Journals / Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi / 2025 / Cilt: 5 Sayı: 3

The Relationship Between Hedonic Hunger and Type 2 Diabetes Mellitus

İlayda Ayyıldız(BİRUNİ ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, BESLENME VE DİYETETİK BÖLÜMÜ, BESLENME VE DİYETETİK PR. (TAM BURSLU))0009-0004-9230-1309
Mert Aşit(BAŞKENT ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, BESLENME VE DİYETETİK BÖLÜMÜ)0000-0003-2040-6924
Başak Öney(BEZM-İ ÂLEM VAKIF ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, BESLENME VE DİYETETİK BÖLÜMÜ)0000-0003-2695-6978
Pages
438–447
Publication Date
2025-12-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Since hedonic hunger may worsen glycemic control due to strong cravings for foods high in fat and/or refined carbohydrates, reducing hedonic hunger may be beneficial in the control of diabetes and obesity.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Emotional hunger is defined as a sudden feeling of hunger in response to various emotions.
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Key Findings & Data:When neural and perceptual responses to delicious food from certain areas of the brain increase, it leads to obesity and maladaptive eating behavior (e.g. binge eating, unhealthy eating, eating without being hungry).
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Conclusion & Impact:Since hedonic hunger may worsen glycemic control due to strong cravings for foods high in fat and/or refined carbohydrates, reducing hedonic hunger may be beneficial in the control of diabetes and obesity.
🔬Design:Derleme
📍Scope:Comprehensive Sample
⚙️Variables:hedonik açlık · hedonik iştah · duygusal yeme

Abstract

Emotional hunger is defined as a sudden feeling of hunger in response to various emotions. It is an eating behavior that arises solely from the emotions people feel, not when it is time to eat, when they feel physically hungry, or when they show signs of physical hunger. Hedonic hunger is defined as the psychological symptoms that occur as the desire to reward oneself, the desire to eat and the pleasure of eating without physical hunger symptoms. When neural and perceptual responses to delicious food from certain areas of the brain increase, it leads to obesity and maladaptive eating behavior (e.g. binge eating, unhealthy eating, eating without being hungry). Hedonic hunger is therefore seen as the root cause of eating and weight problems. Hedonic hunger is recognized as an important factor in the rapid progression of obesity worldwide. There are multiple studies showing a significant relationship between obesity and hedonic hunger. Patients with type 2 diabetes often exhibit binge eating behavior because they feel a strong desire to eat even when they are not hungry, indicating that these patients have problems with food cravings and eating. Since hedonic hunger may worsen glycemic control due to strong cravings for foods high in fat and/or refined carbohydrates, reducing hedonic hunger may be beneficial in the control of diabetes and obesity.

Özet

Duygusal açlık, çeşitli duygulara tepki olarak ani bir açlık hissi olarak tanımlanmaktadır. Yemek zamanı geldiğinde, fiziksel olarak aç hissettiğinde ya da fiziksel açlık belirtileri gösterdiğinde değil, insanların yalnızca hissettiği duygulardan kaynaklanan bir yeme davranışıdır. Fiziksel açlık belirtileri olmaksızın kişinin kendini ödüllendirme isteği, yemek yeme isteği ve yemek yeme zevki olarak ortaya çıkan psikolojik belirtiler hedonik açlık olarak tanımlanmaktadır. Beynin belirli bölgelerinden lezzetli yiyeceklere verilen sinirsel ve algısal tepkiler arttığında, beynin obeziteye ve uyumsuz yeme davranışına (örneğin tıkınırcasına yeme, sağlıksız beslenme, aç kalmadan yemek yeme) yol açar. Bu sebeple hedonik açlık, yeme ve kilo sorunlarının temel nedeni olarak görülüyor. Hedonik açlık, dünya çapında obezitenin hızla ilerlemesinde önemli bir faktör kabul edilmektedir. Obezite ile hedonik açlık arasında anlamlı bir ilişki olduğunu gösteren birden fazla araştırma bulunmaktadır. Tip 2 diyabetli hastaların, aç olmasalar bile yemek yemeye yönelik güçlü bir istek hissetmeleri nedeniyle sıklıkla tıkınırcasına yeme davranışı sergilemeleri, bu hastaların yemek isteme ve yeme konusunda sorun yaşadıklarını göstermektedir. Hedonik açlık, yüksek yağ ve/veya rafine karbonhidrat içeren gıdalara yönelik güçlü istek nedeniyle glisemik kontrolü kötüleştirebileceğinden, hedonik açlığın azaltılması diyabet ve obezitenin kontrolünde faydalı olabilir.

