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Monday, November 13, 2017

Hunger, Appetite and the Biology of Digestion




A man worthy of the name should never be a slave of his appetites, but must discipline them so they do not hamper him in winning success in whatever field he is interested. But disciplining natural instinct, and denying them, are two different things. To my thinking, extreme asceticism is the moral refuge of the mediocre. One may go without love, or starve, thirst — I’ve done so – if necessity forces it. But only when it is forced. Once the condition of compelling abnormal abstinence is removed, it is not only natural but to be commended in a man to enjoy again the comforts and pleasures. -    Paul I Wellman


If the increase of wealth and refinement of modern times have tended to banish plague and pestilence from our cities, they have probably introduced the whole train of nervous disorders and increased frequency of corpulence (Wadd, 1816)

Psychology is a complex subject. Will Durant, renowned historian had aptly said that the last science that man has to study will be psychology. Much of the study of psychology
revolves around eating and mating.

Food intake to a large extent depends on the sensation of hunger and appetite. However, these are two different things. Hunger is the need for food whereas appetite is the desire for food. We can have an appetite without actually being hungry and hungry without an appetite. Hunger is based on the physical needs; appetite is influenced by our senses, culture, experience and other external factors. 

Our desire to eat is greatly influenced by advertisement and other visible market forces. Food is all around and its tentacles capture our senses and we easily yield to our temptations. Flavours and additives such as Monosodium Glutamate are widely used both in food industries and house holds. This increases our craving. As Albert Stunkard, Professor of Psychiatry, University of Pennsylvania and an expert in diet behaviour has said, ”Most of us have a greater problem not with starting to eat but with stopping”.

Disorders of hunger mechanism are most common in modern society. By default, normal humans and normal rats(of which we know much more) consume calories to maintain their weights in close limits. Studies have shown infants given a choice of variety of foodstuff at each meal than those whose meal has been prescribed by a dietician. This raises the question as to how we manage to regulate the amount of food we eat and what is the deal for us.

To regulate the amount, there must be an internal signal which initiates eating called hunger and another signal which terminates eating when we attain satiety. What these signals  are, why and how they operate is still not clearly understood.

Biology of Digestion
The biology of eating and hunger begins as an innate mechanism where the body itself regulates the signals of hunger and satiety. The digestive system in the body is responsible for the breakdown of complex food into nutrients which the blood can easily absorb. The process of digestion commences the moment the food enters the mouth and ceases when food  reaches the end of our alimentary tract, the rectum.

Regions in the mouth which contain the salivary enzymes are released when we chew our food. The mechanical action of chewing aided by the salivary juices breaks the complex food to simpler sugars. The food, now termed as bolus passes into the stomach by the peristaltic motion of the food pipe called esophagus.

In the stomach, the gastric juice – a mixture of acid and digestive enzymes – break the food structure much like the mixer used in our kitchens. Harmful bacteria are destroyed and the food begins to fall apart. The gooey mass is now ready to be pushed into the coiled small intestine where the pancreas pours out its enzymes. Much of the nutrients are absorbed into the blood and by the time the food reaches the end of the small intestine it is bombarded by 17 different enzymes. Ten of these break down protein, six work on carbohydrates and one helps to reduce fat into tiny droplets. All that remains is the waste material which is ready to be ejected. In the large intestine where the material passes, much of the water is absorbed making the waste a solid. They are eventually rejected from the rectum.
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