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Neuroscience & Biobehavioral Reviews, Vol. l I, pp. 131-153. r Pergamon Journals Ltd.. 1987. Printed in the U.S.A.

0149-7634/87 $3.00 + .00

Carbohydrate Taste, Appetite, and


Obesity: An Overview I
ANTHONY SCLAFANI"
Department of Psychology, Brooklyn College and the Graduate School
City University of Nelr York, Brooklyn, N Y 11210
Received 5 September 1986

S C L A F A N I , A. Carbohydrate taste, appetite, and obesity: All overview. N E U R O S C I B I O B E H A V REV 11(23 131-153,
1987.--This paper reviews previous research on sugar appetite and sugar-induced overeating and obesity in the rat, and
previews new findings reported in this issue on the rat's taste and appetite for starch and starch-derived polysaccharides. A
variety of behavioral methods demonstrate that rats are very attracted to the taste of sugars. At low molar concentrations
their order of preference is maltose > sucrose > glucose = fructose, while at high concentrations it is sucrose > maltose >
glucose = fructose. New findings indicate that rats are also very attracted to starch-derived polysaccharides, such as
Polycose. In fact, Polycose is preferred to sucrose and maltose at low concentrations, and is second only to sucrose in
preference at high concentrations. Furthermore, rats taste Polycose as qualitatively different from sucrose. These and
other findings suggest that rats as well as other rodents have different taste receptors for sugar and starch. The role of these
two taste systems in carbohydrate-induced overeating and obesity is discussed. Rats tend to overeat and become obese
when fed sugar or polysaccharide diets, but this response depends critically on the form of the diet. Presenting the
carbohydrate as a solution or gel supplement to the diet is much more effective in promoting hyperphagia and obesity than
is presenting it as a powder supplement or as part of a composite diet. The differential response to hydrated and dehydrated
foods may occur because carbohydrates are absorbed at a faster rate in hydrated forms than in dehydrated forms. The
postingestive actions of carbohydrates also modulate the rat's preference for carbohydrate tastes and flavors. Other factors
that influence carbohydrate appetite and intake include the availability of the carbohydrate source and the macronutrient
composition of the diet. Thus, several factors in addition to taste determine the response of rats to carbohydrate foods.

Sugar Sweet taste Starch Polysaccharide taste Hyperphagia Obesity


Conditioned food preferences Diet form Diet availability Macronutrient balance

CONTENTS F.Qualitative Differences in Polycose and Sugar


I. I N T R O D U C T I O N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132 Tastes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
A. Carbohydrate Structure . . . . . . . . . . . . . . . . . . . . . . 132 G. Influence of Saccharide Length on Polysaccharide
Appetite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
11. S W E E T TASTE APPETITE . . . . . . . . . . . . . . . . . . . . . 134
H. Effects of Gustatory Deafferentation on Sac-
A. Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 charide Appetite . . . . . . . . . . . . . . . . . . . . . . . . . 142
B. Hedonic Response . . . . . . . . . . . . . . . . . . . . . . . . . . 135 I. Effects of Anosmia on Polycose Appetite . . . . . . 142
I11. S U G A R - I N D U C E D H Y P E R P H A G I A AND OBE- J. Sham-Feeding Response to Polycose and Sucrose 142
SITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 K. Saccharin-Carbohydrate Taste Interactions . . . . . 142
A. Composite Diet Studies . . . . . . . . . . . . . . . . . . . . . . 135 L. Species Differences in Saccharide Taste Prefer-
B. Diet Option Studies . . . . . . . . . . . . . . . . . . . . . . . . . 138 ences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
M. Sex Differences in Saccharide Taste Preferences 143
IV. P O L Y S A C C H A R I D E - I N D U C E D H Y P E R P H A G I A
AND O B E S I T Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 N. Starch Preferences in Rats . . . . . . . . . . . . . . . . . . . 143
VI. I N T E G R A T I O N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
V. P O L Y S A C C H A R I D E T A S T E AND APPETITE . . . 140
A. Carbohydrate Taste . . . . . . . . . . . . . . . . . . . . . . . . . 143
A. Effects of Saccharide Type, Form, and Taste .. 140
B. Carbohydrate Appetite . . . . . . . . . . . . . . . . . . . . . . . 145
B. Effects of Taste and Form on Polycose Preference
C. Importance of Carbohydrate Taste . . . . . . . . . . . . 147
......................................... 140
C. Origin of Polycose Appetite . . . . . . . . . . . . . . . . . . 141 D. Other Nutrient Receptors? . . . . . . . . . . . . . . . . . . . 148
E. Relevance to Human Feeding and Obesity . . . . . 148
D. Hedonic Response to Polycose and Sugar Solu-
tions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 VII. C O N C L U S I O N S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
E. Polycose and Sugar Taste Preference Thresholds 141 VIII. R E F E R E N C E S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

~The preparation of this paper was supported by grants from the National Institutes of Health (DK-31135) and from the Faculty Research
Award Program of the City University of New York. The author thanks Dr. Israel Ramirez for his helpful comments on an earlier version of
this paper. The author is also most grateful to Dr. George Collier who served as a special reviewer for the present and following papers in this
issue.
-"Requests for reprints should be addressed to Dr. Anthony Sclafani, Department of Psychology, Brooklyn College, Brooklyn, NY 11210

131
132 SCLAFANI

Carbohydrate Structure notable exceptions (e.g., cats, some species of birds)


[100,139]. Compared to sugar, starch is rather bland to the
(Simplified) human palate and has been assumed to be tasteless to other
animals as well [17, 52, 81, 90, 121, 172]. However, recent
Glucose Q studies in my laboratory indicate that rats and other rodents
taste starch and starch-derived polysaccharides and find the
Fructose 0 taste quite attractive. Our studies further suggest that rats
taste polysaccharides as qualitatively different from sucrose.
Sucrose Thus it appears that, contrary to the statement by LeMagnen
quoted above, some animal species have two carbohydrate
receptor systems, one for sugar and one for starch. Other
Maltose 0 - 0 investigators have speculated on the existence of a starch
taste sensitivity in rats [16] but this possibility has not been
Malt ooligosaccharides ~ E . I ~ J - - - - " U ~ previously explored. As noted by Dethier [51], animal taste
studies have generally been limited to those substances that
Maltopolysaccharides ~ - - - evoke taste sensations in humans, but the "taste worlds" of
animals and humans are not the same.
The discovery of a polysaccharide taste sensitivity in rats
Amylose emerged from studies designed to clarify the role of sweet
taste in the hyperphagia and obesity promoting effects of
high-sugar diets. In the course of this research it became
evident not only that rats taste polysaccharides as well as
sugars, but that their appetite for these carbohydrates is
Amylopectln modified by postingestive factors. The following reports in
this issue provide a detailed account of our studies on
polysaccharide and sugar appetite. The present paper sum-
marizes these studies and presents an overview of previous
research on sugar appetite and sugar-induced overeating and
obesity in the rat.
- _

