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Alcohol, Appetite and Loss of Restraint

  • Psychological Issues (M Hetherington and V Drapeau, Section Editors)
  • Published:
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Abstract

Alcoholic beverages have long been associated with feasts, celebration and marking special events. Today, it is commonplace to consume alcoholic beverages before, with and/or after a meal. Alcohol provides additional pleasure to the meal and enhances appetite. However, consuming an alcoholic beverage with or before a meal is associated with poor short-term energy compensation; energy from alcohol is additive to total energy intake with the added property of stimulating further eating. Limiting alcohol intake is an obvious means to reduce total energy intake for those who wish to lose weight. However, dieters and restrained eaters drink more and report greater binge drinking than unrestrained eaters despite employing cognitive strategies to reduce their intake. Increased intake may be attributable to greater attentional bias to alcohol related cues as well as to food cues, since these are more salient to those limiting intake. Alcohol increases energy intake in dieters, in part due to abandonment of restraint (disinhibition) and consumption of forbidden items including alcohol exacerbates attempts to resist temptation. Paradoxically, links between binge drinking or increased drinking frequency to overweight and obesity may be mediated by dietary restraint. Efforts to limit food and alcohol intake for weight control appear to be unsuccessful and have the net effect of promoting overconsumption. The potential role of restrained eating in the association between alcohol, appetite and obesity has been overlooked by much of the current research and further investigation of this is therefore warranted.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Bowie AM. Thinking with drinking: wine and the symposium in Aristophanes. J Hell Stud. 1997;117:1–21.

    Article  CAS  PubMed  Google Scholar 

  2. Marinelli N, Fabbrizzi S, Alampi Sottini V, Sacchelli S, Bernetti I, Menghini S. Generation Y, wine and alcohol. A semantic differential approach to consumption analysis in Tuscany. Appetite. 2014;75:117–27.

    Article  PubMed  Google Scholar 

  3. Bauer UE, Briss PA, Goodman RA, Bowman BA. Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA. Lancet. 2014;384(9937):45–52.

    Article  PubMed  Google Scholar 

  4. Travery G, Chaput J-P (this issue). Alcohol consumption and obesity: an update. Curr Obes Rep

  5. Polivy J, Herman CP. Effects of alcohol on eating behavior: influence of mood and perceived intoxication. J Abnorm Psychol. 1976;85(6):601–6.

    Article  CAS  PubMed  Google Scholar 

  6. Tremblay A, St-Pierre S. The hyperphagic effect of a high-fat diet and alcohol intake persists after control for energy density. Am J Clin Nutr. 1996;63(4):479–82.

    CAS  PubMed  Google Scholar 

  7. Westerterp-Plantenga MS, Verwegen CR. The appetizing effect of an aperitif in overweight and normal-weight humans. Am J Clin Nutr. 1999;69(2):205–12.

    CAS  PubMed  Google Scholar 

  8. Hetherington MM, Cameron F, Wallis DJ, et al. Stimulation of appetite by alcohol. Physiol Behav. 2001;74(3):283–9.

    Article  CAS  PubMed  Google Scholar 

  9. Buemann B, Toubro S, Astrup A. The effect of wine or beer versus a carbonated soft drink, served at a meal, on ad libitum energy intake. Int J Obes. 2002;26:1367–72.

    Article  CAS  Google Scholar 

  10. Caton SJ, Marks JE, Hetherington MM. Pleasure and alcohol: manipulating pleasantness and the acute effects of alcohol on food intake. Physiol Behav. 2005;84(3):371–7.

    Article  CAS  PubMed  Google Scholar 

  11. Caton SJ, Bate L, Hetherington MM. Acute effects of an alcoholic drink on food intake: aperitif versus co-ingestion. Physiol Behav. 2007;90(2):368–75.

    Article  CAS  PubMed  Google Scholar 

  12. Tremblay A, Wouters E, Wenker M, et al. Alcohol and a high-fat diet: a combination favoring overfeeding. Am J Clin Nutr. 1995;62(3):639–44.

    CAS  PubMed  Google Scholar 

  13. Foltin RW, Kelly TH, Fischman MW. Ethanol as an energy source in humans: comparison with dextrose-containing beverages. Appetite. 1993;20(2):95–110.

    Article  CAS  PubMed  Google Scholar 

  14. Mattes RD. Dietary compensation by humans for supplemental energy provided as ethanol or carbohydrate in fluids. Physiol Behav. 1996;59(1):179–87.

    Article  CAS  PubMed  Google Scholar 

  15. Ouwens MA, van Strien T, van der Staak CPF. Absence of a disinhibition effect of alcohol on food consumption. Eat Behav. 2003;4(4):323–32.

    Article  PubMed  Google Scholar 

  16. Poppitt SD, Eckhardt JW, McGonagle J, et al. Short-term effects of alcohol consumption on appetite and energy intake. Physiol Behav. 1996;60(4):1063–70.

    Article  CAS  PubMed  Google Scholar 

  17. Poppitt SD, McCormack D, Buffenstein R. Short-term effects of macronutrient preloads on appetite and energy intake in lean women. Physiol Behav. 1998;64(3):279–85.

