Appetite Lexicon Training

Appetitive Behavior Clinical Trial

Official title:

Appetite Lexicon Training

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04576585
• Other study ID #: 2020-214
• Status: Completed
• Phase: N/A
• Start date: August 25, 2020
• Est. completion date: December 30, 2022

Study information

• Verified date: May 2024
• Source: Purdue University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

A fundamental limitation to the application of appetitive sensations is how they are measured. The most common approach relies on untrained individuals to self-report the sensations they experience under a given set of conditions. Investigators believe this is problematic because assumptions made about participant ratings are likely not valid. The proposed protocol will permit examination of whether training on appetite lexicon enhances the reliability of appetite ratings. Investigators also hypothesize that different preloads will induce different magnitudes of appetite sensations (hunger, fullness, desire to eat, and prospective consumption) depending on their energy density.

Description:

A fundamental limitation to the application of appetitive sensations is how they are measured. The most common approach relies on untrained individuals to self-report the sensations they experience under a given set of conditions. Investigators believe this is problematic because assumptions made about participant ratings are likely not valid. Most commonly, participants are asked to rate their hunger, desire to eat, fullness, and prospective consumption. For example, researchers have demonstrated that hunger and fullness stem from different physiological processes (e.g., different gut-peptides and neurotransmitters) and serve different purposes (eating initiation (hunger), meal termination (fullness)) and, accordingly, expect participants to rate the two sensations independently. However, participants treat them as opposite poles on a common continuum. Additionally, in focus group analysis, consumers often use researcher-defined distinct terms interchangeably (hunger=desire to eat; fullness =lack of desire to eat). However, the distinction between these sensations is clinically important. Hunger and fullness do not always change reciprocally and equally in clinical conditions. Hunger can change without a shift in fullness, and the reverse has also been reported. Investigators believe reporting sensitivity, selectivity, and reliability can be improved by training participants on the terminology of appetitive sensations prior to testing, just as any bench researcher would calibrate their instruments before measurements. The proposed protocol will permit examination of whether training on appetite lexicon enhances the reliability of appetite ratings. Investigators also hypothesize that different preloads will induce different magnitudes of appetite sensations (hunger, fullness, desire to eat, and prospective consumption) depending on their energy density.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 29
• Est. completion date: December 30, 2022
• Est. primary completion date: August 30, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

1. BMI 18-25 kg/m2.

2. Age 18-60 years.

3. Body weight fluctuation of <2.5kg in the past 3 months.

4. Fasting blood glucose below 6.1mmol/1 via capillary finger-stick blood sample using a SureStep glucometer (Lifescan, Milpitas, CA).

5. Regular eating pattern (i.e., reliable timing of eating events (±1 hour at least 5 days/wk - absolute pattern is less important than consistency.))

6. Willing to eat all test foods. Exclusion

Exclusion Criteria:

1. Having an acute disease.

2. Planning to initiate or terminate the use of medication known to affect appetite.

3. Diagnosed relevant chronic health conditions (e.g. diabetes, cardiovascular disease).

4. Allergies to eggs, peanuts, gluten, dairy, and carrots.

5. Age 61+ years

Related Conditions & MeSH terms

• Appetitive Behavior

Intervention

Behavioral:
• Lexicon training
Participants will receive training on the lexicon of appetite on up to 3 days during the training week. This will entail reading written definitions, watching an instructional video, eating exercises and completing training exams demonstrating they understand the distinctions between appetitive terms (hunger, desire to eat, fullness, and prospective consumption). The training will require about 30 minutes to complete. To ensure the success of training, participants must verbally describe the definitions of the outcome sensations to a member of the research team and complete a written quiz with at least 90 % correct responses. Failure to satisfactorily convey understanding of the concepts will result in an offer to repeat the training 2 more times or be rejected from the study.

Locations

Country	Name	City	State
United States	Purdue Univeristy	West Lafayette	Indiana

Sponsors (1)

Lead Sponsor	Collaborator
Purdue University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	specificity of responses	to measure if training in appetite descriptors leads to more specific responses in the appetite questionnaire.	start of study, day 1
Primary	specificity of responses	to measure if training in appetite descriptors leads to more specific responses in the appetite questionnaire.	study completion, 9 weeks
Primary	test reliability	measure if training in appetite descriptors will result in higher reliability in the appetite questionnaire.	start of study, day 1
Primary	test reliability	measure if training in appetite descriptors will result in higher reliability in the appetite questionnaire.	study completion, 9 weeks