Carbohydrate Structure
To facilitate discussion, carbohydrate structure and ter-
FIG. I. Simplified representation of carbohydrate structure. Note minology will be briefly reviewed (see Fig. 1). The carbo-
that maltooligosaccharides contain two to 10 glucose units and hydrates (or saccharides) of interest here include the
therefore include maltose; maltopolysaccharides contain more than monosaccharide sugars: glucose and fructose; the disac-
10 glucose units. Only portions of the amylose and amylopectin charide sugars: sucrose and maltose; and starch and its de-
starch molecules are illustrated (each circle represents a glucose rivatives. Starch exists in two forms: an amylose form which
unit).
consists of long linear (unbranched) chains of glucose (glu-
cose polymers) united by c~-l,4-1inkages; and an amylopectin
form, which consists of branched molecules containing many
"Among the three fundamental classes of foodstuffs: carbohydrates, sl~ort linear chains (20 to 30 glucose residues) connected to-
lipids and proteins, that alone of carbohydrates with their sugary gether at branch points by a-l,6-1inkages (Fig. 1) [86]. When
flavour has given rise during evolution to the differentiation of an st~trch is hydrolyzed, shorter glucose polymers are
autonomic and homogenous receptor system." prbduced, i.e., maltopolysaccharides and maitooligosac-
Le Magnen, cited in [186]. ch'arides, which are ultimately hydrolyzed to glucose in the
gu t. Maltooligosaccharides are glucose polymers containing
INTRODUCTION 2 !o 10 glucose units, while maltopolysaccharides contain
more than 10 glucose units. For purposes of the present
CARBOHYDRATES, in the form of sugar and starch, rep- paper the term "'polysaccharide" will refer to starch-derived
resent a major source of food energy for a great number of saccharides containing three or more glucose units.
animal species. An even more abundant carbohydrate is cel- iln commercially prepared starch hydrolysates (e.g., dex-
lulose but only certain species (e.g., ruminants) can utilize trims,h maltodextrins, corn syrups) the starch molecules are
cellulose. Except for some fruits, plants contain much more partially hydrolyzed with acid and/or enzymes to produce
starch than sugar, but it is sugar with its sweet taste, that is mixtu~res containing varying amounts of glucose, maltose,
the most sought after carbohydrate. The sweetness of sugar maitooligosaccharides, and maltopolysaccharides; in some
in fact has been described as a supernormal reinforcer that products the glucose is enzymatically converted to fructose,
humans find difficult to resist [25]. Motivated by their I.e. I, high-fructose syrups [188]. Most hydrolysate products
"'sweet tooth," humans have over the centuries perfected hax~e a high sugar content and are used as sweeteners, e.g.,
the refinement of pure sugar (sucrose, glucose, fructose) corn syrup sweeteners, while others are designed to have a
from sugar cane, sugar beets and, more recently, from corn. low sugar content and are used as nutritional supplements.
Sugar, once a delicacy, is now a staple. (Man's preoccupation For example, Polycose (Ross Laboratories), which we have
with sugar has a long and fascinating history, see [123].) used extensively in our research, is a corn starch hydrolysate
The preference for sweet taste is not unique to humans that contains, by weight, approximately 2% glucose, 7% mal-
but is widespread in the animal kingdom, although there are tose, 55% maltooligosaccharides, and 36% maltopolysac-
CARBOHYDRATE TASTE AND APPETITE 133

TABLE 1
CARBOHYDRATE TASTE TESTS: A LIST OF REPRESENTATIVE STUDIES

Type of Test Tastant Reference

One-Bottle, Brief (1 to 4 min) Sucrose [47,220]


Glucose [47, 48, 162]
Fructose [47]
Maltose [48,162]
Polycose [ 162]
One-Bottle, Short-Term Sucrose [24, 38, 78, 159, 177, 216]
(10 to 60 min) Glucose [24, 116, 159, 177]
Fructose [24]
Maltose [78,159]
Polycose [ 159]
Saccharin [44, 174, 217]
One-Bottle, Long-Term Sucrose [65, 183, 213]
(24 hr) Glucose [291
Saccharin [7.29, 65, 183, 213]
Two-Bottle, Brief Sucrose [6,34]
(Solution vs. Water)
Two-Bottle, Short-Term Glucose [90]
Saccharin [5,129]
Two-Bottle, Long-Term Sucrose [24, 27, 37, 60, 78, 80, 102,
135, 149, 160, 166, 187]
Glucose [24, 60, 90, 135, 149, 178]
Fructose [24]
Maltose [60, 78, 135, 149, 161, 166]
Polycose [60, 160, 161, 166]
Saccharin [41, 80, 160, 174, 189, 196]
Glucose + Saccharin [160, 178, 195]
Sucrose + Saccharin [160]
Polycose + Saccharin [160]
Two-Solution, Brief Sucrose vs. Sucrose [6,217]
Sucrose vs. Saccharin [218]
Sucrose vs. Polycose [161]
Glucose vs. Maltose vs. [162]
Polycose
Two-Solution, Short-Term Sucrose vs. Sucrose [215]
Sucrose vs. Glucose [177]
Sucrose vs. Maltose [78]
Sucrose vs. Polycose [159, 161, 172]
Maltose vs. Polycose [159]
Saccharin vs. Saccharin [217]
Two-Solution, Long-Term Sucrose vs. Sucrose [37, 102, 137]
Glucose vs. Glucose [19, 89, 90, 136, 137, 178]
Sucrose vs. Glucose [24,160]
Sucrose vs. Polycose [160,161]
Sucrose vs. Saccharin [41]
Glucose vs. Fructose [24]
Glucose vs. Saccharin [181, 193, 194, 196]
Saccharin vs. Saccharin [41]
Glucose + Saccharin vs. [27]
Glucose
Multiple-Solution, Long-Term Sucrose [27]
Saccharin [217]
Sham-Feeding, One-Bottle Sucrose [96, 124, 134, 165, 167, 208]
Glucose [96, 124, 165, 167]
Fructose [96]
Maltose [96]
Polycose [134,167]
Sham-Feeding, Two-Solution Sucrose vs. Polycose [134]
Intraoral Infusions, Sucrose [72, 75, 92, 156]
Oral-Facial Response Glucose [ 13]
Saccharin [91,92]
134 SCLAFANI

TABLE I
IContinued)

Type of Test Tastant Reference

Bar-Pressing, No Choice Sucrose [36, 38, 40, 73, 74, 95]


Glucose [28]
Saccharin [28, 35, 551
Bar-Pressing, Two-Choice Sucrose vs. Sucrose 142, 43, 1551
Sucrose vs. Maltose 1781
Runway/Maze. No Choice Sucrose [39, 103, 182, 209, 219]
Glucose [175]
Saccharin [88, 175, 184]
Runway/Maze, Two-Choice Sucrose vs. Sucrose [106,216]
Saccharin vs. Water [174]

One-bottle=only one drinking fluid available; Two-bottle=solution vs. water preference test.