    Article  CAS  PubMed  Google Scholar 

  18. Raben A, Agerholm-Larsen L, Flint A, et al. Meals with similar energy densities but rich in protein, fat, carbohydrate, or alcohol have different effects on energy expenditure and substrate metabolism but not on appetite and energy intake. Am J Clin Nutr. 2003;77:91–100.

    CAS  PubMed  Google Scholar 

  19. Yeomans MR, Hails NJ, Nesic JS. Alcohol and the appetizer effect. Behav Pharmacol. 1999;10(2):151–61.

    Article  CAS  PubMed  Google Scholar 

  20. Yeomans MR, Phillips MF. Failure to reduce short-term appetite following alcohol is independent of beliefs about the presence of alcohol. Nutr Neurosci. 2002;5(2):131–9.

    Article  CAS  PubMed  Google Scholar 

  21. Yeomans MR. Short term effects of alcohol on appetite in humans. Effects of context and restrained eating. Appetite. 2010;55(3):565–73.

    Article  CAS  PubMed  Google Scholar 

  22. Caton SJ, Ball M, Ahern A, et al. Dose dependent effects of alcohol on appetite and food intake. Physiol Behav. 2004;81(1):51–8.

    Article  CAS  PubMed  Google Scholar 

  23. Herman CP, Polivy J. The self-regulation of eating: theoretical and practical problems. In: Baumeister RF, Vohs KD, editors. Handbook of self-regulation: research, theory, and applications. New York: Guilford Press; 2004. p. 492–508.

    Google Scholar 

  24. Polivy J, Herman PH, Howard KI. Restraint scale: assessment of dieting. In: Hersen M, Bellack AS, editors. Dictionary of behavioral assessment techniques. Elmsford: Pergamon Press; 1988. p. 377–80.

    Google Scholar 

  25. Stunkard AJ, Messick S. The Three-Factor Eating Questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985;29:71–83.

    Article  CAS  PubMed  Google Scholar 

  26. van Strein T, Frijters JER, Bergers GPA, et al. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int J Eat Disord. 1986;5(2):295–315.

    Article  Google Scholar 

  27. Lavik NJ, Clausen SE, Pedersen W. Eating behaviour, drug use, psychopathology, and parental bonding in adolescents in Norway. Acta Psychiatr Scand. 1991;84(4):387–90.

    Article  CAS  PubMed  Google Scholar 

  28. French SA, Story M, Downes B, et al. Frequent dieting among adolescents: psychosocial and health behavior correlates. Am J Public Health. 1995;85(5):695–701.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  29. Krahn D, Kurth C, Demitrack M, et al. The relationship between dieting severity and bulimic behaviors to alcohol and other drug use in young women. J Subst Abuse. 1992;4(4):341–53.

    Article  CAS  PubMed  Google Scholar 

  30. Krahn DD, Kurth CL, Gomberg E, et al. Pathological dieting and alcohol use in college women – a continuum of behaviors. Eat Behav. 2005;6(1):43–52.

    Article  PubMed  Google Scholar 

  31. French SA, Perry CL, Leon GR, et al. Changes in psychological variables and health behaviors by dieting status over a three-year period in a cohort of adolescent females. J Adolesc Health. 1995;16(6):438–47.

    Article  CAS  PubMed  Google Scholar 

  32. Stewart SH, Angelopoulos M, Baker JM, et al. Relations between dietary restraint and patterns of alcohol use in young adult women. Psychol Addict Behav. 2000;14(1):77–82.

    Article  CAS  PubMed  Google Scholar 

  33. Lindroos A-K, Lissner L, Mathiassen ME, et al. Dietary intake in relation to restrained eating, disinhibition, and hunger in obese and nonobese Swedish women. Obes Res. 1997;5(3):175–82.

    Article  CAS  PubMed  Google Scholar 

  34. Xinaris S, Boland FJ. Disordered eating in relation to tobacco use, alcohol consumption, self-control, and sex-role ideology. Int J Eat Disord. 1990;9(4):425–33.

    Article  Google Scholar 

  35. Khaylis A, Trockel M, Taylo CB. Binge drinking in women at risk for developing eating disorders. Int J Eat Disord. 2009;42(5):409–14.

    Article  PubMed  Google Scholar 

  36. DiMatteo J, Reed SC, Evans SM. Alcohol consumption as a function of dietary restraint and the menstrual cycle in moderate/heavy (“at-risk”) female drinkers. Eat Behav. 2012;13(3):285–8. This article uses prospective measures of drinking patterns across the menstrual cycle in restrained and unrestrained women.

    Article  PubMed Central  PubMed  Google Scholar 

  37. Stewart SH, Samoluk SB. Effects of short-term food deprivation and the chronic dietary restraint on the selective processing of appetitive-related cues. Int J Eat Disord. 1997;21(2):129–35.

    Article  CAS  PubMed  Google Scholar 

  38. Higgs S, Eskenazi T. Dietary restraint and disinhibition are associated with increased alcohol use behaviours and thoughts in young women female drinkers. Eat Behav. 2007;8(2):236–43.

