The Mouth - Gut - Brain Model

Lead Research Organisation: Quadram Institute
Department Name: Food Innovation and Health

Abstract

Abstracts are not currently available in GtR for all funded research. This is normally because the abstract was not required at the time of proposal submission, but may be because it included sensitive information such as personal details.

Technical Summary

There is emerging evidence that reduced energy foods with a high sensory quality have limited effectiveness at reducing long term energy intake and weight management. This is thought to be due to the disparity between the sensory expectation of energy content / satiety and the actual physiological nutrient / energy uptake. This disparity in mouth-gut-brain signalling has been shown to result in rebound hunger and overcompensation of energy intake at subsequent meals. This study aims to combine sensory science, food structure and materials, consumer psychology and behaviour to determine the mechanisms that underpin this disparity and to determine the level by which the organoleptic properties and nutrient content can be altered to avoid rebound hunger and overcompensation of energy intake.
Initial experiments will measure the tolerance for fat reduction in a model food between sensory attributes and expected satiety; and determine the mouth-gut discordance by measuring subsequent appetite response. These results will inform the rational design of realistic foods, using the interfacial and colloidal properties of the emulsions and biopolymer microgels to closely match physical and sensory properties but with reduced fat content. The in vitro release and digestion of fat from the matrix will be used to finely control the difference between sensory expectation and actual nutrient delivery. Further human studies will determine the impact of controlled fat reduction on rebound hunger and overcompensation; both in individuals who are hypo- and hyper-sensitive to fat perception.
The outputs will inform the design of future projects to unravel the role of gut hormone signalling, as well as phenotypic /genotypic effects in consumer behaviour toward low energy foods. This will provide nutritionists, academics and the food industry with tools to develop effective dietary and weight management strategies to help combat of obesity, type 2 diabetes and cardiovascular disease.

Planned Impact

We envisage the main long term vision for this work will be a programme of research projects aiming to improve the repeat consumption of healthier foods by rational design of foods with a defined relationship between the sensory perception, nutritional delivery, and psychological response that will minimize the consequences of sensory discordance in reduced energy foods. This priming project will have quantified the discordance between sensory signals and nutrient feedback in reduced fat food matrices, and designed snack food models that rebalance these signals leading to satisfying and satiating reduced fat foods. This model approach can then be rolled out to low sugar foods. However it will also enable subsequent projects to address the following research objectives:
Define inter-individual differences in the mouth-gut-brain relationship, and explore whether these are driven by phenotype or genotype.
Define the impact of reduced fat foods on GI hormone release and endocannabinoid response to further understand mechanisms underpinning the interrelationship between mouth, gut and brain. This will lead to predictive models through a systems biology approach.
Develop novel technological approaches to develop foods that can target and balance the delivery of sensory and nutrient signals.
Extend these approaches into developing real foods and determine the effect in whole meal scenarios. Long term dietary intervention and consumer behaviour studies will determine the long term impact on health in different population groups.
In addition to the academic research community, the outputs of this research will benefit a range of stakeholders. The research will address key questions that will help BBSRC deliver on its Food, Nutrition and Health research priority, as described above under academic beneficiaries. The food industry will be a key beneficiary through a fundamental understanding of how reduced energy foods impact on satiety, consumption and energy intake. This will lead to the development of food design strategies that will be more effective in achieving fat and sugar reduction goals. More effective food products will be more popular with consumers and therefore lead to improved satisfaction and repeat purchase. Consumers will ultimately benefit from this research through the development and availability of improved quality and more effective reduced energy foods. This strategy will not only benefit consumers who are actively seeking to control energy intake, but we envisage that these energy reduction strategies will become a standard approach in a wide range of standard, commonly consumed foods, that will an impart appropriate level of expected satiety, and thus should have a more widespread impact on energy intake. Following further work on different population groups, individuals who would benefit from these types of interventions will be more easily identified, and matched with appropriate solutions. The government and health care providers will benefit from this knowledge through the improvement of health and nutrition policies. These policies will not simply recommend reductions in dietary energy intake, but rather a tailored dietary advice that accounts for individual phenotype that will result in a more effective sustainable diet for improved weight control. As most cases of obesity are the result of lifelong moderate overconsumption, this research should ultimately help contribute to a reduction in incidence of obesity, by moderating dietary intake over the lifecourse. This will eventually lead to better control over the incidence of related metabolic diseases such as type 2 diabetes and cardiovascular disease.
The project provides excellent training opportunity for staff and students. It will expose them to a broad yet integrated multidisciplinary approach to solving an important diet and health issue; vital experience for future researchers working in this field.
 
