Cited by 219Bariatric Surgery and OutcomesRegulation of Appetite and ObesityEating Disorders and Behaviors

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

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Schultes, Bernd, Ernst, Barbara, Wilms, Britta, Thurnheer, Martin, Hallschmid, Manfred·2010·The American Journal of Clinical Nutrition

DOI 10.3945/ajcn.2009.29007

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Abstract

Background Overeating as a pathogenetic hallmark of obesity may be promoted by an increase in hedonic hunger, ie, the drive to eat palatable foods in the absence of energy need. Gastric bypass surgery, which effectively reduces severe obesity, might also affect hedonic hunger.Objective The objective was to assess hedonic hunger in severely obese patients with and without a history of gastric bypass surgery.Design Severely obese patients who had not undergone gastric bypass surgery (n = 123), gastric bypass patients (n = 136), and nonobese control subjects (n = 110) were examined with the Power of Food Scale (PFS)--a questionnaire that reliably measures an individual's motivation to consume highly palatable foods.Results Compared with nonobese control subjects, severely obese patients achieved markedly higher aggregated PFS scores and subdomain scores related to generally available as well as physically present foods (all P < 0.001). On the aggregated score as well in those 2 subdomains, gastric bypass patients scored significantly lower than did non-gastric bypass obese patients (all P < 0.001) and did not differ significantly from the nonobese control group (P > 0.2). In contrast, in the PFS domain concerning food tasted, gastric bypass patients had significantly lower scores than did the nonobese control subjects (P = 0.04) and the severely obese patients (P = 0.008), both of whom did not differ significantly in this measure (P = 0.90).Conclusion In comparison with nonobese control subjects, severely obese patients display a marked increase in hedonic hunger that is not observed in patients who have undergone gastric bypass surgery, suggesting that the operation normalizes excessive appetite for palatable foods, which may be an important pathophysiologic feature of severe obesity.

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Authors: Schultes, B., Ernst, B., Wilms, B., Thurnheer, M., & Hallschmid, M.
Affiliations: Kantonsspital St. Gallen (CH)
Corresponding author: Schultes, Bernd
ORCID: Schultes, Bernd
Ernst, Barbara
Wilms, Britta
Hallschmid, Manfred
Venue: The American Journal of Clinical Nutrition
Publisher: Elsevier BV
Published: 2010-08
Volume: 92
Issue: 2
Pages: 277-283
ISSN: 0002-9165 (ISSN-L)
DOI: 10.3945/ajcn.2009.29007
OpenAlex: W2119245058
Cited by: 219
References: 38
Citations by year: 2026: 4 · 2025: 9 · 2024: 4 · 2023: 7 · 2022: 15 · 2021: 10 · 2020: 56 · 2019: 9 · 2018: 14 · 2017: 10 · 2016: 12 · 2015: 19 · 2014: 14 · 2013: 12 · 2012: 19
FWCI: 12.20
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 4586 d)
Locations: American Journal of Clinical Nutrition (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords: hedonic hunger, morbid obesity, gastric bypass, overeating, palatable food, appetite, Power of Food Scale, bariatric surgery outcomes
MeSH terms: Adult, Appetite Regulation, Female, Food Preferences, Humans, Hunger, Male, Middle Aged, Obesity, Morbid, Surveys and Questionnaires, Reference Values, Gastric Bypass, Taste Perception, Pleasure

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

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