charides (Ross Laboratories, personal communication). De- in runway, maze, or bar-pressing tasks (see [180]). These
spite its low sugar content, Polycose and other starch distinctions are important because the various behavioral
hydrolysates are as rapidly digested and absorbed as is free measures produce different outcomes. For example, tests
glucose [152,205]. that allow an animal to consume a sugar solution to satiety
produce results different from those that restrict solution
intake. Thus, the rat's response to sucrose in brief intake
tests or in bar-pressing tests increases monotonically as su-
SWEET TASTE APPETITE
crose concentration increases, whereas in short-term (1 hr)
Among nonhuman animals the appetite for sweets is most or long-term (24 hr) intake tests the rat's sucrose consumption
extensively documented in the laboratory rat. In short-term intake increases but then decreases as concentration in-
tests nondeprived rats not only avidly consume sweet-tasting creases from 1% to 64% [24, 37, 40, 47, 149]. The "'turn-
foods and fluids that are readily available, but they will also d o w n " at the higher concentrations is due to the postinges-
run down alleys, negotiate mazes, or press bars to obtain tive satiating effects of the solutions [138]. (Note, the turn-
sweet rewards. A dramatic example of the rat's sweet tooth down is not apparent when intake is expressed in terms of
is provided by the observation that rats given access to a the amount of solute rather than solution consumed [37].)
warm nest box containing chow and water voluntarily left The influence of postingestive factors on sugar solution in-
the nest to run down a 16 meter long runway kept at - 15C take is clearly demonstrated by the results obtained in
to obtain a sweet food or drink (shortcake or Coca Cola) [23]. sham-feeding tests in which the ingested solution drains out
As indicated in Table I, the sweet taste appetite of the rat an esophageal or gastric fistula. In this case, consumption
has been investigated using a variety of tastants and behav- (sham-feeding) increases monotonically as sugar concentra-
ioral methods. Included in the table are the sugars sucrose, tion increases [124,208].
glucose, fructose, and maltose, and the artificial sweetener Choice is another critical factor. For example, in one-
saccharin. (Table 1 and subsequent tables also include refer- bottle short- or long-term tests rats typically consume more
ences to Polycose which are discussed latter in this paper.) of a dilute sugar solution (e.g., 4c~ sucrose) than of a concen-
Not discussed here are less extensively studied sugars (e.g., trated solution (e.g., 32% sucrose), yet when given the
lactose and galactose, see [48, 92, 135, 149]) and artificial choice between the two solutions rats prefer the concen-
sweeteners that rats are unresponsive to (e.g., cyclamate, trated to the dilute solution [24, 37, 38,216]. Thus it is impor-
dulcin, and aspartame, see [62, 158,204]). Most research has tant to distinguish taste "'preference" as measured in choice
involved solutions, but some studies have measured the rats tests from taste " a c c e p t a n c e " as measured in one-bottle
hedonic response to sugar in powdered form. For example, tests; the most acceptable solution in terms of amount con-
in early studies P. T. Young [214] demonstrated that rats sumed may not be the most preferred solution. The type of
prefer sucrose powder to flour or wheat powder. As will choice given the animal must also be considered. In the
become apparent, the physical form of carbohydrate is an classic Richter two-bottle test [149] animals are given the
important determinant of appetite and intake. choice between a test solution and water, but with sugar
solutions at above threshold concentrations this is essen-
Methodology tially a one-bottle test since the animal drinks little or no
water except at very high sugar concentrations. Thus, al-
The many behavioral test methods used to study carbo- though it is a common procedure, judgments of the relative
hydrate appetite can be classified according to: test duration palatability of different sugars based on the Richter-type test
(brief, 1-5 min; short-term, 10-60 min: or long-term, 24 hr): can be misleading. For example, in solution vs. water tests
degree and type of choice (one-bottle, two-bottle, multi- rats show a greater preference for glucose over water than
bottle; solution vs. water or solution vs. solution): and re- they do for sucrose over water yet in two-solution tests they
sponse type (ingestional or instrumental). Ingestional strongly prefer sucrose to glucose [24]. As Pfaffmann [138]
methods include measures of intake, lick rates, and orofacial has emphasized, "'true preferences" can only be established
responses while instrumental methods include performance when taste stimuli are directly compared in choice tests.
C A R B O H Y D R A T E TASTE A N D APPETITE 135

Hedonic Response consume enormous amounts of a glucose + saccharin (G+S)


solution, some findings indicate that the G + S solution is less
Taste intensity. With these methodological considerations palatable than concentrated glucose solutions [165].
in mind, the following conclusions can be made concerning Palatability changes. Rats display a hedonic response to
the rat's response to sweet taste stimuli. With respect to sucrose and saccharin at a very young age which suggests
taste intensity, the rat's hedonic response to sugars (sucrose, that their sweet tooth is innate [75,92]. This does not mean,
glucose, fructose, maltose) increases as concentration in- however, that sweet preference is unmodifiable. Most nota-
c r e a s e s when postingestive factors are minimized by using bly, the rat's " g u s t " turns to "'disgust" if a sweet taste is
brief intake, sham-feeding, or bar-pressing tests [40, 42, 47, associated with visceral malaise [13]. More subtle modifica-
48, 73, 96, 124,208,220]. However, this is not the case with tions in sweet appetite may occur as the animal associates
saccharin. As saccharin concentration increases, palatabil- the postingestive nutritive and/or colligative effects of sugar
ity, as measured by one or two-solution intake or sham- with its taste [18]. For example, in long-term tests rats ini-
feeding tests, increases but then decreases as the concentra- tially prefer concentrated glucose solutions to dilute solu-
tion exceeds 0.4 to 0.6% [24, 165,217]. (Note that this turn- tions but they reverse their preference after several days
down is not seen in bar-pressing tests that involve small (0.03 apparently because of the discomforting postingestive ef-
ml) reinforcements [35].) The rat's reduced consumption of fects produced by the hypertonic glucose solutions [19]. The
the more concentrated saccharin solutions is not due to palatability of a saccharin solution also appears to change if
postingestive factors [165], but has been attributed to the the animal associates the solution with caloric repletion or
bitter taste component of saccharin [138]. depletion [26, 85, 111].
Relative palatability. With respect to the relative palata- In addition to long-term shifts in palatability, variations in
bility of the different sugars less definitive conclusions can the animal's nutritive state can produce temporary effects on
be made based on the published data. Despite the extensive its appetite for sweets. Thus, food deprivation or insulin-
literature on sweet taste, relatively few studies have directly induced hypoglycemia enhances, and caloric repletion sup-
compared the rat's preference for different sugars. The presses the hedonic response to sugar [49,70]. In a similar
available data indicate that the rat's relative preference is: fashion, experimentally-induced overweight and under-
sucrose > fructose /> glucose [24, 47, 177]. The relative weight enhances and suppresses, respectively, sweet taste
palatability of maltose is less certain, but some data suggest appetite [128]. The palatability of the animal's maintenance
that at low concentrations maltose is the most preferred sugar, diet also influences its short-term response to sweet taste
while at high concentrations it is less preferred than sucrose [125,163]. Orosensory stimulation alone may be sufficient to
[48, 78, 96, 149]. To clarify this issue, we recently systemati- temporarily satiate the animal's appetite for saccharin solu-
cally compared the preference of adult female rats for the tions or dilute sugar solutions [127,208]. Recent findings
four sugars using brief (3-rain) two-solution preference tests indicate that blood glucose availability affects the rat's re-
(Sclafani and Mann, in preparation). At the lowest concen- sponsiveness to sweet stimuli as measured by both elec-
tration tested (0.03 M) the order of preference was maltose > trophysiological and behavioral tests, and this may be one
sucrose > glucose = fructose, while at the highest concen- mechanism by which changes in nutritive state affects sweet
tration (I M) it was sucrose > maltose > glucose > fructose. appetite and satiety [66,67]. However, other findings
The finding that at low concentrations maltose is the most demonstrate that the satiety for sugar can be quite specific.
preferred sugar is surprising since, of the four sugars, mal- For example, rats that are satiated for a glucose solution will
tose is the least abundant in nature [173]. Furthermore, mal- readily consume glucose powder [126]. Thus, a variety of
tose is the least effective of the four sugars in stimulating the factors other than sweet taste influence the rat's appetite for
rat's chorda tympani nerve (CTN) [140]. Pfaffmann [140] has carbohydrates.
referred to the discrepancy between the rat's behavioral re-
sponse and its CTN response to maltose as the "'maltose SUGAR-INDUCED HYPERPHAGIAAND OBESITY
p a r a d o x " because with the other three sugars the behavioral
Sugar has been extensively studied not only as a taste
and neural response profiles are in agreement. The respon-
stimulus but also as a nutrient. In general, two procedures,
sivity of the whole nerve, however, does not necessarily
referred to here as the "composite diet" method and the
reflect t ~ t of individual taste fibers, and some single fibers
"'diet option" (or "sugar option") method, have been used
have I~en found to be more responsive to maltose than to
to study the long-term effects of sugar on food intake and
sucrose [9]. These and other findings indicate that the rat has body weight. In the composite diet method the sugar is in-
two (or more) taste receptors for sugars. The possible func- corporated into a semisynthetic diet whereas in the diet op-
tional significance of the rat's " m a l t o s e " receptor is dis-
tion method a separate source of sugar is given to the animal
cussed further below. in addition to a nutritionally complete diet. There are advan-
The palatability of saccharin relative to the sugars has not
tages to both methods. For example, in the composite diet
been extensively explored, but the available data indicate
method the influence of variations in the concentration or
that it is not very palatable. Two-solution preference tests type of sugar or other nutrients on food intake and body
indicate that the most preferred saccharin solutions (0.2 to weight can be assessed since diet composition is determined
0.4%) are equal in palatability (isohedonic) to sucrose solu- by the experimenter. In the diet option method, on the other
tions of only 2 to 4% [41,218]/see also [193]). This may be hand, the animal selects the amount and proportion of sugar
because of saccharin's bitter after-taste, although it is also it prefers. As discussed below, the two procedures yield dif-
possible that rats simply do not taste saccharin as sweet as
ferent results.
sucrose [165]. The addition of a small amount of glucose to a
saccharin solution substantially improves its palatability
Composite Diet Studies
[195]. This synergistic effect has been attributed to the glu-
cose increasing the sweetness of the saccharin solution and Table 2 summarizes representative studies that have used
inhibiting its bitter taste [179]. Yet despite the fact that rats the composite diet method; the studies emphasized here in-
136 SCLAFANI