Description The multiple emulsions developed and used in the project have been demonstrated to be a useful research tool in terms of optimising sensory perception of fat content in a range of model foods with a range of fat contents. These systems have been utilised through the human trials to understand the interplay between the sensory perception of fat content, expected satiety and actual changes in appetite following consumption of a test meal.
One of our main objectives of the project was to establish that Mouth-Gut Discordance existed. We aimed to use a fat reduced emulsion model and quantify the discrepancy between expected satiety from sensory signals and measured satiety through a preload consumption study. We now have the data to confirm this key finding. We developed a mayonnaise-model served on a crispbread as a preload snack where all volunteers consumed the full 35 g portion size. A 3-way study design was conducted where the products were the positive control (31% fat) and two 60% fat reduced samples both containing 12 % fat, one where the mouthfeel was matched using a water-oil-water (WOW) double emulsion system and one where it was not (negative control). Volunteers rated expected satiety of all 3 products to be the same, despite finding a perceptual difference where they rated the negative control to be significantly less thick and less mouthcoating than both the positive control and the WOW reduced fat sample. However, consumption of the ad-libitum lunch one hour later demonstrated that there was a significant difference in post-ingestive satiety between the samples. The mean intake of the ad-libitum meal following the high fat positive control snack was significantly higher than the consumption following the low fat negative control, proving mouth-gut discordance between expected and post-ingestive satiety. Furthermore, although the sensory mouthfeel perception of the WOW low fat mayonnaise matched the positive control, the mean intake of the ad-libitum meal following consumption of this snack was almost identical to that following the negative control. This implies that matching the sensory mouthfeel characteristics of high fat products when reformulating as low fat products could still lead to a difference in post-ingestive satiety and compensation at the subsequent meal. Interestingly, we also asked our volunteers to rate desire for fatty foods at three time points following consumption of the preload snack and before serving the ad-libitum lunch, this desire was significantly less following the positive control whereas ratings following the mouthfeel matched preload mirrored the negative control. Therefore, this is further evidence to suggest that in reformulating high fat products we should consider factors other than sensory mouthfeel. Our second study within this grant is progressing to understand the impact of changing the oral free fatty acid gustatory signal on post-ingestive satiety, and measuring biomarkers within the preload study design. The multiple emulsions developed and used in the project have been demonstrated to be a useful research tool in terms of optimising sensory perception of fat content in a range of model foods with a range of fat contents. These systems have been utilised through the human trials to understand the interplay between the sensory perception of fat content, expected satiety and actual changes in appetite following consumption of a test meal. Together with the findings from the human trials, we are planning to develop further funding applications to determine in more detail the mechanisms underpinning this effect, and ultimately how the sensory properties and energy content of foods can be manipulated in a rational way to help develop foods with more effective appetite control to aid the management of energy intake and weight gain.
Exploitation Route Together with the findings from the human trials, we are planning to develop further funding applications to determine in more detail the mechanisms underpinning this effect, and ultimately how the sensory properties and energy content of foods can be manipulated in a rational way to help develop foods with more effective appetite control to aid the management of energy intake and weight gain.
Our current results on expected satiety, which also include understanding of individual differences in sensory perception, are of use to product developers in the food industry. We intend that the results of this initial pliot study will lead to a fully powered study aiming to design sensory and nutrient signals within a reformulated low fat product that will lead to the same post-ingestive satiety as the standard full fat product. Evidence from this study should then be instrumental in designing reduced fat / reduced energy food products.
Sectors Agriculture, Food and Drink,Healthcare,Manufacturing, including Industrial Biotechology

 
Description Outputs planned will describe the relationship between expected satiety, the mismatch between sensory expectation and nutrient delivery and actual satiety. New knowledge is anticipated regarding the relationship between expected satiety, the mismatch between sensory expectation and nutrient delivery and actual satiety. Leading to the development of more rationally designed lower energy foods. Potentially impact with policy makers, providing evidence that moderate reductions in energy content in foods may be more effective than the wholesale reductions required to achieve labelling claims for reduced fat or sugar. The findings are currently being prepared for submission, and have led to a follow up grant application which is currently being reviewed, in collaboration with industry contributions to further explore the fundamental principles underlying the observed effects, with additional physiological responses to quantify the effects on gut hormone responses.
First Year Of Impact 2016
Sector Agriculture, Food and Drink,Healthcare,Manufacturing, including Industrial Biotechology
Impact Types Societal,Economic

 
Description CBC Wellness Lecture 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Lunchtime Webinar for Cambridge Bioscience Campus and affiliates as part of their Wellness Webinars
Food Structure, appetite and energy intake: can you have your cake and eat it
Year(s) Of Engagement Activity 2022
 
Description Food the vital Ingredient launch 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presented and discussed the role of the physical chemistry of food as part of the launch of the book "Food the Vital Ingredient" to member of the Royal Society of Chemistry
Year(s) Of Engagement Activity 2019
URL http://www.rsc.org/Membership/Networking/InterestGroups/Food/index.asp?e=1
 
Description IFST Lecture Sept 2022 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Invited to give a public lecture to IFST (Institute of Food Science & Technology) on food structure, appetite and energy intake
Year(s) Of Engagement Activity 2022
 
Description Project Stakeholder meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Industry/Business
Results and Impact First stakeholder meeting to discuss the project potential for impact and determine the key priorities
Year(s) Of Engagement Activity 2017
 
Description Project Stakeholder meeting 2 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Industry/Business
Results and Impact Consultation with stakeholders to review progress, gain expert advice / input to the project and agree next steps
Year(s) Of Engagement Activity 2017
 
Description Project Stakeholder meeting 3 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Industry/Business
Results and Impact Stakeholder consultation meeting to review progress, gain expert input and contributions and agree next steps
Year(s) Of Engagement Activity 2018
 
Description Public lecture and Discussion Eaton Summer Programme 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Public lecture and discussion session as part of the Eaton Summer Programme in Norwich in August 2018. Talk entitled "Are your eyes bigger than your belly? The science behind controlling digestion and reducing appetite"
Aimed to educate the public on the role of food structure on digestion and health outcomes. To inform of the developments with the new Quadram Institute aims and research objectives. Enter into a discussion with the audience regarding the health benefits of certain foods and the role of processing, preparation and structure on nutrient availability.
Year(s) Of Engagement Activity 2018
 
Description Wellbeing Lecture on food structure and appetite 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Other audiences
Results and Impact Webinar for the Healthy Eating - Wellbeing activity for all staff on the Norwich Research Park
Food Structure, appetite and energy intake: can you have your cake and eat it ?
Year(s) Of Engagement Activity 2021