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Cite This Article

Ayyıldız, İ., Aşit, M., Öney, B. (2025). The Relationship Between Hedonic Hunger and Type 2 Diabetes Mellitus. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 5 Sayı: 3, 438–447. https://doi.org/10.56061/fbujohs.1540296

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References (47)

  1. Aliasghari, F., Yaghin, N. L., & Mahdavi, R. (2019). Relationship between hedonic hunger and serum levels of insulin, leptin and BDNF in the Iranian population. Physiology and Behavior, 199, 84–87. https://doi.org/10.1016/j.physbeh.2018.12.016
  2. American Diabetes Association. (2003). Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care, 26(1), S5–S20. https://doi.org/10.2337/diacare.26.2007.s5
  3. American Diabetes Association. (2013). Diagnosis and classification of diabetes mellitus. Diabetes Care, 36(1), 67–74. https://doi.org/10.2337/dc12-0808
  4. American Diabetes Association. (2017). Classification and diagnosis of diabetes. Diabetes Care, 40(1), 11–24. https://doi.org/10.2337/dc16-1142
  5. Ayyıldız, F., Ülker, İ., & Yıldıran, H. (2021). Hedonik açlık ve yeme davranışı ilişkisinin farklı beden kütlelerine yansıması. Beslenme ve Diyet Dergisi, 49(2), 9–17. https://doi.org/10.5222/bd.2021.09
  6. Bast, E., & Berry, E. (2014). Laugh away the fat? Therapeutic humor in the control of stress-induced emotional eating. Rambam Maimonides Medical Journal, 5(4), e0032. https://doi.org/10.5041/RMMJ.10124
  7. Baysal, A. (2017). Beslenme (17. baskı). Hatiboğlu Yayınevi.
  8. Blüher, M. (2019). Obesity: Global epidemiology and pathogenesis. Nature Reviews Endocrinology, 15(5), 288–298. https://doi.org/10.1038/s41574-019-0176-8
  9. Bongers, P., & Jansen, A. (2016). Emotional eating is not what you think it is and emotional eating scales do not measure what you think they measure. Frontiers in Psychology, 7, 1932. https://doi.org/10.3389/fpsyg.2016.01932
  10. Cardi, V., Esposito, M., Clarke, A., Schifano, S., & Treasure, J. (2015). The impact of induced positive mood on symptomatic behavior in eating disorders: Experimental AB/BA crossover design during a test-meal. Appetite, 87, 192–198. https://doi.org/10.1016/j.appet.2014.12.211
  11. Cheung, L. T. F., Ko, G. T. C., Chow, F. C. C., & Kong, A. P. S. (2018). Association between hedonic hunger and glycemic control in non-obese and obese patients with type 2 diabetes. Journal of Diabetes Investigation, 9(5), 1135–1143. https://doi.org/10.1111/jdi.12811
  12. Chooi, Y. C., Ding, C., & Magkos, F. (2019). The epidemiology of obesity. Metabolism: Clinical and Experimental, 92, 6–10. https://doi.org/10.1016/j.metabol.2018.10.011
  13. Coşansu, G., & Erdoğan, S. (2009). 21. yüzyılın sağlık krizi: Diyabet. İ.Ü.F.N. Hemşirelik Dergisi, 17(2), 115–122. https://doi.org/10.16919/iuhem.2009.051
  14. Coşkunsu, S. (2020). Üniversite öğrencilerinin hedonik açlık durumları ile antropometrik ölçümleri arasındaki ilişkinin değerlendirilmesi (Yüksek lisans tezi). Ankara Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara. https://doi.org/10.1501/psikoloji_0000000123
  15. Davis, C., & Carter, J. C. (2009). Compulsive overeating as an addiction disorder: A review of theory and evidence. Appetite, 53(1), 1–8. https://doi.org/10.1016/j.appet.2009.03.001
  16. Davis, C., Rodríguez-Martín, B. C., Abreu, M., Las Villas, O. F., Kyle Burger, C. S., Nansel, T. R., Lipsky, L. M., Eisenberg, M. H., Haynie, D. L., Liu, D., & Simons-Morton, B. (2016). Greater food reward sensitivity is associated with more frequent intake of discretionary foods in a nationally representative sample of young adults. Frontiers in Nutrition, 3, 41. https://doi.org/10.3389/fnut.2016.00041
