Hedonic hunger is increased in severely obese patients and is reduced after gastric bypass surgery

Schultes, Bernd; Ernst, Barbara; Wilms, Britta; Thurnheer, Martin; Hallschmid, Manfred

doi:10.3945/ajcn.2009.29007

Cited by 187 publications

(126 citation statements)

References 35 publications

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“…Our finding of higher PFS aggregated, subscale ‘food available’ and ‘food present’ scores in the obese type 2 diabetes patients when compared with the non‐obese counterparts is in keeping with the previous reports of a positive relationship between BMI and PFS scores in severely obese individuals who received bariatric‐surgery11 or attended a clinical weight‐loss treatment program12. This observation suggests that hedonic eating drives are significantly increased in these severe obese patients, and might be an important driver in the pathogenesis of obesity and its related diseases.…”

Section: Discussionsupporting

confidence: 92%

“…Hedonic hunger, a relatively new construct, refers to the appetitive drive to eat palatable foods, particularly those high in fat and/or sugar, in the absence of a physiological need (i.e., caloric deficit) in an obesogenic food environment9. Previous studies reported that obese adults expressed higher hedonic hunger than non‐obese controls10, 11. Furthermore, interventions, such as weight loss programs and bariatric surgeries, have shown the impact of these treatment strategies on the change in levels of hedonic hunger in obese individuals.…”

Section: Introductionmentioning

confidence: 99%

“…A study examining the changes in hedonic hunger after a 12‐week commercial weight loss program showed that there was a negative association between weight control behaviors and hedonic hunger, with a decrease in hedonic hunger being associated with better weight loss12. Hedonic hunger was also lower in severely obese patients who underwent gastric banding13 and gastric bypass11 as compared with severely obese controls. There was also a marked reduction in hedonic hunger as measured from preoperation Power of Food Scale (PFS) scores, suggesting an improvement in hedonic hunger, in severely obese patients after gastric bypass surgery14.…”

Section: Introductionmentioning

confidence: 99%

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Association between hedonic hunger and glycemic control in non‐obese and obese patients with type 2 diabetes

Cheung

Chow

et al. 2018

J of Diabetes Invest

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Aims/IntroductionHigher hedonic hunger has been observed in obese individuals compared with those without obesity, but little is known about its association with glycemic management. We aimed to examine the association between hedonic hunger and glycemic control in non‐obese and obese patients with type 2 diabetes.Materials and MethodsBetween April and November 2016, a total of 211 type 2 diabetes patients who underwent comprehensive diabetes assessments at a university‐affiliated hospital were recruited into two groups according to body mass index: non‐obese (body mass index 18.5–24.9 kg/m2) and obese (body mass index ≥30 kg/m2) groups. All participants completed the Chinese version of the Power of Food Scale (PFS) for assessment of hedonic hunger. Good glycemic control was defined as glycated hemoglobin <7.0%.ResultsCompared with the non‐obese group, the obese group showed higher PFS aggregated and subscale ‘food available’ scores (both P < 0.05). After adjustment for age, sex, disease duration of diabetes and insulin use, there were positive associations of glycated hemoglobin with PFS aggregated, subscale ‘food available’ and ‘food present’ scores in the obese group (all P for trend <0.05). The PFS aggregated score was negatively associated with good glycemic control in obese type 2 diabetes patients after adjustment using logistic regression analysis (adjusted odds ratio 0.42, 95% confidence interval 0.20–0.91, P = 0.027). By contrast, such associations were not observed in non‐obese type 2 diabetes patients.ConclusionsHedonic hunger had an independent and inverse association with good glycemic control in obese Chinese patients with type 2 diabetes, but not in their counterparts without obesity.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between hedonic hunger and glycemic control in non‐obese and obese patients with type 2 diabetes

Cheung

Chow

et al. 2018

J of Diabetes Invest

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“…14 Elevated PFS scores have been associated to both obesity 17,18 and binge eating. 19,20 Furthermore, fasting periods equivalent to regular breaks between meals (e.g., 4 hours) are not associated with changes in scores on the PFS, suggesting that hedonic hunger is a stable construct that is not considerably affected by daily variations in physical or homeostatic hunger.…”

mentioning

confidence: 99%

“…However, in morbidly obese patients from a bariatric surgery clinic, DEBQ external eating subscale scores were significantly reduced after weight-loss surgery, 35 and similar findings have been reported regarding reduction of PFS scores after weight-loss surgery. 17,36 Longitudinal studies are thus needed to clarify if PFS and DEBQ subscales, namely the external eating subscale, can serve as predictors of weight gain, presumably acting as markers of hedonically mediated overeating.…”

mentioning

confidence: 99%

Translation, Cultural Adaptation and Validation of the Power of Food Scale for Use by Adult Populations in Portugal

et al. 2015

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Introduction: The Power of Food Scale measures appetite for, rather than consumption of, palatable foods -a construct frequently designated as hedonic hunger. The purpose of this study was to examine the psychometric properties of a Portuguese version of the Power of Food Scale, namely reliability and construct validity. Material and Methods: Data was obtained from 1266 adult participants sampled from three different populations in Portugal: two nonclinical samples and one multi-center sample of severely obese candidates for weight-loss surgery. Results: We found that the factor structure of the Portuguese version of the Power of Food Scale is similar to that of the original scale and that the Portuguese version of the Power of Food Scale has good internal structure, test-retest reliability and construct validity. In addition, we provide the first contribution towards defining population norms for Power of Food Scale scores. Discussion: The Portuguese version of the Power of Food Scale proved to have good psychometric properties: it is a valid and reliable tool for measuring hedonic hunger, supporting its use both in clinical and non-clinical samples, as well as in prospective studies. Conclusion:Our results show that the Portuguese version of the Power of Food Scale is a useful measure for researchers and clinicians who are interested in exploring the construct of hedonic hunger in Portuguese-speaking populations, including those suffering from obesity.

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Taste and Food Choices

Drewnowski

Monsivais²

2012

Present Knowledge in Nutrition

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Hedonic hunger is increased in severely obese patients and is reduced after gastric bypass surgery

Cited by 187 publications

References 35 publications

Association between hedonic hunger and glycemic control in non‐obese and obese patients with type 2 diabetes

Association between hedonic hunger and glycemic control in non‐obese and obese patients with type 2 diabetes

Translation, Cultural Adaptation and Validation of the Power of Food Scale for Use by Adult Populations in Portugal

Taste and Food Choices

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