Interoceptive contributions to healthy eating and obesity

Simmons, W. Kyle; DeVille, Danielle C.

doi:10.1016/j.copsyc.2017.07.001

Cited by 82 publications

(60 citation statements)

References 79 publications

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“…In line with models linking interoception and positive alliesthesia (51), there was also a corresponding increase in hunger and 'wanting', but not 'liking' these food items.…”

Section: Discussionsupporting

confidence: 72%

“…In addition, the ventral striatuminsula connectivity was enhanced in those with insulin resistance (54). Such findings have been used to support models of positive alliesthesia (51); that is hypersensitivity to bodily signals (e.g. hunger) increases the incentive value of environmental food cues that restore homeostasis; an effect that may be accentuated in those with poorer glucose tolerance.…”

Section: Discussionmentioning

confidence: 75%

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Interoceptive Accuracy Moderates the Glycaemic, Autonomic and Subjective Response to a Glucose Load: A Test of the Predictive Coding Framework.

Young¹,

Benton²

2018

Preprint

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Recently, interoception and homeostasis have been described in terms of predictive coding and active inference. Afferent signals update prior predictions about the state of the body, and stimulate autonomic mediation of homeostasis. Performance on tests of interoceptive accuracy (IAc) may indicate an individual's ability to flexibly assign precision to interoceptive signals, thus determining the relative influence of ascending signals and prior beliefs. Accordingly, individuals with high IAc should be more able to counter-regulate during the post prandial period. Eighty females were randomly allocated to consume glucose, an artificially sweetened drink, water or no drink. Before, and thirty minutes after a drink, IAc, heart rate and blood glucose were measured, and participants rated their hunger thirst and mood. A higher IAc was related to lower blood glucose levels, a decline in anxiety, and a higher heart rate, after consuming glucose. A higher IAc also resulted in a larger decline in hunger if they consumed either glucose or sucralose. These data provide the first empirical verification of the role of active inference in interoception and homeostasis.In addition, the approach highlights the utility of indices of interoceptive accuracy as composite markers of phenotypic flexibility.

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“…In line with models linking interoception and positive alliesthesia (51), there was also a corresponding increase in hunger and 'wanting', but not 'liking' these food items.…”

Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 75%

Interoceptive Accuracy Moderates the Glycaemic, Autonomic and Subjective Response to a Glucose Load: A Test of the Predictive Coding Framework.

Young¹,

Benton²

2018

Preprint

View full text Add to dashboard Cite

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“…They have shown that DIF may foster the tendency to misinterpret the visceral sensations related to hunger and satiety, thus leading to maladaptive eating patterns (Ernst et al, ; Herbert, Herbert, & Pollatos, ; Jenkinson, Taylor, & Laws, ; Kano, Hamaguchi, Itoh, Yanai, & Fukudo, ; Nakao, Barsky, Kumano, & Kuboki, ; Scarpazza, Làdavas, & di Pellegrino, ). Recent neuroscientific findings suggest that obesity may be associated with hypersensitivity to interoceptive signals of hunger and insensitivity to interoceptive signals of satiety (Simmons & DeVille, ). Awareness of signals of somatic arousal may not help to control emotional responses but also contribute meaningfully to understand how somatic sensations are experienced as emotions.…”

Section: Discussionmentioning

confidence: 99%

Alexithymia and binge eating in obese outpatients who are starting a weight‐loss program: A structural equation analysis

Conti

Francesco

Lanzara

et al. 2019

Euro Eating Disorders Rev

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Objective To investigate whether obese patients with binge eating (BE) have higher alexithymic features; to explore the different relationships between psychological features (alexithymia, depression, and anxiety) and BE. Method Three hundred sixty one obese BE‐patients were evaluated for alexithymia, psychological distress, and BE. Alexithymia was measured with the 20‐item Toronto Alexithymia Scale (TAS‐20); BE was assessed with the BE Scale (BES), and depression and anxiety symptoms were evaluated with the Hospital Anxiety and Depression Scale (HADS). Results Patients with BE reported significantly higher TAS‐20 total scores than those without BE (p < .001). The SEM analysis showed that the difficulty in identifying feelings (DIF) and difficulty in describing feelings (DDF) components of alexithymia affected BE along different pathways. DIF was found as a major factor influencing altered eating both directly (p = .20*) and above all through the mediation of psychological distress (p = .19***), whereas DDF affected BE only through psychological distress at a lesser extent (p = .09**). Discussion Alexithymic difficulties in affective awareness may play an important role in the onset and maintenance of BE, especially when patients experienced anxiety and depression symptoms. Clinicians involved in the management of obesity should address the combination of alexithymic traits and emotional distress by planning effective client‐focused interventions.

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“…We therefore argue that subjective sensations relate to one's interoceptive state. "Interoception" is defined as our perception of internal bodily signals, e.g., hunger, pain, heat, satiety, muscular and visceral sensations [23][24][25][26]. It is furthermore suggested that interoception is the basis for subjective feelings, sensations and self-awareness, representing a subjective evaluation of "how I feel" [18,23].…”

Section: Introductionmentioning

confidence: 99%

Subjective Sensations related to Food as Determinants of Snack Choice

Duerlund

Andersen

Alexi

et al. 2020

Foods

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Comprehending the complexity and determinants of food choices can help understand facets of the growing obesity epidemic. Focusing on consumers’ subjective sensations as determinants of food choices can provide essential insights into eating behaviors. We explored subjective sensations linked to appetite, desire, wellbeing and energy. This study aims to 1) quantify subjective temporal sensations, and 2) study the effects of these sensations on snack choice. Two-hundred and fifty-three participants (mean age 20.5) evaluated subjective sensations using a visual analogue scale. The choice of one of six snacks was offered to the participants; choices were recorded as implicit choice measures. The results demonstrated that especially sensory specific desire sensations (Salty, Fatty, Sweet desire) affected, either positively or negatively, snack choice. Furthermore, wellbeing sensations (Overall, Mental, Physical wellbeing) also showed significant effects for snack choice. Health-conscious females chose healthy snacks, and males chose unhealthy snacks. Importantly, this research indicates the relevance of subjective sensations in consumer studies that focus on diverse determinants of food choice. Sensory specific desires and wellbeing sensations were notably shown to be important determinants of snack choice. The contribution of different sensations to food choice is imperative, and helps us to understand aspects of snacking behavior. This could have broader implications concerning public health issues and obesity.

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Interoceptive contributions to healthy eating and obesity

Cited by 82 publications

References 79 publications

Interoceptive Accuracy Moderates the Glycaemic, Autonomic and Subjective Response to a Glucose Load: A Test of the Predictive Coding Framework.

Interoceptive Accuracy Moderates the Glycaemic, Autonomic and Subjective Response to a Glucose Load: A Test of the Predictive Coding Framework.

Alexithymia and binge eating in obese outpatients who are starting a weight‐loss program: A structural equation analysis

Subjective Sensations related to Food as Determinants of Snack Choice

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