Key result
After consuming glucose, individuals with the highest levels of eating disinhibition had significantly higher blood glucose levels at 30 minutes (B = 0.192) and lower levels at 150 minutes compared to those with lower disinhibition.
Why the study?
Does the postprandial blood glucose and hunger response to glycemic load vary based on eating disinhibition and vagal tone?
RCT (n=66)
Double-blind
Computer generated random sequence
No
Does the postprandial blood glucose and hunger response to glycemic load vary based on eating disinhibition and vagal tone?
Effect estimate: B 0.192 (95% CI 0.086-0.297)
Disinhibited eating and reduced vagal tone are associated with greater blood glucose excursions following glucose consumption, suggesting a mechanism linking psychological eating behaviors to obesity and insulin resistance.
Disinhibited eating may alter postprandial glucose excursions; extends RCT evidence linking psychological traits to glycemic variability.
Reducing the glycemic load (GL) of the diet may benefit appetite control but its utility is complicated by psychological influences on eating. Disinhibited behaviour, a risk factor for overconsumption, is characterized by reduced prefrontal cortex activity, which in turn modulates vagal tone; a phenomenon associated with glucoregulation. This double blind randomised controlled trial explored for the first time the influence of disinhibited eating and vagal tone (heart rate variability (HRV)) on hunger and the postprandial response to GL. Blood glucose (BG) and hunger were measured 30 and 150 min after consumption of water, glucose or isomaltulose (low glycemic sugar). After consuming glucose, independently of BMI or habitual diet, those with the highest levels of disinhibition had higher BG levels after thirty minutes (B = 0.192, 95% CI LL. 086, UL 0.297), and lower BG after one hundred and fifty minutes (B = -0.240, 95% CI LL -0.348, UL -0.131). BG was related to hunger but only in low disinhibited eaters. Disinhibited eaters were characterised by a reduced HRV which was related to greater BG excursions (B = 0.407, 95% CI LL 0.044, UL 1.134). These findings highlight novel mechanisms by which disinhibited eating leads to obesity and insulin resistance. This trial was registered at clinicaltrials.gov NCT02827318.
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Young et al. (2016) conducted an RCT in Healthy (n=66). Glucose vs. Isomaltulose or Water was evaluated on Blood glucose levels after 30 minutes (interaction between glucose consumption and eating disinhibition) (B 0.192, 95% CI 0.086-0.297). After consuming glucose, individuals with the highest levels of eating disinhibition had significantly higher blood glucose levels at 30 minutes (B = 0.192) and lower levels at 150 minutes compared to those with lower disinhibition.
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