Digestive System Research Unit, University Hospital Vall d'Hebron, Barcelona, Spain.
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd), Barcelona, Spain.
Neurogastroenterol Motil. 2018 Feb;30(2). doi: 10.1111/nmo.13197. Epub 2017 Aug 24.
Ingestion of a meal induces homeostasis-related sensations (satiety/fullness) that have a hedonic dimension (satisfaction/mood). We have previously shown that a previous physiological intervention, a meal preload, influences the responses to a subsequent meal, specifically: it increases satiety/fullness and decreases satisfaction. We now wished to determine the differential effects of education on the homeostatic and hedonic postprandial experience.
Randomized, parallel study comparing the effect of real vs sham education on the responses to a probe meal. In two groups of healthy subjects (n = 14 each), homeostatic (satiety, fullness) and hedonic sensations (digestive well-being, mood) in response to a probe meal (250 mL soup, 25 g bread) were measured on 2 separate days before and after a single sensory-cognitive educational intervention (taste recognition test of supra- and sub-threshold tastands for real and sham education, respectively).
Before education, in both groups the probe meal induced homeostatic sensations (satiety, fullness) with a positive hedonic dimension (increased digestive well-being and mood). In contrast to sham education, real education enhanced both homeostatic and hedonic responses to the probe meal (P < .05 vs sham education for all).
Education modifies the subjects' receptiveness and influences the responses to a meal, not only the hedonic postprandial experience, but also homeostatic sensations. Since homeostatic and hedonic responses are dissociable, education might be tailored to target different conditions.
进食会引起与稳态相关的感觉(饱腹感/饱满感),具有愉悦维度(满足感/情绪)。我们之前已经表明,先前的生理干预,即餐前负荷,会影响对随后的餐食的反应,具体表现为:它会增加饱腹感/饱满感,降低满足感。我们现在希望确定教育对稳态和愉悦餐后体验的差异影响。
随机、平行研究比较了真实教育与假教育对探针餐反应的影响。在两组健康受试者(每组 14 人)中,在单次感官认知教育干预前后的 2 天内,分别测量了探针餐(250 毫升汤,25 克面包)引起的稳态(饱腹感、饱满感)和愉悦感觉(消化舒适度、情绪)。在真实和假教育中,分别进行了超阈值和亚阈值味觉品的味觉识别测试。
在教育之前,两组中的探针餐都引起了稳态感觉(饱腹感、饱满感),具有积极的愉悦维度(增加消化舒适度和情绪)。与假教育相比,真实教育增强了对探针餐的稳态和愉悦反应(与假教育相比,所有 P 值均<.05)。
教育改变了受试者的接受能力,并影响了对餐食的反应,不仅影响愉悦的餐后体验,还影响稳态感觉。由于稳态和愉悦反应是可分离的,教育可能可以针对不同的情况进行定制。