Abstract
In this review, we describe the training of the passage from scheduled to demanded meals in infants and adults. Reduction in energy intake was obtained by subjectively abolishing conditioned meals and by administering food only after demand by the infant or after hunger perception by the adult (Initial Hunger Meal Pattern; IHMP). Conditioned meals were those scheduled and/or presented to the infant as well to the adult by sight, smell, mentioning, gesturing, or simply at a fixed mealtime. In contrast IHMP training consisted of meal suspension and of feeding after the first infant’s demand or after an adult’s self-noticing arousal of hunger. IHMP was checked by measuring blood glucose (MBG) and was associated with significant decreases in diary-reported energy-intake, preprandial blood glucose, glycated hemoglobin, body weight, insulin AUC in glucose tolerance tests and in days with diarrhea as compared to randomized control subjects who maintained conditioned meals. There were metabolic differences between those who received conditioned and demanded (IHMP) meals. Subjects adapted themselves to IHMP training easily. We explain characteristics like hunger equivalents, adjustments of energy intake to energy expenditure, blood glucose measurements, and characteristics that emerge in IHMP in contrast with scheduled meals. We also review previous studies in which the meals upon demand have been used. Other areas mentioned in this review include coverage on portable glucose monitoring, standard measurements of blood glucose, training protocols to remove conditioned meals and implement IHMP, the features of Initial Hunger, and other aspects of metabolic control that interlink hunger, meal feeding, blood glucose, and energy balance.
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Abbreviations
- AUC:
-
Area under curve of GTT
- BG:
-
Blood glucose, an index of energy availability in blood for the whole body
- BMI:
-
Body mass index = body weight in kg divided by squared height in meters
- GTT:
-
Oral glucose tolerance test
- IH:
-
Initial hunger
- IHMP:
-
Initial hunger meal pattern
- MBG:
-
Mean preprandial blood glucose
- RMR:
-
Resting metabolic rate
- TEE:
-
Daily total energy expenditure
References
Brandtzaeg P, Halstensen TS, Kett K et al (1989) Immunobiology and immunopathology of human gut mucosa: humoral immunity and intreaepithelial lymphocytes. Gastroenterology 97:1562–1584
Campfield LA, Smith FJ (2003) Blood glucose dynamics and control of meal initiation: a pattern detection and recognition theory. Physiol Rev 83:25–58 https://doi.org/10.1152/physrev.00019.2002
Caudwell P, Finlayson G, Gibbons C et al (2013) Resting metabolic rate is associated with hunger, self-determined meal size, and daily energy intake and may represent a marker for appetite. Am J Clin Nutr 97:7–14
Ciampolini M (1974) Influence of environmental temperature on intestinal absorption xylose in rats in vivo. IRCS 2:1545
Ciampolini M (1976) Influence of environmental temperature on xylose absorption in man. IRCS Med Sci 4:208
Ciampolini M, Vicarelli D, Seminara S (1990) Normal energy intake range in children with chronic non-specific diarrhea. association of relapses with the higher level. J Pediatr Gastroenter Nutr 11:342–350
Ciampolini M, Brenna JT, Giannellini V et al (2013a) Interruption of scheduled, automatic feeding and reduction of excess energy intake in toddlers. Intern J General Med 6:39–47. https://doi.org/10.2147/IJGM.S39946
Ciampolini M, Bini S, Orsi A (1996) Microflora persistence on duodeno-jejunal flat or normal mucosa in time after a meal in children. Physiol Behav 60:1551–1556
Ciampolini M, Borselli L, Giannellini V (2000) Attention to metabolic hunger and its effects on helicobacter pylori infection. Physiol Behav 70:287–296 https://doi.org/10.1016/s0031-9384(00)00273-0
