating

  • Ventromedial Nucleus of the Hypothalamus (VMH):

    • Destroying the VMH in rats led to excessive eating and rapid weight gain - ability to recognise satiety (fullness) had been neutralised

  • Early conclusion: LH and VMH were the brain's on-off switches for hunger (1940s and 1950s)

  • The dual-centres model of hunger was later undermined .

  • Current thinking: LH and VMH are elements in the neural circuitry that regulates hunger, but are not key on-off centers.

  • Arcuate Nucleus and Paraventricular Nucleus:

    • These areas are believed to play a larger role in modulating hunger.

    • The arcuate nucleus is considered especially important.

  • Contemporary theories focus on neural circuits that pass through areas of the hypothalamus, not anatomical centres.

  • These circuits depend on neurotransmitters and are more complicated than previously thought.

  • The neural circuits regulating hunger are interconnected with extensive parallel processing.

  • This complex circuitry is sensitive to a diverse range of physiological processes.

Digestive and Hormonal Regulation
  • The digestive system has mechanisms that influence hunger.

  • Walter Cannon's hypothesis that the stomach regulates hunger was partially correct.

  • The stomach sends signals to the brain to inhibit further eating after food consumption (Woods & Stricker, 2013).

  • Vagus Nerve: Carries information about the stretching of stomach walls, indicating fullness.

  • Other nerves carry satiety messages based on the nutrient content of the stomach.

  • Hormones contribute to the regulation of hunger.

  • Ghrelin: Secreted by the stomach when the body goes without food, causing stomach contractions and promoting hunger.

  • CCK: Released by the upper intestine after food consumption, delivering satiety signals to the brain and reducing hunger.

  • Leptin: Contributes to long-term regulation of hunger and other bodily functions.

    • Produced by fat cells and released into the bloodstream.

    • Provides the hypothalamus with information about the body's fat stores.

    • High leptin levels diminish hunger; low leptin levels promote increased hunger.

  • Insulin: Secreted by the pancreas and sensitive to fluctuations in body fat stores.

  • Hormonal signals (insulin, ghrelin, CCK, and leptin) converge in the hypothalamus, especially the arcuate and paraventricular nuclei..

Environmental Factors in the Regulation of Hunger

  • Eating is influenced by social and environmental factors.

Food Availability and Related Cues
  • Physiological regulation of hunger assumes homeostatic mechanisms are at work.

  • Incentive Value: Humans are motivated to eat by the anticipated pleasure of eating, not just energy deficits.

  • Environmental variables influence food consumption:

    • Palatability: The better food tastes, the more people consume.

    • Quantity Available: People consume what is put in front of them

      • Larger plates and dinnerware increase consumption.

    • Variety: Increased variety leads to increased consumption

      • Sensory-Specific Satiety: Incentive value of a specific food declines as you eat it.

      • Buffets lead to overeating due to the availability of many foods.

    • According to incentive models, availability and palatability are key factors regulating hunger.

    • Presence of Others: Individuals eat 44\% more when eating with others.

      • People use each other as guides and eat similar amounts.

      • Women may reduce intake in the presence of an unfamiliar opposite-sex person.

Eating and Weight: The Roots of Obesity

  • Obesity is assessed by Body Mass Index (BMI): weight (in kilograms) divided by height (in metres) squared (kg/m^2).

  • BMI of 25.0-29.9 is overweight, and over 30 is obese.

  • About 31\% of adults are obese and 58\% are overweight in South Africa (Chooi et al., 2019).

  • The obesity epidemic is a global problem (Lobstein, 2017).

Evolutionary Perspective

  • Humans evolved to consume more food than necessary due to competition for limited resources.

  • Excess calories were stored as fat for future shortages.

  • Modern societies have abundant, reliable supplies of palatable food, leading to chronic overconsumption.

Health Consequences of Obesity

  • Obesity increases mortality risk.

  • Associated with coronary disease, stroke, hypertension, diabetes, respiratory problems, gallbladder disease, arthritis, muscle and skeletal pain, sleep apnea, and some cancers.

  • May promote inflammatory and metabolic changes contributing to Alzheimer's disease.

Factors Contributing to Obesity

Genetic Predisposition
  • Obesity is partly hereditary.

  • Identical twins reared apart are more similar in BMI than fraternal twins reared together (Stunkard et al., 1990).

  • Genetic factors account for 61\% of weight variation in men and 73\% in women (Allison et al., 1994).

Excessive Eating and Inadequate Exercise
  • Overweight people eat too much in relation to their exercise level.

  • Modern society provides tasty, high-calorie foods everywhere.

  • Marketing efforts increase consumption of unhealthy foods.

  • Highly processed, high-fat, high-sugar foods may be addictive.

  • Modern societies create an 'obesogenic' environment.

  • Decline in physical activity due to modern conveniences.

  • Overeating contributes more to obesity than lack of exercise.

  • Food industry downplays overconsumption and frames the issue as balancing consumption with exercise.

  • About one-half of the public believes exercise is more influential than diet in determining weight.

  • People who think exercise is more influential are more likely to be overweight.

The Concept of Set Point
  • People tend to regain weight after losing it, suggesting homeostatic mechanisms defend against weight loss.

  • Metabolic and neuroendocrine processes resist weight loss.

  • Energy expenditure declines after weight loss.

  • Reduced fat stores result in reduced leptin levels, fueling increased hunger.

  • The body is also wired to resist weight gain.

  • Adaptive mechanisms maintain a stable body weight, suggesting a set point for weight.

  • The set point is an individual's natural point of stability for weight.

Food Availability in South Africa
  • South Africans experience two extremes: poverty leading to underfeeding and rising obesity rates.

  • Many individuals lack access to healthier food options.

  • Affordable and easily available food is often unhealthy.

  • Many South Africans cannot afford a healthy diet.

  • People may choose unhealthy food due to palatability, variety, and convenience.

  • The 'sugar tax' is an attempt to reduce intake of unhealthy foods.

Learned Preferences and Habits
  • Food preferences are acquired through learning.

  • People prefer familiar foods.

  • Geographical, cultural, religious, and ethnic factors limit exposure to certain foods.

  • Repeated exposure to a new food increases liking.

  • Forcing a child to eat a specific food can backfire.

  • Taste preferences are learned associations formed through classical conditioning.

  • Youngsters can be conditioned to prefer flavors paired with pleasant events.

  • Taste aversions can be acquired through conditioning.

  • Eating habits are shaped by observational learning.

Set Point and Weight

  • The set point concept suggests the body has a natural weight range.

  • A key question is why obesity has increased if the body defends a weight range.

  • The body defends against weight loss more strongly than weight gain.

  • This is likely because in ancestral times, defending against weight loss was more crucial for survival due to food scarcity.