Journal article
Source notes
Journal of Clinical Investigation · 2007
Bibliographic details
Source record
Gastrointestinal regulation of food intake
117(1). 13-23.
- Study type
- Mechanistic narrative review
- Review basis
- Full text reviewed
Feeling ready to stop a meal and staying satisfied until the next one are related but different experiences. Signals from the stomach, intestine, and pancreas help the brain regulate both. This paper explains how stomach stretching and nutrient-triggered hormones work together, rather than waiting for the stomach to reach its physical capacity. One example shows the limits of a short-term effect: although the hormone CCK reduced food intake acutely in humans, its appetite-reducing effect faded after 24 hours of continuous infusion. A signal that helps end a meal therefore does not automatically produce sustained weight loss.
The authors distinguish satiation, the processes that end eating, from satiety, the processes influencing the interval before eating again. Signals reflecting longer-term energy stores, including leptin and insulin, alter sensitivity to meal-related signals. This creates a responsive network rather than a single appetite switch. Experimental hormone administration can reveal a pathway, but its effects do not necessarily show how strongly that pathway operates during an ordinary meal.
How Does This Show Up in Real Life?
When a food is described as filling, ask what was actually measured. Did people stop the current meal sooner, report less hunger, wait longer to eat again, or consume less energy over a longer period? Those outcomes cannot be substituted for one another. The paper explains why reducing one meal can be followed by eating more often, and why stomach volume alone cannot describe appetite regulation. It also shows that the gut responds to the chemical contents of food as well as its physical presence. This provides background for understanding appetite research, not a recipe for manipulating a single hormone with a particular food. Claims about lasting weight change need measurements beyond one meal or one hormone response. The authors’ discussion of possible treatments reflects the research available at the time of publication.
The evidence includes animal experiments, cell studies, and human interventions with different doses and routes of hormone delivery. Some findings, particularly for PYY, were difficult to reproduce across laboratories. Long-term importance was uncertain for several signals. Short effects sometimes weakened with continuous exposure, while changes in meal frequency could offset smaller meals. These differences limit direct translation from isolated experiments to everyday eating.
This paper helps make appetite claims more precise. It is useful for understanding why a bodily sensation, a hormone measurement, and a change in body weight answer different questions. Its main contribution is the framework connecting those questions, with clear limits on what any single result establishes.
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