TABLE 2
EFFECTS OF HIGH-SUGAR COMPOSITE DIETS ON FOOD INTAKE, BODY WEIGHT, AND BODY FAT:
A SUMMARY OF REPRESENTATIVE STUDIES

Authors Sex Diet Food Body Body


Reference Age Type Intake Weight Fat

Allen and Leahy [1] Male 81% Sucrose [ -- T


Adult 81% Fructose J, -- T
81% Glucose ~ ~, --
81% Polysaccharide ~ -- --
Berdanier [111 Male 65% Sucrose 9 I" --
Weanling
Berdanier and Burrell [12] Male 65% Sucrose -- ~ ?
Weanling
Dulloo et al. [56] Both 66% Sucrose -- -- --
Weanling
Hallfrisch et al. [77] Male 54% Sucrose ? T 1'
Weanling
Hallfrisch et al. [76] Male 30% Sucrose 9 I" T
Weanling + 40% Fat
Lakshmanan et al. [109] Male 33% Sucrose __ __ 9
Weanling + 45% Protein
Laube eta/. [l IO] Male 68% Sucrose ? -- 1'
Weanling
Marshall et al. [I 18] Male 35-70% Sucrose-HP T T T
Adult 35-70% Sucrose-LP -- -- --
McCusker et al. [I 17] Male 65% Sucrose ~__ __ 9
Weanling
Michaelis et al. [122] Male 54% Sucrose '? q' ~'
Weanling 54% Glucose ? -- --
54% Invert Sugar 9 __ __
Reiser et al. [146] Male 54% Sucrose -- T T
Weanling
Williams and Szepesi [210] Male 56% Sucrose -- T --
Adult 56% Maltose T T 1'
56% Glucose -- ~ --
56% Invert Sugar -- -- --

Age=age of rats at start of experiment. T=increase, - - = n o change, ~=decrease, ?=data not reported or
statistical significance of reported change uncertain. HP=high protein diet, LP=low protein diet.
See references for additional details concerning diet composition, strain of rats, and duration of experiment.

v o l v e d m o d e r a t e to high protein c o m p o s i t e diets, see [143] intake [1, 12, 56, 109, 117, 146, 210]. N e v e r t h e l e s s , e v e n if
for d i s c u s s i o n of low protein diets. T h e typical p r o c e d u r e they do not elevate caloric intake, high-sugar diets m a y in-
used in t h e s e studies i n v o l v e s replacing some or all of the c r e a s e b o d y weight a n d / o r b o d y fat; this indicates t h a t the
s t a r c h in the c o m p o s i t e diet with sugar, usually s u c r o s e , for a diets e n h a n c e feed efficiency [I, 12, 146, 210]. Finally, the
w e e k to several m o n t h s . T h e effects of the h i g h - s u g a r diet o n effects of high-sugar diets on b o d y weight a n d b o d y fat are
food intake, b o d y weight a n d / o r b o d y fat, as well as on o t h e r not always c o r r e l a t e d : in some c a s e s b o d y fat but not b o d y
p a r a m e t e r s (e.g., p l a s m a insulin levels) are c o m p a r e d to weight is i n c r e a s e d , or less often, b o d y weight but not b o d y
t h o s e o b t a i n e d with the c o n t r o l diet. I n s p e c t i o n of T a b l e 2 fat is e l e v a t e d [1, 11, 110, 210].
reveals c o n s i d e r a b l e variability in the feeding a n d b o d y C o m p a r i s o n s b e t w e e n different sugars indicate that in
weight effects o b t a i n e d with high-sugar c o m p o s i t e diets. s o m e , but not all studies, s u c r o s e diets h a v e a g r e a t e r effect
S o m e studies report that h i g h - s u c r o s e c o m p o s i t e diets on b o d y fat, as well as on a variety o f o t h e r m e t a b o l i c pa-
p r o d u c e o v e r e a t i n g , o v e r w e i g h t , a n d obesity [118] but this is r a m e t e r s , than do glucose, f r u c t o s e , or i n v e r t (glucose +
not the typical effect. M o r e often, h i g h - s u c r o s e diets h a v e fructose) diets [1, 122, 210]. M a l t o s e diets h a v e also b e e n
b e e n f o u n d not to alter, or in s o m e cases, to r e d u c e caloric f o u n d to i n c r e a s e b o d y fat more t h a n glucose diets [210]. T h e
CARBOHYDRATE TASTE AND APPETITE 137
TABLE 3
EFFECTS OF SUGAR OPTION DIETS ON FOOD INTAKE, BODY WEIGHT, AND BODY FAT:
A SUMMARY OF REPRESENTATIVE STUDIES

