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Physiology & Behavior · 2020

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Ali Kohanmoo, Shiva Faghih, Masoumeh Akhlaghi

Effect of short- and long-term protein consumption on appetite and appetite-regulating gastrointestinal hormones, a systematic review and meta-analysis of randomized controlled trials

Elsevier BV. 226. 113123.

Study type
Systematic review and meta-analysis of randomized controlled trials
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Full text reviewed

Systematic review and meta-analysis of randomized controlled trials; accessible full text reviewed.

Protein may change how hungry you feel after eating, but the time frame matters. Researchers combined experiments in healthy adults comparing higher-protein meals or diets with alternatives containing the same calories. Across 28 short-term trials measuring hunger, the pooled estimate was a reduction of about 7 points on a 100-point scale. Across 23 trials measuring fullness, the increase was about 10 points. Measurements were usually taken around three hours after eating. Longer interventions, lasting three days to nine months, did not show clear improvements in appetite ratings.

These results support an immediate effect under controlled conditions, rather than proving that higher protein intake keeps appetite lower indefinitely. Some gut hormones also changed after meals, but hormone responses and feelings of hunger did not always move together. The longer-term findings remain uncertain: differences in measurement timing and study design could partly explain why they did not match the short-term results.

How Does This Show Up in Real Life?

When considering a higher-protein breakfast to feel satisfied through the morning, the relevant comparison is with another breakfast of similar calories. The experiments do not answer the same question as adding a protein drink on top of your usual meal. They also do not identify one best protein source: whey was studied much more often than most alternatives. A change in an appetite score describes how someone feels, not how much they actually eat later. In one experiment discussed, reduced hunger after breakfast was not enough to change lunchtime intake. This evidence can inform expectations about fullness after a meal, but it does not establish a guaranteed weight-loss strategy. Nor does it show that progressively larger protein servings will keep producing greater appetite benefits.

Results varied substantially between studies, and evidence was sparse for several protein sources and for people with overweight or obesity. There were also signs that some short-term results were affected by selective publication, although an adjustment left the conclusions unchanged. Continued intake and persistence after stopping are different questions; the analysis did not establish whether benefits remain once higher protein intake ends.

Why We Cite It

For Alpekin, the paper highlights a practical consideration for recording appetite alongside meals: when the rating is taken matters. A fasting measurement and a rating after breakfast may answer different questions. That distinction can inform how Alpekin interprets food and appetite records without treating every measurement as directly comparable.

Use this evidence to set a measured expectation, with room for individual variation. A benefit detected over a few hours may be useful, but its size and durability still matter. The unresolved longer-term findings call for better evidence before turning an immediate response into a lasting promise.

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