International Journal of Obesity
and related metabolic disorders


July 1997, Volume 21, Issue 7, Pages 608 – 613

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Paper
Effect of food palatability on early (cephalic) phase of diet-induced thermogenesis in nonobese and obese man

Philip J Hashkes1, Peter S Gartside2 & SH Blondheim1

1Metabolic Laboratory and Clinic, Hadassah-University Hospital, Ein Karem and Hebrew University-Hadassah Medical School, Jerusalem, Israel     2Dept. of Environmental Health, University of Cincinnati Medical Center, USA    

Correspondence: Prof SH Blondheim, Hadassah University Hospital, Kiryat Hadassah, POB 12000, Jerusalem, Israel



Keywords
diet-induced thermogenesis;   cephalic phase;   obesity;   palatability;   KCl taste threshold

Abstract

OBJECTIVE: To study the effect on the early (cephalic) phase of diet-induced thermogenesis (EDT) of palatable vs unpalatable food, in nonobese and obese man. SUBJECTS: Twenty-four nonobese volunteers and 19 obese clinic patients. DESIGN AND MEASUREMENTS: A palatable, liquid formula meal of Ensure (1048 KJ, 450 ml), and of Ensure made unpalatable by addition of aqueous KCl, were sipped on nonconsecutive mornings. O2 consumption (ml/min) was measured before, and starting 30, 60 and 90 min after beginning the test meal, from which EDT was calculated as KJ/min. RESULTS: Palatability of the test meal significantly increased EDT (palatability effect, P=0.004) but obesity status per se, did not affect EDT. Nevertheless, the effect of palatability on EDT was dependent on obesity status, being seen only in the nonobese. EDT was significantly greater in the nonobese after the palatable than the unpalatable meal: (mean±s.e.m.) 2.45±0.14 vs 1.83±0.14; P<0.0001, but not in the obese: 1.93±0.28 vs 1.73±0.20; P<0.21. Therefore only after the palatable meal was EDT less in the obese compared with the nonobese: P<0.05. The threshold for the unpleasant taste of added KCl was 31% higher in the obese than the nonobese: 4.2±0.4 vs 3.2±0.2 [g KCl]; P<0.025. CONCLUSIONS: The early (cephalic) phase of dietary thermogenesis (EDT) is significantly increased in the nonobese by palatability, but not in the obese, so that only after a palatable meal is EDT less, or ‘deficient,’ in the obese compared with the nonobese. Also, the obese have a higher threshold for the unpleasant taste of KCl (in Ensure) than the nonobese.

Received 25 July 1996; Revised 6 January/21 March 1997; Accepted 24 March 1997

© Macmillan Publishers Ltd 1997