Authors Sex Diet Food Body Body


Reference Age Option Intake Weight Fat

Bukowiecki et al. [22] Female 12% S u c r o s e -- -- 1`


Adult 32% S u c r o s e 1" --
Coca-Cola t -- T
C a s t o n g u a y et al. [31] Male 32% Sucrose 1' 1"
Adult 62% Sucrose T T ?
16% Glucose 1' 1' ?
32% Glucose 1" ~' ?
D e s h a i e s et al. [50] Female 32% S u c r o s e 1` -- ?
Adult

F a u s t et al. [59] Male 16% S u c r o s e ? 1'


Adult
G r a n n e m a n and Wade [68] Male 32% S u c r o s e 1" T
Adult

H i r s c h et al. [82] Both 32% S u c r o s e I" T


Adult
H i r s c h et al. [83] Male 32% S u c r o s e T --
Weanling

Hirsch and Walsh [84] Male 32% S u c r o s e I" 1`


Adult
Hill et al. [81] Male 32% S u c r o s e -- 1'
Adult Starch P o w d e r -- --
K a n a r e k and M a r k s - K a u f m a n Male 32% S u c r o s e ~' --
[98] " Weanling
K a n a r e k and O r t h e n - Male 32% S u c r o s e 1" -- 1'
Gambill [99] Adult Sucrose Powder -- -- --
32% G l u c o s e T -- T
32% F r u c t o s e 1' -- T
K e n n e y and Collier [I01] Male 32% S u c r o s e -- -- ?
Adult
Rattigan and Clark [144] Male 37.5% S u c r o s e -- T 1'
Adult

M u t o and Miyahara [130] Male 40% S u c r o s e / H P I" )'? T?


Weanling 40% S u c r o s e / L P ,[ ~ --
Sclafani and X e n a k i s [1721 Male 32% S u c r o s e -- 1` 1"
Adult 32% Polycose T T 1`
Sclafani [157] Female 32% S u c r o s e 1` T T
Adult Sucrose Powder -- -- --
32% G l u c o s e ~ T 1'
Glucose Powder -- -- --
32% Polycose T T I'
Polycose P o w d e r -- -- --
T e a g u e et al. [190] Male 16% S u c r o s e -- -- '~
Adult
T r o u t et al. [192] Male 20% S u c r o s e T -- T
Adult 20% Glucose T -- T
Vasselli et al. [199] Female 40% S u c r o s e 1' 1' T
Adult

A g e = a g e of rats at start o f e x p e r i m e n t . 1`=increase, - - = n o change, $ = d e c r e a s e , ? = d a t a not reported or


statistical significance of reported change uncertain. H P = h i g h protein diet, L P = l o w protein diet.
See references for additional details concerning diet composition, strain of rats, and duration of experiment.
138 SCLAFANI

differential effects produced by sucrose and maltose as com- Composite diet vs. diet option: diet,[i~rm. Not only is the
pared to their component sugars (glucose and fructose) has incidence of overeating, overweight, and obesity higher with
been referred to as the "disaccharide effect" [145]. The di- the diet option method than with the composite diet method,
saccharide effect is not always obtained, though, and it has but the magnitude of the response is also greater. In general,
been described as a "'fragile" phenomenon [210]. rats increase their food intake, body weight, and body fat
Many factors are thought to contribute to the inconsistent more when given a sugar option than when fed a high-sugar
results obtained with the composite diet method. Differences composite diet [143]. Why sugar option diets promote more
in the sugar and protein content of the diets, length of time on overeating and obesity than do high-sugar composite diets
the diet, age, sex, and strain of animals have all been men- has not been investigated but several factors are implicated.
tioned as important variables [10,143]. One potentially im- Diet form, in particular, is likely to be an important variable:
portant factor that has received little attention is the avail- in the composite diet experiments the high-sugar foods are
ability of the test diet to the animals; most studies do not typically presented in a dry form, whereas in the diet option
even describe the method of diet presentation. We recently experiments the sugar option is usually in liquid form. The
observed that simply using an antiscatter plate to minimize importance of diet form is indicated by the finding [99] that
food spillage from a standard food cup (Wahmann LC-306A) rats given a sucrose solution option consumed more sucrose
was sufficient to block the rat's hyperphagic response to a and total calories than did rats given a sucrose powder option
high-carbohydrate diet (Sclafani, Vigorito, and Pfieffer, un- (see below and [157]). Furthermore, rats fed a high-sucrose
published findings). Another factor that has received little composite diet in semiliquid form have been found to eat
attention in composite diet studies is palatability. Few more food and gain more weight than do rats fed the same
studies, for example, have measured the rat's preference for diet in dry form [143]. Possible reasons why liquid diets pro-
the high-sugar diet over the control diet using two-diet mote more overeating and obesity than do dry diets are dis-
choice tests. cussed below and in latter sections of this paper.
Diet variety. Another factor that may contribute to the
hyperphagia promoting effect of a sugar option is variety.
Diet Option Studies
Variety in the diet has been found to increase food intake and
Compared to the findings obtained with the composite weight gain [ 151 ], and in the sugar option condition, unlike in
diet method, the results obtained with the sugar option the composite diet condition, the animal has two foods to
method have been more consistent. Table 3 summarizes the choose from. Alternatively, Kratz and Levitsky [107] have
results of experiments in which rats were fed, in addition to a argued that the hyperphagia and overweight obtained with a
complete diet (e.g., chow) a separate source of sugar, usually sugar option diet is an artifact of limiting the animal's choice
in the form of a sucrose solution. In the majority of the of food to pure sugar and a complete diet. These inves-
studies surveyed, rats offered a sugar solution option con- tigators reported that rats allowed to self-select their diet
sumed about 60%, of their calories as sugar, and increased from separate sources of protein, fat, and carbohydrate
their total caloric intake by 10 to 20% compared to control (starch) showed less of a hyperphagic response to a sucrose
rats fed only chow [22, 31, 50, 68, 82-84, 98, 99]. Fur- option than did rats fed a single, nutritionally complete diet.
thermore, compared to controls, the sugar solution rats usu- However, Kratz and Levitsky used sucrose powder rather
ally gained more weight [31, 59, 68, 81, 82, 84, 144, 172] and than a sucrose solution and even the complete diet group did
deposited more body fat [22, 59, 68, 82, 98, 99, 144]. In the not overeat very much when offered the sucrose powder. In
few studies that compared the effects of different sugars (su- another study, rats that were offered a 32% sucrose solution
crose, glucose, fructose) no reliable differences were ob- in addition to separate macronutrient sources displayed a
tained in caloric intake, body weight or body fat [31,99] (see substantial increase in their total caloric intake [57]. Thus,
also [157]). Some of the variability in the food intake and diet form is again implicated as an important determinant of
body weight results can be attributed to age and sex differ- the rat's feeding response to sugar.
ences; young growing animals do not gain weight with a Sweetness vs. nutritional balance. Still another factor that
sugar option [83, 98, 130] (see also [172]), and male rats are would seem to be important is diet sweetness: presenting the
less likely to overeat than are female rats when offered a sugar in the form of a sugar solution provides the animal with
sugar solution (see Table 2). a sweeter tasting food than does mixing powdered sugar into
There is one inconsistency in the data, however, that re- a dry semisynthetic diet. However, the role of sweet taste in
mains to be explained. That is, in several studies involving the rat's response to sugar option diets has been questioned.
adult male rats, sucrose-induced overweight and/or obesity In one study, for example, rats offered sugar in the form of
was associated with increased caloric intake [31, 68, 82, 84, 16% or 32% glucose solutions, or 32% or 62% sucrose solu-
99, 192], while in other studies [30, 81, 144, 172] overweight tions consumed nearly identical amounts of sugar and total
occurred in the absence of hyperphagia. Composite diet calories despite the differences in the sweetness of the four
studies also demonstrate that sucrose-induced obesity can sugar solutions [31]. The authors of this study concluded that
occur in adult male rats with or without overeating [1, 118, the nutritional consequences of sugar are more important
210]. Compared to starch, sucrose is digested and absorbed than sweet taste in determining long-term intake. In particu-
faster, and the metabolic sequelae of this rapid absorption lar, they suggested that the rats selected amounts of sugar
(e.g, hyperinsulinemia) may explain how sucrose can in- and chow diet to maintain some "'privileged" combination of
crease body fat without increasing caloric intake [64,145]. protein and carbohydrate. A second study from the same
On the other hand, under some conditions sucrose-feeding laboratory led to a similar conclusion [81]. In this experiment
has been found to increase energy expenditure, perhaps due adult male rats were offered either a sweet 32% sucrose
to its effects on brown adipose tissue size and activity [22, solution or a "'bland" dextrinized starch powder in addition
68, 99, 153, 190], and this could explain why rats sometimes to their chow diet. Again, despite the taste difference the rats
gain less weight than expected on high-sucrose diets, Why consumed nearly identical amounts of the two carbohydrate
sucrose increases feed efficiency under some conditions but options as well as of total calories (carbohydrate + chow).
not others is not known. The sucrose group, however, gained more weight than did
CARBOHYDRATE TASTE AND APPETITE 139