  17. Fong, M., Li, A., Hill, A. J., Cunich, M., Skilton, M. R., Madigan, C. D., & Caterson, I. D. (2019). Mood and appetite: Their relationship with discretionary and total daily energy intake. Physiology & Behavior, 201, 122–131. https://doi.org/10.1016/j.physbeh.2019.01.012
  18. Gluck, M. E., Viswanath, P., & Stinson, E. J. (2017). Obesity, appetite, and the prefrontal cortex. Current Obesity Reports, 6(4), 380–388. https://doi.org/10.1007/s13679-017-0299-1
  19. Harris, M. I., Eastman, R. C., Cowie, C. C., Flegal, K. M., & Eberhardt, M. S. (1997). Comparison of diabetes diagnostic categories in the US population according to 1997 American Diabetes Association and 1980–1985 World Health Organization diagnostic criteria. Diabetes Care, 20(12), 1859–1862. https://doi.org/10.2337/diacare.20.12.1859
  20. İnalkaç, S., & Arslantaş, H. (2018, January 28). Duygusal yeme. Kalon E, Hong JY, Tobin C et al. Chapter Four-Psychological and Neurobiological Correlates of Food Addiction. International Review of Neurobiology, 129, 85–110. https://doi.org/10.1016/bs.irn.2016.06.003
  21. World Health Organization. (2023, April 22). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
  22. Kim, C., Newton, K. M., & Knopp, R. H. (2002). Gestational diabetes and the incidence of type 2 diabetes: A systematic review. Diabetes Care, 25(10), 1862–1868. https://doi.org/10.2337/diacare.25.10.1862
  23. Lee, P. C., & Dixon, J. B. (2017). Food for thought: Reward mechanisms and hedonic overeating in obesity. Current Obesity Reports, 6(4), 353–361. https://doi.org/10.1007/s13679-017-0298-2
  24. Liu, B. N., Liu, X. T., Liang, Z. H., & Wang, J. H. (2021). Gut microbiota in obesity. World Journal of Gastroenterology, 27(25), 3837–3845. https://doi.org/10.3748/wjg.v27.i25.3837
  25. Maahs, D. M., West, N. A., Lawrence, J. M., & Mayer-Davis, E. J. (2010). Chapter 1: Epidemiology of type 1 diabetes. Endocrinology and Metabolism Clinics of North America, 39(3), 481–497. https://doi.org/10.1016/j.ecl.2010.05.002
  26. Mantau, A., Hattula, S., & Bornemann, T. (2018). Individual determinants of emotional eating: A simultaneous investigation. Appetite, 130, 93–103. https://doi.org/10.1016/j.appet.2018.08.027
  27. Mason, T. B., Dunton, G. F., Gearhardt, A. N., & Leventhal, A. M. (2020). Emotional disorder symptoms, anhedonia, and negative urgency as predictors of hedonic hunger in adolescents. Eating Behaviors, 36, 101343. https://doi.org/10.1016/j.eatbeh.2019.101343
  28. Naleid, A. M., Grace, M. K., Cummings, D. E., & Levine, A. S. (2005). Ghrelin induces feeding in the mesolimbic reward pathway between the ventral tegmental area and the nucleus accumbens. Peptides, 26(11), 2274–2279. https://doi.org/10.1016/j.peptides.2005.07.007
  29. Özkan, N., & Bilici, S. (2018, June 10). Yeme davranışında yeni yaklaşımlar: Sezgisel yeme ve yeme farkındalığı. Kalon E, Hong JY, Tobin C et al. Chapter Four-Psychological and Neurobiological Correlates of Food Addiction. International Review of Neurobiology, 129, 85–110. https://doi.org/10.1016/bs.irn.2016.06.003
  30. Özkaya, M. O., & Köse, S. A. (2014). Gestasyonel diyabet: Güncel durum. Perinatoloji Dergisi, 22(2), 105–109. Papatheodorou, K., Banach, M., Bekiari, E., Rizzo, M., & Edmonds, M. (2018). Complications of diabetes 2017. Journal of Diabetes Research, 2018, Article ID 3086167. https://doi.org/10.1155/2018/3086167
  31. Rahe, C., Czira, M. E., Teismann, H., & Berger, K. (2015). Associations between poor sleep quality and different measures of obesity. Sleep Medicine, 16(10), 1225–1228. https://doi.org/10.1016/j.sleep.2015.04.014
  32. Ribeiro, G., Camacho, M., Santos, O., Pontes, C., Torres, S., & Oliveira-Maia, A. J. (2018). Association between hedonic hunger and body-mass index versus obesity status. Scientific Reports, 8(1), 10947. https://doi.org/10.1038/s41598-018-29429-0
