The Effect of Alcohol on Food Reward

Henk FJ Hendriks

Status: Completed

Conditions: Obesity; Body Weight

Treatments: Other: butter cake consumption; Other: maltodextrin; Other: Orange juice; Other: butter cake MSF; Other: Vodka

Study type: Interventional

Funder types: Other

Identifiers

NCT01738906

P9532

Details and patient eligibility

About

Rationale

It has been shown in several studies that alcohol increases subsequent food intake. However, moderate alcohol consumption has no clear effects on hunger and satiety hormones. In the Western world, where palatable food is highly available, food reward may play an important role in food intake. Alcohol consumption is known to stimulate neurotransmitters important for food reward and may therefore stimulate the reward response on a subsequent meal. This may lead to higher food consumption than when no alcohol is consumed. It is hypothesized that the reward response of food or beverages can already be generated when food or beverages are sensed in the mouth, because oral nutrient sensing is known to induce a satiety response (i.e. the cephalic phase response). Moreover, taste buds directly signal brain areas closely connected to the reward areas in the brain.

Primary objective

• To determine whether moderate alcohol consumption influences subsequent food reward, as measured by questionnaires on food 'wanting' and food 'liking', and salivary and blood parameters related to reward.

Secondary objectives

• To determine whether food reward is different when food is consumed than when food is sensed in the mouth, as measured by questionnaires on food 'wanting' and food 'liking', and salivary and blood parameters related to food reward.
• To determine whether moderate alcohol consumption influences subsequent food reward differently when food is consumed than when food is sensed in the mouth, as measured by questionnaires on food 'wanting' and food 'liking', and salivary and blood parameters related to food reward.

Enrollment: 24 patients

Sex: Male

Ages: 25 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Caucasian men;
• Age 25-50 years on the day of the screening;
• Body Mass Index (BMI) of 20-25 kg/m2;
• Body weight of 60-100 kg;
• Able to read, write and fully understand the Dutch language, and
• Able to participate int he sudy, willing to give written informed consent and to comply with the study procedures and restrictions.

Exclusion criteria

• Above average score (>2.26) on the restrained scale of the Dutch Eating Behaviour Questionnaire;
• Alcohol consumption <6 and >20 standard glasses/week;
• Not having regular and normal Dutch eating habits;
• Not having a normal day/night rhythm;
• Smoking, or stopped with smoking <3 months prior to start of the study;
• Using drugs, or stopped using drugs <3 months prior to start of the study;
• Having a (family) history of alcohol or drug related problems;
• Reported slimming or being on a medically described diet;
• Having a vegan, vegetarian or macrobiotic lifestyle;
• Loss of blood outside the limits of Sanquin within 3 months prior to screening;
• Participation in a clinical trial within 3 months prior to the start of this study or more than 4 times a year;
• Having a food allergy, sensitivity or disliking one of the foods used in the study;
• Reported unexplained weight loss or gain of >4 kg in the month prior to the screening;
• Inappropriate veins for cannula insertion;
• Not having a general practitioner or health insurance;
• Having a history of medical or surgical events or disease that may significantly affect the study outcome, particularly physiological disorders, metabolic or endocrine disease and gastrointestinal disorders; and/or
• Any condition which, in the opinion of the investigator, might create undue risk to the subject or interfere with the subject's ability to comply with the protocol.

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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24 participants in 6 patient groups

Alcohol placebo and MSF

Experimental group

Description:

175 mL orange juice with 31 g Fantomalt maltodextrin and modified sham feeding of 40 g butter cake

Treatment:

Other: butter cake MSF

Other: maltodextrin

Other: Orange juice

Alcohol and MSF

Experimental group

Description:

65 mL vodka with 135 mL orange juice (ca 20 g alcohol)and modified sham feeding of 40 g butter cake

Treatment:

Other: Vodka

Other: butter cake MSF

Other: Orange juice

Alcohol placebo and consumption

Experimental group

Description:

175 mL orange juice with 31 g maltodextrin and consumption of 40 g butter cake

Treatment:

Other: butter cake consumption

Other: maltodextrin

Other: Orange juice

Alcohol and consumption

Experimental group

Description:

65 mL vodka with 135 mL orange juice and consumption of 40 g butter cake

Treatment:

Other: Vodka

Other: butter cake consumption

Other: Orange juice

Alcohol placebo and control

Experimental group

Description:

175 mL orange juice with 31 g maltodextrin and no oral exposure to butter cake

Treatment:

Other: maltodextrin

Other: Orange juice

Alcohol and control

Experimental group

Description:

65 mL vodka with 135 mL orange juice and no oral exposure to butter cake

Treatment:

Other: Vodka

Other: Orange juice