Ciampolini M, Bianchi R (2006) Training to estimate blood glucose and to form associations with initial hunger. Nutr Metab (Lond) 3:42. http://www.nutritionandmetabolism.com/content/3/1/42
Ciampolini M, Sifone M (2011) Differences in maintenance of mean blood glucose (BG) and their association with response to “recognizing hunger”. Intern J Gen Med 4:403–412
Ciampolini M, Lovell-Smith D, Sifone M (2010) Sustained self-regulation of energy intake. Loss of weight in overweight subjects. Maintenance of weight in normal-weight subjects. Nutr Metab (Lond) 7:1–4. http://www.nutritionandmetabolism.com/content/7/1/4
Ciampolini M (2012) Requested meals versus scheduled meals. Intern J General Med 5:345–343. https://doi.org/10.2147/IJGM.S29889, https://doi.org/10.1186/1743-7075-3-42, https://youtu.be/EXIhi-ck66Q
Ciampolini M (2013) Interruption of automatic feeding, of fattening and associated immune deficiency. Recent Res Devel Nutrition 9: isbn: 978-81-308-0519-1 http://www.ressign.com/UserBookDetail.aspx?bkid=1337&catid=291
Ciampolini M, Bianchi R, Sifone M (2014) “Initial hunger” for all? A study on undernourished infants. J Pediatrics Neonat Care 1. https://doi.org/10.15406/jpnc.2014.01.00008
Ciampolini M, Giannellini V, Butte N (2001) Recognition of depletion manifestations (bearable hunger) in infants by trained caregivers and lower fecal energy loss (abstract). SSIB annual meeting, Philadelphia
Ciampolini M, Lovell-Smith HD, Kenealy T, Bianchi R (2013b) Hunger can be taught: IHMP regulates eating and improves energy balance (review). Intern J Gen Med 6:465–478
Ciampolini M, Lovell Smith D (2014) Recognizing hunger. Self-regulation of food intake and energy balance. A handbook. Lambert Academic Publishing, Saarbrücken; page 43
Ciampolini M, Borselli L (2016) Food offer, chronic diarrhea and preparedness to alimentary diabetes from the second year of life onwards. J Food Res 5:1. https://doi.org/10.5539/jfr; ISSN 1927-0887 E-ISSN 1927-0895 https://youtu.be/EXIhi-ck66Q
de Ridder D, Kroese F, Adriaanse M et al (2014) Always gamble on an empty stomach: hunger is associated with advantageous decision making. PLoS One; J Pediatrics 9:330–335
Fisher JO, Birch LL (2002) Eating in the absence of hunger and overweight in girls from 5 to 7 y of age. Am J Clin Nutr 76:226–231
Herbert B (2014) Dieting vs. adaptive eating: psychophysiological mechanisms of interoception and its relevance for intuitive eating. Appetite 83:343
Jospe MR, Brown RC, Roy M (2015) Adherence to hunger training using blood glucose monitoring: a feasibility study. Nutr Metab 12:22
Melanson KJ, Westerterp-Plantenga MS, Campfield LA et al (1999) Blood glucose and meal patterns in time-blinded males, after aspartame, carbohydrate, and fat consumption, in relation to sweetness perception. Br J Nutr 82:437–446
Mowat AMI (1987) The cellular basis of gastrointestinal immunity, chapter 3. In: Marsh MN (ed) Immunopathology of the small intestine. Wiley J and Sons, Chichester; Page 44
Reaven GM (2006) The metabolic syndrome: is this diagnosis necessary? Am J Clin Nutr 83(6):1237–47
Van der Waaij LA, Limburg PC, Mesander G et al (1996) In vivo IgA coating of anaerobic bacteria in human feces. Gut 38:348–354 http://www.biomedcentral.com/licensing
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Ciampolini, M. (2019). Initial Hunger, a Subjective, Reproducible Limit in Intake Associated with Low Blood Glucose: A Training for Malnourished Infants and Overweight Adults. In: Preedy, V., Patel, V. (eds) Handbook of Famine, Starvation, and Nutrient Deprivation. Springer, Cham. https://doi.org/10.1007/978-3-319-55387-0_125
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DOI: https://doi.org/10.1007/978-3-319-55387-0_125
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