the starch group and chow-only group. Based on these find- ,~ ~5o A 200 B
ings the authors concluded that taste is neither a critical
nor a necessary factor in the regulation of carbohydrate in- g
take, and they questioned the "conventional wisdom about
i J_
i -- ~ 160
the rat's sweet tooth" in determining long-term food intake. ,~ lOO
Other investigators have also observed that rats offered the
Q
choice between high and low carbohydrate diets consume 0
the same amount of carbohydrate irrespective of carbo- ~ so ~ 12o

hydrate type (sucrose or starch) [212]. o


Consistent with the nutritional balance hypothesis, some o
studies report that variations in the protein or fat content of o
the maintenance diet influence the rat's consumption of a GROUP: GROUPS
sucrose solution option [130,144]. However, other findings
indicate that macronutritional balance is not the sole deter- 125 I C 140 D
I
minant of sugar intake. For example, in a recent study rats "~
fed a glucose-chow diet (50% glucose powder + 50% chow
powder) consumed as much of a 32% glucose solution as did
rats fed a standard chow diet [163]. As a result the glucose- ~ ~o0 [ v~ too

chow rats consumed significantly more carbohydrate, and


less protein than did the chow rats (see also [57]). In another 2o
study [33], varying the protein content of the maintenance ~ 75 ~ 60
~ 0
diet from 5% to 20% failed to influence the rats' intake of a
32% sucrose solution. Thus, in these experiments the rats ~o~
defended their sugar solution intake rather than a particular o
balance of macronutrients. This is perhaps not surprising GROUPS GROUPS
given the palatability of the sucrose solution and the fact that
adult rats can tolerate rather wide variations in their mac- FIG. 2. Mean (+SE) 30-day body weight gain (A), total daily food
intake (B), saccharide intake (C), and chow intake (D). The four
ronutrient intakes [97]. groups of male rats were fed 0.2%, saccharin + 32% Polycose solu-
Based on the evidence reviewed above, what can be con- tion, 32% Polycose solution, 32% sucrose solution, or no solution
cluded concerning the influence of dietary sugar on food (Control group) in addition to Purina chow and water for 30 days.
intake and obesity in the rat? Clearly high-sugar diets do not Data from Sclafani and Xenakis 1172].
always lead to overeating and obesity. Rather the response
to sugar varies as a function of the type and form of diet used
as well as the age, sex, and strain of animal involved. Never- weight, the sucrose solution as in the Hill et al. experiment
theless, rats are strongly disposed to overeat and become [81], induced overweight in the absence of hyperphagia.
obese when offered a sugar solution option. However, Sweetening the Polycose with saccharin did not reliably in-
whether it is the sweet taste of sugar or some other property crease total caloric intake or weight gain, although it in-
that is responsible for this effect is open to question. As creased Polycose intake. This latter finding demonstrates
discussed next, to answer this question we have examined that sweet taste can influence carbohydrate intake. Never-
the t a r s feeding response to sweet and nonsweet carbo- theless, the fact that the bland Polycose solution induced as
hydrates. much overeating and overweight as did the saccharin-
Polycose solution, and increased food intake more than did
the sucrose solution indicated that sweet taste is not a critical
POLYSACCHARIDE-INDUCED HYPERPHAGIA AND OBESITY
determinant of long-term food intake and body weight.
Polycose solution. The findings of Hill et al. [81] that rats Polycose powder. The hyperphagia and obesity obtained
consumed as much starch as sucrose would appear to pro- with the Polycose solution contrasts with previous reports of
vide strong evidence that sweet taste does not influence normal food intake and body weight in rats fed
long-term carbohydrate intake. However, the interpretation polysaccharide-based diets [1, 15, 81]. However, in previous
of this study is complicated by the fact that the sugar and experiments the polysaccharides were presented in dry
starch options differed not only in sweetness but also in form, whereas in our study the Polycose was presented as a
physical form (liquid vs. powder) and molecular structure solution. To determine if diet form is the critical factor we
(disaccharide vs. polysaccharide). We (Sclafani and Xenakis conducted a second study [171] which compared the feeding
[172]) therefore repeated the Hill et al. experiment but with response of rats to Polycose in solution form or powder
two modifications: the sucrose and polysaccharide options form. The Polycose powder was either mixed into the pow-
were presented in solution form (32% concentration) and dered chow diet or presented as an option to the chow. As
sweet (saccharin-Polycose) as well as " b l a n d " polysac- illustrated in Fig. 3, the group given the Polycose solution,
charide (Polycose) solutions were used. (Short-term prefer- but not the groups given Polycose powder, consumed signif-
ence tests revealed that the rats preferred the sucrose solu- icantly more food and gained more weight than did the
tion to the saccharin-Polycose solution, and the saccharin- chow-fed control group. Note, though, that the Polycose
Polycose solution to the Polycose solution [172].) powder groups deposited more body fat than did the control
As illustrated in Fig. 2, the groups given the Polycose group, although less than did the Polycose solution group.
solutions consumed more saccharide and total calories than Furthermore, the Polycose intake of the solution group ex-
did the sucrose group. The three experimental groups gained ceeded that of the Polycose powder groups; the chow intakes
comparable amounts of weight, though, and their weight of the three groups were comparable. The findings of this
gains exceeded that of the chow-fed control group. Thus, study clearly demonstrate that diet form is an important
while the Polycose solutions induced overeating and over- determiT ant of the rat's feeding response to Polycose. Prior
140 SCLAFANI

