1
|
Gonzalez-Izundegui D, Campos A, Calderon G, Ricardo-Silgado ML, Cifuentes L, Decker PA, Vargas EJ, Tran L, Burton D, Dayyeh BA, Camilleri M, Eckel-Passow JE, Acosta A. Association of gastric emptying with postprandial appetite and satiety sensations in obesity. Obesity (Silver Spring) 2021; 29:1497-1507. [PMID: 34313001 PMCID: PMC8722357 DOI: 10.1002/oby.23204] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 03/12/2021] [Accepted: 03/24/2021] [Indexed: 12/30/2022]
Abstract
OBJECTIVE Satiety, defined as the duration of the sensation of fullness, is usually measured by validated visual analog scales (VAS) for appetite. Gastric function plays a key role in food intake regulation. However, the association between gastric emptying (GE) and VAS appetite is unknown. METHODS In this cross-sectional study, 134 participants (mean [SEM] age = 39 [0.8] years, mean [SEM] BMI = 38 [0.5] kg/m2 , 67% females) completed simultaneous measurements of GE and VAS appetite. After a 320-kcal meal, GE was measured by scintigraphy and appetite by validated 100-mm VAS for 240 minutes. Satiation was defined as calories consumed to terminate meal and was measured by an ad libitum meal. GE, VAS, and ad libitum meal tests were measured on the same day. Percent of meal retention in the stomach, VAS area under curve (AUC0-240 min ), and overall appetite score (OAS) were calculated. Pearson correlation (ρ) determined the association of GE with VAS appetite and satiation. Appetite components were also analyzed by quartiles based on GE120 min . RESULTS GE120 min was correlated with sensation of VAS hungerAUC(0-240 min) (ρ = 0.24, p = 0.004), fullnessAUC(0-240 min) (ρ = 0.16, p = 0.05), and OASAUC(0-240 min) (ρ = 0.20, p = 0.02). Patients with rapid GE120 min had a mean increase in VAS hungerAUC(0-240 min) by 32 mm/min (15.62%, p = 0.03) compared with normal/slow GE120 min . CONCLUSIONS GE is associated with the sensations of appetite, and rapid GE is associated with increased appetite, which may contribute to weight gain.
Collapse
Affiliation(s)
- Daniel Gonzalez-Izundegui
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| | - Alejandro Campos
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| | - Gerardo Calderon
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| | - Maria L Ricardo-Silgado
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| | - Lizeth Cifuentes
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| | - Paul A. Decker
- Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN
| | - Eric J. Vargas
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| | - Linh Tran
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| | - Duane Burton
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| | - Barham Abu Dayyeh
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| | - Michael Camilleri
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| | - Jeanette E. Eckel-Passow
- Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN
| | - Andres Acosta
- Precision Medicine for Obesity Program, and Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN
| |
Collapse
|
2
|
Fotouhi-Ghazvini F, Abbaspour S. Wearable Wireless Sensors for Measuring Calorie Consumption. J Med Signals Sens 2020; 10:19-34. [PMID: 32166074 PMCID: PMC7038742 DOI: 10.4103/jmss.jmss_15_18] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2018] [Revised: 05/08/2018] [Accepted: 12/05/2019] [Indexed: 11/30/2022]
Abstract
Background: The tracking devices could help measuring the heart rate and energy expenditure and recognizing the user's activity. The calorie measurement is a significant achievement for the fitness tracking and the continuous health monitoring. Methods: In this paper, a combination of an accelerometer and a photoplethysmography (PPG) sensor is implemented to calculate the calories consumed. These sensors were mounted next to each other and then were placed on the ankle and finger by flat cable. The sensed data are transferred via Bluetooth to a smartphone in a serial and real-time manner. An Android App is designed to display the user's health data. The average amount of consumed energy is obtained from the combination of the accelerometer sensor based on the laws of motion and the PPG sensor based on the heart rate data. Results: The designed system is tested on 10 nonathlete males and 10 nonathlete females randomly. By applying the wavelet, the value of the acceleration signal variance was reduced from 3.2 to 0.8. The correlation between PPG and pulse oximeter was 0.9. Moreover, the correlation of the accelerometer and treadmill was 0.9. The root mean square error (RMSE) and the P value of the calorie output from PPG and pulse oximeter are 0.53 and 0.008, respectively. The RMSE and the P value of the calories output from the accelerometer and the treadmill are 0.42 and 0.007, respectively. Conclusion: Our device validity and reliability were good by comparing it with a typical smart band, smart watch, and smartphone available in the market. The combined PPG and the accelerometer sensors were compared with the gold standard, the pulse oximeter, and the treadmill. According to the results, there is no significant difference in the values obtained. Therefore, a mobile system is augmented with the wireless accelerometer and PPG that are connected to a smartphone. The system could be carried out with the user at any time and any place.