    Article  PubMed  Google Scholar 

  39. Field M, Cox WM. Attentional bias in addictive behaviors: a review of its development, causes, and consequences. Drug Alcohol Depend. 2008;97(1):1–20.

    Article  PubMed  Google Scholar 

  40. Yeomans MR, Caton S, Hetherington MM. Alcohol and food intake. Curr Opin Clin Nutr Metab Care. 2003;6(6):639–44.

    Article  PubMed  Google Scholar 

  41. Ruderman AJ, Belzer LJ, Halperin A. Restraint, anticipated consumption, and overeating. J Abnorm Psychol. 1985;94(4):547–55.

    Article  CAS  PubMed  Google Scholar 

  42. Urbszat D, Herman CP, Polivy J. Eat, drink and be merry, for tomorrow we diet: effects of anticipated deprivation on food intake in restrained and unrestrained eaters. J Abnorm Psychol. 2002;111(2):396–401.

    Article  PubMed  Google Scholar 

  43. Luce KH, Crowther JH, Leahey T, et al. Do restrained eaters restrict their caloric intake prior to drinking alcohol? Eat Behav. 2013;14(3):361–5. This article highlights the differences in behavior (meal patterns) between restrained and unrestrained eaters prior to planned alcohol consumption.

    Article  PubMed  Google Scholar 

  44. Buchholz LJ, Crowther JH, Olds RS, et al. Are restrained eaters accurate monitors of their intoxication? Addict Behav. 2013;38(4):1966–9. This article highlights the importance of the role of interoceptive awareness in the relationship between alcohol, dietary restraint and food intake.

    Article  PubMed  Google Scholar 

  45. Källmén H, Gustafson R. Alcohol and disinhibition. Eur Addict Res. 1998;4(4):150–62.

    Article  PubMed  Google Scholar 

  46. Polivy J, Herman CP. The effects of alcohol on eating behavior: disinhibition or sedation? Addict Behav. 1976;1(3):121–5.

    Article  Google Scholar 

  47. Polivy J. Perception of calories and regulation of intake in restrained and unrestrained subjects. Addict Behav. 1976;1(3):237–43.

    Article  Google Scholar 

  48. Hibscher JA, Herman CP. Obesity, dieting, and the expression of obese characteristics. J Comp Physiol Psychol. 1977;91(2):374–80.

    Article  CAS  PubMed  Google Scholar 

  49. Westenhoefer J, Broeckmann P, Muench AK, et al. Cognitive control of eating behaviour and the disinhibition effect. Appetite. 1994;23:27–41.

    Article  CAS  PubMed  Google Scholar 

  50. Hofmann W, Friese M. Impulses got the better of me: alcohol moderates the influence of implicit attitudes toward food cues on eating behavior. J Abnorm Psychol. 2008;117(2):420–7.

    Article  PubMed  Google Scholar 

  51. Collins RL, Lapp WM. The temptation and restraint inventory for measuring drinking restraint. Br J Addict. 1992;87(4):625–33.

    Article  CAS  PubMed  Google Scholar 

  52. Southwick L, Steele CM. Restrained drinking: personality correlates of control style. J Drug Issues. 1987;17(4):349–58.

    Google Scholar 

  53. Ricciardelli LA, Williams RJ. A two-factor model of dietary restraint. J Clin Psychol. 1997;53(2):123–31.

    Article  CAS  PubMed  Google Scholar 

  54. Ricciardelli LA, Williams RJ, Finemore J. Restraint as misregulation in drinking and eating. Addict Behav. 2001;26(5):665–75.

    Article  CAS  PubMed  Google Scholar 

  55. Hofmann W, Förster G, Stroebe W, et al. The great disinhibitor: alcohol, food cues, and eating behavior. In: Preedy VR, Watson RR, Martin CR, editors. Handbook of behavior, food and nutrition. New York: Springer; 2011. p. 2977–91.

    Chapter  Google Scholar 

  56. Wegner DM. When the antidote is the poison: ironic mental control processes. Psychol Sci. 1997;8(3):148–50.

    Article  Google Scholar 

  57. Erskine JA, Georgiou GJ. Effects of thought suppression on eating behaviour in restrained and non-restrained eaters. Appetite. 2010;54(3):499–503.

    Article  PubMed  Google Scholar 

  58. Adriaanse MA, Gollwitzer PM, De Ridder DT, et al. Breaking habits with implementation intentions: a test of underlying processes. Pers Soc Psychol Bull. 2011;37(4):502–13.

    Article  PubMed  Google Scholar 

  59. Soetens B, Braet C. ‘The weight of a thought’: food-related thought suppression in obese and normal-weight youngsters. Appetite. 2006;46(3):309–17.

    Article  PubMed  Google Scholar 

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Samantha J. Caton, Laurence J. Nolan, and Marion M. Hetherington declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Correspondence to Samantha J. Caton.

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Caton, S.J., Nolan, L.J. & Hetherington, M.M. Alcohol, Appetite and Loss of Restraint. Curr Obes Rep 4, 99–105 (2015). https://doi.org/10.1007/s13679-014-0130-y

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