  33. Ross, R., Neeland, I. J., Yamashita, S., Shai, I., Seidell, J., Magni, P., … Després, J. P. (2020). Waist circumference as a vital sign in clinical practice: A consensus statement from the IAS and ICCR Working Group on visceral obesity. Nature Reviews Endocrinology, 16(3), 177–189. https://doi.org/10.1038/s41574-019-0240-8
  34. Rubino, D. M., Sora, N. D., Veliko, J. L., & O’Neil, P. M. (2020). Changes in weight control behaviors and hedonic hunger in a commercial weight management program adapted for individuals with type 2 diabetes. International Journal of Obesity, 44(5), 990–998. https://doi.org/10.1038/s41366-019-0489-3
  35. Santos, M. V. L. D., Melo, C. M. D., Rosa, J. P. P., Silva, E. V. A. D., Lima, G. H. O., Del Re, M. P., … Mello, M. T. D. (2016). Emotional eating is related to carbohydrate intake in active women. Motriz: Revista de Educação Física, 22, 346–352.
  36. Schneider, K. L., Appelhans, B. M., Whited, M. C., Oleski, C., & Pagoto, S. L. (2010). Trait anxiety but not trait anger predisposes obese individuals to emotional eating. Appetite, 55(3), 701–706. https://doi.org/10.1016/j.appet.2010.09.013
  37. Schulte, E. M., Tuerk, P. W., Wadden, T. A., Garvey, W. T., Weiss, D., Hermayer, K. L., Aronne, L. J., Becker, L. E., Fujioka, K., Miller-Kovach, K., Kushner, R. F., Malcolm, R. J., Raum, W. J., Rost, S. L., Rubino, D. M., Sora, N. D., Veliko, J. L., & O'Neil, P. M. (2020). Changes in weight control behaviors and hedonic hunger in a commercial weight management program adapted for individuals with type 2 diabetes. International Journal of Obesity, 44(5), 990–998. https://doi.org/10.1038/s41366-020-0530-x
  38. Schüz, B., Schüz, N., & Ferguson, S. G. (2015). It’s the power of food: Individual differences in food cue responsiveness and snacking in everyday life. International Journal of Behavioral Nutrition and Physical Activity, 12(1), 124. https://doi.org/10.1186/s12966-015-0272-7
  39. Schwartz, S. S., Epstein, S., Corkey, B. E., Grant, S. F. A., Gavin, J. R., & Aguilar, R. B. (2016). The time is right for a new classification system for diabetes: Rationale and implications of the β-cell-centric classification schema. Diabetes Care, 39(2), 179–186. https://doi.org/10.2337/dc15-1585
  40. Serin, Y., & Şanlıer, N. (n.d.). Duygusal yeme, besin alımını etkileyen faktörler ve temel hemşirelik yaklaşımları. T.C. Sağlık Bakanlığı, Türkiye Halk Sağlığı Kurumu. (2014). Erişkin diyabetli bireyler için eğitimci rehberi (No. 945). Ankara.
  41. Tekin, T., Çiçek, B., & Konyalığı, N. (2018). İntestinal mikrobiyota ve obezite ilişkisi. Journal of Health Sciences, 27(1), 95–99.
  42. Türkiye Diyabet Vakfı. (2019). Diabetes mellitus ve komplikasyonlarının tanı, tedavi ve izlem kılavuzu (s. 1–84). İstanbul.
  43. Türkiye Endokrinoloji ve Metabolizma Derneği. (2019). Obezite tanı ve tedavi kılavuzu (s. 1–112). Ankara: Miki Matbaacılık.
  44. Van Strien, T. (2015). Nederlandse vragenlijst voor eetgedrag (NVE). Handleiding [Dutch Eating Behaviour Questionnaire. Manual]. Amsterdam: Hogrefe.
  45. Volkow, N. D., Wang, G. J., & Baler, R. D. (2011). Reward, dopamine and the control of food intake: Implications for obesity. Trends in Cognitive Sciences, 15(1), 37–46. https://doi.org/10.1016/j.tics.2010.12.005
  46. Whiting, D. R., Guariguata, L., Weil, C., & Shaw, J. (2011). IDF diabetes atlas: Global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Research and Clinical Practice, 94(3), 311–321. https://doi.org/10.1016/j.diabres.2011.10.029
  47. Zimberg, I. Z., Dâmaso, A., DelRe, M., Carneiro, A. M., de Sá Souza, H., de Lira, F. S., Tufik, S., & DeMello, M. T. (2012). Short sleep duration and obesity: Mechanisms and future perspectives. Cell Biochemistry and Function, 30(6), 524–529. https://doi.org/10.1002/cbf.2832