Collapse
Affiliation(s)
| | - Saedeh Abbaspour
- Department of Computer Engineering and IT, Faculty of Engineering, University of Qom, Iran
| |
Collapse
|
3
|
Daza EJ, Wac K, Oppezzo M. Effects of Sleep Deprivation on Blood Glucose, Food Cravings, and Affect in a Non-Diabetic: An N-of-1 Randomized Pilot Study. Healthcare (Basel) 2019; 8:E6. [PMID: 31881721 DOI: 10.3390/healthcare8010006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Revised: 12/12/2019] [Accepted: 12/23/2019] [Indexed: 12/29/2022] Open
Abstract
Sleep deprivation is a prevalent and rising health concern, one with known effects on blood glucose (BG) levels, mood, and calorie consumption. However, the mechanisms by which sleep deprivation affects calorie consumption (e.g., measured via self-reported types of craved food) are unclear, and may be highly idiographic (i.e., individual-specific). Single-case or “n-of-1” randomized trials (N1RT) are useful in exploring such effects by exposing each subject to both sleep deprivation and baseline conditions, thereby characterizing effects specific to that individual. We had two objectives: (1) To test and generate individual-specific N1RT hypotheses of the effects of sleep deprivation on next-day BG level, mood, and food cravings in two non-diabetic individuals; (2) To refine and guide a future n-of-1 study design for testing and generating such idiographic hypotheses for personalized management of sleep behavior in particular, and for chronic health conditions more broadly. We initially did not find evidence for idiographic effects of sleep deprivation, but better-refined post hoc findings indicate that sleep deprivation may have increased BG fluctuations, cravings, and negative emotions. We also introduce an application of mixed-effects models and pancit plots to assess idiographic effects over time.
Collapse
|
4
|
Abstract
Background The experience of scarcity provides an explanation for the relatively unhealthy diets of people with low income. Causal evidence for an effect of direct experiences of scarcity on eating behaviour is lacking. Methods Two studies (N = 81, N = 115) tested and refined a self‐developed trade‐off task, in which participants' resources were restricted (scarcity condition) or unrestricted (no‐scarcity condition), for manipulating experiences of scarcity. Two further studies (N = 95, N = 122) were performed to test whether scarcity results in greater calorie consumption from snacks and lower self‐reported self‐regulation of eating. Results The scarcity manipulation appeared successful. A significant main effect of scarcity on eating was not found; however, an interaction effect between hunger and scarcity bordered on significance, such that those in the scarcity condition consumed more calories under low hunger. In the second experiment, participants were instructed to eat prior to participation to lower their hunger level. No difference between conditions was found in calorie consumption and self‐regulation of eating. Conclusion Although the trade‐off task appeared to evoke scarcity experiences, the present research could not support the notion that these result in unhealthier eating. A more nuanced view of the influence of scarcity on eating is needed.
Collapse
Affiliation(s)
| | | | - Emely de Vet
- Wageningen University & Research, The Netherlands
| |
Collapse
|
5
|
Grundeis F, Brand C, Kumar S, Rullmann M, Mehnert J, Pleger B. Non-invasive Prefrontal/Frontal Brain Stimulation Is Not Effective in Modulating Food Reappraisal Abilities or Calorie Consumption in Obese Females. Front Neurosci 2017; 11:334. [PMID: 28676735 PMCID: PMC5476843 DOI: 10.3389/fnins.2017.00334] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Accepted: 05/29/2017] [Indexed: 01/28/2023] Open
Abstract
Background/Objectives: Previous studies suggest that non-invasive transcranial direct current stimulation (tDCS) applied to the prefrontal cortex modulates food choices and calorie intake in obese humans. Participants/Methods: In the present fully randomized, placebo-controlled, within-subject and double-blinded study, we applied single sessions of anodal, cathodal, and sham tDCS to the left dorsolateral prefrontal cortex (DLPFC) and contralateral frontal operculum in 25 hungry obese women and investigated possible influences on food reappraisal abilities as well as calorie intake. We hypothesized that tDCS, (i) improves the ability to regulate the desire for visually presented foods and, (ii) reduces their consumption. Results: We could not confirm an effect of anodal or cathodal tDCS, neither on the ability to modulate the desire for visually presented foods, nor on calorie consumption. Conclusions: The present findings do not support the notion of prefrontal/frontal tDCS as a promising treatment option for obesity.
Collapse
Affiliation(s)
- Felicitas Grundeis
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain SciencesLeipzig, Germany.,Collaborative Research Centre 1052 "Obesity Mechanisms", University Hospital LeipzigLeipzig, Germany
| | - Cristin Brand
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain SciencesLeipzig, Germany.,Collaborative Research Centre 1052 "Obesity Mechanisms", University Hospital LeipzigLeipzig, Germany
| | - Saurabh Kumar
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain SciencesLeipzig, Germany.,Collaborative Research Centre 1052 "Obesity Mechanisms", University Hospital LeipzigLeipzig, Germany
| | - Michael Rullmann
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain SciencesLeipzig, Germany.,Collaborative Research Centre 1052 "Obesity Mechanisms", University Hospital LeipzigLeipzig, Germany
| | - Jan Mehnert
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain SciencesLeipzig, Germany.,Collaborative Research Centre 1052 "Obesity Mechanisms", University Hospital LeipzigLeipzig, Germany.,Department of Systems Neuroscience, University Medical Center Hamburg-EppendorfHamburg, Germany
| | - Burkhard Pleger
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain SciencesLeipzig, Germany.,Collaborative Research Centre 1052 "Obesity Mechanisms", University Hospital LeipzigLeipzig, Germany.,Department of Neurology, BG University Clinic Bergmannsheil, Ruhr-University BochumBochum, Germany
| |
Collapse
|