Original Article

Interventions and public health nutrition

Satiety scores and satiety hormone response after sucrose-sweetened soft drink compared with isocaloric semi-skimmed milk and with non-caloric soft drink: a controlled trial

  • European Journal of Clinical Nutrition (2012) 66, 523529 (2012)
  • doi:10.1038/ejcn.2011.223
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Abstract

Background/Objectives:

Observational studies indicate that sugar-sweetened soft drinks (SSSD) may promote obesity, among other factors, owing to low-satiating effects. The effect of energy in drinks on appetite is still unclear. We examined the effect of two isocaloric, but macronutrient, different beverages (SSSD versus semi-skimmed milk) and two non-energy-containing beverages (aspartame-sweetened soft drink (ASSD) and water) on appetite, appetite-regulating hormones and energy intake (EI).

Subjects/Methods:

In all, 24 obese individuals were included in a crossover trial. Each subject was served either 500 ml of SSSD (regular cola: 900 kJ), semi-skimmed milk (950 kJ), ASSD (diet cola: 7.5 kJ), or water. Subjective appetite scores, ghrelin, GLP-1, and GIP concentrations were measured at baseline and continuously 4-h post intake. Ad libitum EI was measured 4 h after intake of the test drinks.

Results:

Milk induced greater subjective fullness and less hunger than regular cola (P<0.05). Also, milk led to 31% higher GLP-1 (95% CI: 20, 44; P<0.01) and 45% higher GIP (95% CI: 23, 72; P<0.01) concentrations compared with SSSD. Ghrelin was equally 20% lower after milk and SSSD compared with water. The total EI (ad libitum EI+EI from the drink) was higher after the energy-containing drinks compared with diet cola and water (P<0.01).

Conclusions:

Milk increased appetite scores and GLP-1 and GIP responses compared with SSSD. The energy containing beverages were not compensated by decreased EI at the following meal, emphasizing the risk of generating a positive energy balance by consuming energy containing beverages. Furthermore, there were no indications of ASSD increased appetite or EI compared with water.

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Acknowledgements

The study was supported by The Danish Council for Strategic Research, The Food Study Group/ Danish Ministry of Food, Agriculture and Fisheries, Novo Nordic Foundation, and Clinical Institute at Aarhus University, Denmark.

Disclaimer

The funding entities had no role in study design and implementation or in analyzing and interpretation of the data.

The trial was registered at http://www.clinicaltrials.gov. ID no. NCT00776971.

Author information

Author notes

    • M Maersk
    •  & A Belza

    These authors contributed equally to this work.

Affiliations

  1. Department of Internal Medicine and Endocrinology (MEA), Aarhus University Hospital, Aarhus C, Denmark

    • M Maersk
    • , S B Pedersen
    •  & B Richelsen
  2. Department of Human Nutrition, Faculty of Life Sciences, Copenhagen, Denmark

    • A Belza
    •  & A Astrup
  3. Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark

    • J J Holst
  4. Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark

    • M Fenger-Grøn
  5. Research Unit for General Practice, Aarhus University, Aarhus, Denmark

    • M Fenger-Grøn

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Competing interests

The authors declare no conflict of interest.

Corresponding author

Correspondence to B Richelsen.