studies have used only dry polysaccharide diets which ex-


plains why polysaccharide-induced hyperphagia has not 75 A ~ 110
been previously reported.
The results of our Polycose experiments demonstrate that
sugars are not the only carbohydrates that promote hyper-
z_ 50 .~ 90
phagia and obesity. However, rather than explaining why
sugar promotes overeating, the Polycose findings raise new
questions concerning the carbohydrate appetite of the rat.
That is, why do rats consume so much of a Polycose solution
which to the human palate is minimally sweet and not very
palatable; why do they only overeat when the Polycose is
presented in liquid form; why do they consume more Poly-
cose than sucrose but gain equivalent amounts of weight? In GROUPS GROUPS
an attempt to answer these and other questions several ex-
periments were conducted which further investigated the 80 I C 75 D
A
rat's feeding response to polysaccharides and sugars. The
findings of these studies, which are described in detail in the
following papers of this issue, are summarized below. 60 ' -~ 50
,.=

POLYSACCHARIDE TASTE AND APPETITE

Effects of Saccharide Type. Form and Taste [ 157]


The first study in this series was an extensive follow-up to o

our initial two Polycose experiments and compared the ef-


fects of carbohydrate options that differed in saccharide type
(sugar or polysaccharide), form (liquid, powder or gel), and GROUPS GROUP

taste (sweet, bland, bitter) on the food intake, body weight, FIG. 3. Mean (+SE) 30-day body weight gain (A), total daily food
and adiposity of female rats. Among its findings, the study intake (B), Polycose intake (C), and chow intake (D). The four
revealed the following: (1) Polycose is not unique in its groups of female rats were fed 32% Polycose solution (Solution
hyperphagia-obesity promoting effect. Comparable effects group) or Polycose powder (Powder group) plus chow and water; or
were obtained with other polysaccharide solutions that dif- Polycose powder mixed into the chow diet (Mixed group); or only
fered from the Polycose solution in degree of hydrolysis, chow and water (Control group) for 30 days. Data from Sclafani and
osmolarity, viscosity, and taste. (2) The polysaccharide so- Xenakis [171].
lutions induced as much overeating, overweight, and obesity
as did equicaloric glucose and sucrose solutions. The sac-
sweetness is sufficient to cause rats to overeat the Polycose
charides differed, however, in that the rats consumed more
solution.) These taste manipulations were found not to reli-
of the polysaccharide solutions than of the sugar solutions.
ably affect the rats" feeding response to Polycose. That is,
This confirms our earlier finding that male rats consumed
the animals consumed comparable amounts of the Polycose,
more of a Polycose solution than of a sucrose solution [ 172].
saccharin-Polycose, and SOA-Polycose solutions, and dis-
Note, though, that the sucrose solution induced hyperphagia
played similar increases in total caloric intake, body weight,
in the female rats (present study) but not in the male rats
and body fat. These results were quite surprising since to the
[172]. (3) As in our previous study [171], Polycose did not
human palate the Polycose, saccharin-Polycose, and SOA-
reliably increase food intake or body weight when presented
Polycose solutions differed greatly in palatability. However,
in powdered rather than solution form, and similar effects
perhaps to rats saccharin and SOA have little effect on the
were obtained with glucose and sucrose. (4) Presenting the
palatability of a Polycose solution, particularly when the
Polycose solution as a solid gel rather than as a liquid did not
reduce its hyperphagia-obesity promoting effect. This indi- solution is available 24 hr/day. This possibility was tested in
the next study.
cated that it is the water of hydration, not liquidity per se that
is responsible for the hyperphagia inducing effects of carbo-
Effects of Taste and Form on Polycose Preference [1691
hydrate solutions. Taken together, the results indicate that
physical form is more important than carbohydrate type in The first part of this study determined whether saccharin
determining long-term food intake and body weight (but see or SOA adulteration affects the rat's long-term preference
below). for 32% Polycose solutions. This was accomplished by giving
(5) The influence of taste on carbohydrate-induced over- rats 24-hr/day two-solution preference tests; chow was
eating and obesity was further examined by comparing the available ad lib. The animals significantly preferred the
rats' feeding response to Polycose solutions made sweet with saccharin-Polycose solution to the plain Polycose solution,
saccharin or bitter with sucrose octa acetate (SOA). Al- the plain Polycose solution to the SOA-Polycose solution,
though saccharin was found not to enhance the and strongly preferred the saccharin-Polycose solution to the
hyperphagia-promoting effect of Polycose in male rats [172], SOA-Polycose solution. Yet, in confirmation of the previous
perhaps it would in female rats since females are reported to study 1157], rats given only the SOA-Polycose solution, in
be more responsive than males to sweet taste [203]. The addition to chow and water, consumed as much solution as
purpose of the SOA adulteration was to determine if masking did rats given the Polycose or saccharin-Polycose solution.
the natural flavor of Polycose with a bitter taste would re- Therefore, while the addition of saccharin or SOA to a Poly-
duce the hyperphagia-promoting effect of Polycose. (Poly- cose solution does alter its palatability this alteration does
cose, due to the presence of small amounts of glucose and not affect Polycose intake in the no-choice condition. (Note
maltose, has a mildly sweet taste and perhaps this minimal that quinine adulteration significantly reduces Polycose
CARBOHYDRATE TASTE AND APPETITE 141

