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Appetite control: hormones or diet strategies?

Current opinion in clinical nutrition and metabolic care
September 1, 2020
Rachel H Freire et al. (2 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tReviewHuman Study
Study Details

Study Goal

The researchers aimed to summarize recent advances in hormonal and nutritional strategies for appetite control, including the role of appetite-control hormones in the efficacy of bariatric procedures.

Results Summary

The study highlights that appetite-control hormones play a role in the efficacy of bariatric procedures, suggesting these procedures may help regulate energy intake. However, long-term safety and physiological mechanisms of some nutritional strategies remain unclear.

Population

Not specified (general discussion of appetite control mechanisms and bariatric surgery)

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (14)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Leptin
neutral
appetite
-
-
represent the main appetite controllers
#1
Insulin
neutral
appetite
-
-
represent the main appetite controllers
#2
Ghrelin
neutral
appetite
-
-
represent the main appetite controllers
#3
Peptide YY (PYY)
neutral
appetite
-
-
represent the main appetite controllers
#4
Other gut-derived peptides
neutral
appetite
-
-
represent the main appetite controllers
#5
Orexins
neutral
appetite control
-
-
role has been uncovered recently
#6
Obestatin
neutral
appetite control
-
-
role has been uncovered recently
#7
Liver-expressed antimicrobial peptide 2
neutral
appetite control
-
-
role has been uncovered recently
#8
Glucagon-like peptide 1 (GLP1) receptor agonists
decrease
appetite
-
-
are well known agents controlling
#9
Association of GLP1 receptor agonist, PYY, or glucose-dependent insulinotropic polypeptide agonists
neutral
appetite control
-
-
have been tested as new approaches
#10
Appetite-control hormones
neutral
bariatric procedures
-
-
have also risen as factors involved in the efficacy of
#11
High-protein diet
decrease
appetite
-
-
have been described as nutritional strategies to reduce
#12
Ketogenic diet
decrease
appetite
-
-
have been described as nutritional strategies to reduce
#13
Intermittent fasting
decrease
appetite
-
-
have been described as nutritional strategies to reduce
#14
Abstract

PURPOSE OF REVIEW: Appetite control results from metabolic, behavioral, and environmental factors that influence hunger and the desire to eat. We summarize the latest advances in the hormonal and nutritional strategies to control appetite and reduce hunger. RECENT FINDINGS: The fed-hunger-state is regulated by central and peripheric hormones, which modulate energy balance. Leptin, insulin, ghrelin, peptide YY (PYY), and other gut-derived peptides represent the main appetite controllers. The role of orexins, obestatin, and liver-expressed antimicrobial peptide 2 has been uncovered recently. New insights have demonstrated the role of hippocampal activity as a possible mechanism of action. Glucagon-like peptide 1 (GLP1) receptor agonists are well known agents controlling appetite. Association of GLP1 receptor agonist, PYY, or glucose-dependent insulinotropic polypeptide agonists have been tested as new approaches. Appetite-control hormones have also risen as factors involved in the efficacy of bariatric procedures. High-protein, ketogenic diet, and intermittent fasting have been described as nutritional strategies to reduce appetite, although the physiological mechanism and long-term safety remains unclear. SUMMARY: Appetite control has been an important target for the treatment of obesity and associated disorders. New studies have demonstrated promising adoption of dietary approaches, hormone-based drugs, and bariatric surgery to control energy intake. Further research will establish a significant association, benefits, and safety of these new therapies.

Medical Subject Headings (MeSH)
Appetite RegulationDiet, High-ProteinDiet, KetogenicEnergy MetabolismFastingGastrointestinal HormonesHippocampusHumansHunger
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations18
Citations/Year3.6
Relative Citation Ratio1.39
NIH Percentile62.5%
Research Impact Scores
APT Score0.75
Weight Score2.41
Normalized Score0.66
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