Module
30
Human Needs and Motivation: Eat, Drink, and Be Daring
319
factor is changes in the chemical composition of the blood. For instance, changes in
levels of glucose, a kind of sugar, regulate feelings of hunger. In addition, the hormone
insulin leads the body to store excess sugar in the blood as fats and carbohydrates.
Finally, the hormone
ghrelin communicates to the brain feelings of hunger. The produc-
tion of ghrelin increases according to meal schedules as well as the sight or smell of
food, producing the feeling that tells us we’re hungry and should eat (Teff, 2007; Wren
& Bloom, 2007; Kojima & Kangawa, 2008).
The brain’s
hypothalamus monitors glucose levels (see Figure 2). Increasing evi-
dence suggests that the hypothalamus carries the primary responsibility for monitor-
ing food intake. Injury to the hypothalamus has radical consequences for eating
behavior, depending on the site of the injury. For example, rats whose
lateral hypo-
thalamus is damaged may literally starve to death. They refuse food when it is offered;
unless they are force-fed, they eventually die. Rats with an injury to the
ventromedial
hypothalamus display the opposite problem: extreme overeating. Rats with this injury
can increase in weight by as much as 400%. Similar phenomena occur in humans
who have tumors of the hypothalamus (Woods & Seeley, 2002; Seymour, 2006; Fedeli
et al., 2009).
Although the important role the hypothalamus plays in regulating food intake
is clear, the exact way this organ operates is still unclear. One hypothesis suggests
that injury to the hypothalamus affects the
weight set point, or the particular level
of weight that the body strives to maintain, which in turn regulates food intake.
Acting as a kind of internal weight thermostat, the hypothalamus calls for either
greater or less food intake (Capaldi, 1996; Woods et al., 2000; Berthoud, 2002).
In most cases, the hypothalamus does a good job. Even people who are not
deliberately monitoring their weight show only minor weight fl uctuations in spite of
substantial day-to-day variations in how much they eat and exercise. However, injury
to the hypothalamus can alter the weight set point, and a person then struggles to
meet the internal goal by increasing or decreasing food consumption. Even tempo-
rary exposure to certain drugs can alter the weight set point (Cabanac & Frankham,
2002; Hallschmid et al., 2004; Khazaal et al., 2008).
Genetic factors determine the weight set point, at least in part. People seem
destined, through heredity, to have a particular
metabolism, the rate at which food
is converted to energy and expended by the body. People with a high metabolic rate
can eat virtually as much as they want without gaining weight, whereas others with
low metabolism may eat literally half as much yet gain weight readily (Jequier, 2002;
Westerterp, 2006).
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