Pudel V E, Oetting M
Int J Obes. 1977;1(4):369-86.
A survey is made of a number of experiments conducted in our laboratory over the last six years. Our working hypothesis assumes that positive energy balance, which should not be prematurely defined as the cause of obesity, is itself caused by disturbances in appetite and satiation control which, given certain environmental conditions, can favour the occurrence of obesity. Three points are considered: (1) The hyperphagic reaction as a response to stress. The experimental findings suggest that the hyperphagic reaction is not primarily a biologically determined phenomenon but rather a learned response. The hyperphagic reaction is found more frequently in female and overweight persons. Most children react to stress with a decrease in food consumption. (2) Disturbances of satiation control. The food intake of obese Ss has a linear time function, whilst children and normal weight adults reveal a biological, negatively accelerated satiation curve. (3) Increased responsiveness to external cues. The concept of externality is extended to include the aspect of an internal-external stimulus discrepancy. The findings show that not only manifest obese Ss but also latent obese Ss are characterized by an increased responsiveness to external cues. In three different experiments with the same Ss it could be demonstrated that externality is to a greater or lesser extent independent of the experimental procedure. Finally, methodological aspects are discussed, because in studies on human appetite the possibility exists that experimental procedure, sample composition and laboratory conditions can exert a direct influence on the results.
对过去六年在我们实验室进行的一系列实验进行了调查。我们的工作假设是,正能量平衡本身是由食欲和饱腹感控制的紊乱引起的,在某些环境条件下,这种平衡可能导致肥胖,而不应过早地将其定义为肥胖的原因。我们考虑了三点:(1)作为对应激反应的食欲亢进。实验结果表明,食欲亢进反应主要不是一种生物学决定的现象,而是一种习得反应。食欲亢进反应在女性和超重者中更常见。大多数儿童对应激的反应是食物摄入量减少。(2)饱腹感控制的紊乱。肥胖受试者的食物摄入量具有线性时间函数,而儿童和正常体重的成年人则呈现出生物学上的、负加速的饱腹感曲线。(3)对外界线索反应性增加。外部性的概念被扩展到包括内部-外部刺激差异的方面。研究结果表明,不仅明显肥胖的受试者,而且潜在肥胖的受试者都具有对外界线索反应性增加的特征。在对同一受试者进行的三个不同实验中,可以证明外部性在某种程度上或多或少独立于实验程序。最后,讨论了方法学方面的问题,因为在关于人类食欲的研究中,实验程序、样本组成和实验室条件可能对结果产生直接影响。