solution intake [169] but we avoided the use of quinine be- Hedonic Response to Polyeose and Sugar Solutions [159]
cause of its possible toxic postingestive effects [3].)
In this study we compared the rat's hedonic response to
In the second part of this study we examined the role of
solutions of Polycose, glucose, maltose, and sucrose using
palatability in the rat's differential feeding response to sac-
short-term, one- and two-solution intake tests. Maltose was
charide solutions and powders. In both short-term (30-
of particular interest because it is a highly preferred sugar,
rain/day) and long-term (24-hr/day) two-choice tests the rats
and, along with glucose, is a constituent of Polycose. The
preferred a 32% Polycose solution to pure Polycose powder
rats were neither food nor water deprived and thus were
and, to a lesser extent, SOA-Polycose solution to Polycose
presumably drinking the saccharide solutions primarily for
powder. Based on these results it could be argued that rats
taste.
consume more saccharide solution than powder because the
In the one-bottle tests the rats consumed more Polycose
solution is more palatable. This interpretation is not sup-
than any of the sugars at low molar concentrations (0.0125
ported, however, by the results obtained with a third group
and 0.025 M); at higher concentrations (0.2 or 0.4 M) sac-
of rats. This group was given the choice between the SOA-
charide intakes did not differ. In the two-solution tests the
Polycose solution and sucrose powder. (This particular
rats preferred Polycose to sucrose at low molar concentra-
choice was tested because in the previous study [157] the
tions but sucrose to Polycose at high concentrations; they
rats fed the SOA-Polycose solution consumed more sac-
preferred Polycose to maltose at all concentrations. (Poly-
charide than did the rats fed the sucrose powder.) The rats in
cose vs. glucose preferences were not tested but in an un-
this third group displayed a strong preference for the sucrose
published study Polycose was preferred to glucose at low to
powder over the SOA-Polycose solution during the short-
high molar concentrations.) Thus, rather than being bland
term test and the initial days of the 24-hr/day test. However,
tasting the present results indicate that rats find polysac-
with continued testing (24 hr/day) the rats switched their
charide solutions to be more palatable than maltose, sucrose,
preference and consumed more SOA-Polycose solution than
and glucose solutions at low concentrations, and second only
sucrose powder. These results clearly indicate that rats do
to sucrose solutions at high concentrations.
not initially prefer the flavor of the bitter SOA-Polycose
solution to the sweet sucrose powder. Thus, the fact that rats
consume more SOA-Polycose solution than sucrose powder Poly('ose and Sugar Taste Pr~:/?rence Thresholds [166]
in long-term tests would seem to be due to the postingestive
rather than the orosensory properties of the carbohydrate Since t.he preceding study indicated that rats are strongly
sources. The nature of the postingestive effects involved re- attracted to Polycose solutions at low concentrations, we
mains to be identified, but it may be related to differences in next compared their preference threshold for Polycose with
the rate of gastric emptying and/or intestinal absorption of that of sucrose and maltose using the 24-hr two-bottle
carbohydrate in liquid and powder form (see below). method of Richter. The preference threshold for Polycose
(0.0001 M) was found to be 25 to 26 times lower, on a molar
Origin of Polycose Appetite [167] basis, than the preference thresholds for maltose (0.0025 M)
At this point in our research it appeared that postingestive and sucrose (0.0026 M). Thus, not only do rats like the taste
nutritional factors far outweighed taste factors in determin- of polysaccharides, they can detect polysaccharides at rather
ing long-term carbohydrate intake. This was most evident in low concentrations. The rat's low taste threshold for
the case of the SOA-Polycose solution in which the data polysaccharides would appear to be an adaptive response to
suggested that rats consumed the solution for its nutritional the low solubility of the naturally occurring polysaccharides.
rather than its taste properties. We evaluated this interpreta-
tion by measuring the rat's sham-feeding response to SOA- Qualitative Differences in Polycose and Sugar Tastes [133]
Polycose and Polycose solutions. With postingestive factors
minimized with a gastric fistula it was predicted that the rat In this study we asked the question what does Polycose
would consume little of these solutions. taste like to rats? Does it have a sweet, i.e., sucrose-like
In the first experiment rats were first trained to sham-feed taste, or does it have a qualitatively different taste? In par-
a 32% glucose solution and were then tested with a 32% ticular, does Polycose taste like maltose? (There were rea-
Polycose solution adulterated with SOA. As expected, they sons to suspect that both Polycose and maltose share a non-
sham-fed significantly less of the SOA-Polycose solution sucrose like taste (see [133].) This question was addressed by
than of the glucose solution. However, their sham-intake of using a conditioned taste aversion paradigm. Rats were
the SOA-Polycose solution was substantial (45 ml/hr) which, conditioned to avoid one saccharide by pairing its ingestion
given the gastric fistula, could not be attributed to postinges- with visceral malaise, and the degree to which they general-
tive factors. Additional tests indicated that it was not the ized this aversion to other saccharides was assessed.
small amounts of glucose and maltose in the SOA-Polycose The results showed that rats generalized between Poly-
solution, nor the solution's viscosity, and certainly not its cose and maltose taste aversions but showed little gener-
bitter taste that caused the animals to sham-feed the SOA- alization between Polycose-maltose aversions and a sucrose
Polycose solution. Thus, it appeared that the rats were at- aversion. Thus, rats appear to taste Polycose as similar to
tracted to the taste of the polysaccharides in the solution. maltose but different from sucrose. Additional tests revealed
Consistent with this interpretation, in a second experiment that only the sucrose aversion generalized to fructose or sac-
rats were observed to sham-feed as much of an unadulter- charin, while both Polycose and sucrose aversions general-
ated 32% Polycose solution as they did of a 32% sucrose ized to glucose. Based on these and other findings we hy-
solution. These findings, while they do not argue against the pothesized that rats have two types of carbohydrate taste
importance of postingestive factors in the long-term control receptors, one being a sucrose-type or "sweet" receptor,
of polysaccharide intake, seriously questioned the assump- and the other being a receptor for polysaccharides. We
tion that polysaccharides are tasteless to rats. We therefore further speculated that maltose, since it has a molecular
conducted several additional experiments to further assess configuration similar to that of polysaccharides, stimulates
the rat's orosensory response to polysaccharides. the rat's polysaccharide taste receptor and this accounts for
142 SCLAFANI

the palatability of maltose. Glucose may stimulate both re- responsible for the animal's residual appetite but it is also
ceptor types because glucose is a component of sucrose and possible that other orosensory systems are involved in
polysaccharides. polysaccharide appetite. The olfactory system appears to
have little if any influence on the rat's ingestive response to
h~lTttence of Saceharide Length on Polysaccharide Appetite sucrose [198], but its role in polysaccharide appetite is uncer-
[/621 tain. We therefore investigated whether anosmia alters the
rat's ingestive response to Polycose solutions. Animals
Polycose contains saccharides of varying lengths and thus
treated with intranasal zinc sulphate, which produces tempo-
it was uncertain as to what the optimal stimulus is for the
rary anosmia, were found not to differ from control rats in
rat's postulated polysaccharide taste receptor. To provide
their Polycose solution intake. Thus, olfaction is not a major
some information concerning this question we examined the
factor in the rat's appetite for polysaccharide solutions.
rat's hedonic response to saccharides of different chain
However, the present findings do not exclude a role for ol-
lengths using brief one- and two-solution intake tests. The
faction in the animal's response to "'real" foods as opposed
results revealed that as saccharide length increased from one
to pure carbohydrate solutions. The possible involvement of
(glucose) to two (maltose) to three (maltotriose) to 4--8 (mal-
trigeminal sensory system in polysaccharide appetite re-
tooligosaccharides) glucose units the rat's preference for the
mains to be investigated (see [14]).
solution increased, but with longer saccharides (mal-
topolysaccharides of 20 or more glucose units) their solution
Sham-Feeding Response to Polycose and Sucrose [134]
preference declined somewhat. Thus, of the saccharide so-
lutions tested, the most preferred was one that contained In this experiment we further investigated the sham-
maltooligosaccharides of 4 to 8 glucose units in length. The feeding response of rats to Polycose and sucrose solutions.
rats also preferred the maltooligosaccharide solution to a In our initial sham-feeding study [167] rats sham-fed com-
Polycose solution which is consistent with the fact that 60% parable amounts of 32% Polycose and 32% sucrose solutions.
of the saccharides in Polycose are smaller than four or larger Yet, other findings indicated that rats prefer sucrose to Poly-
than eight glucose units in length. Our previous findings ob- cose at this concentration [161,172]. This apparent discrep-
tained with Polycose, therefore, underestimate the strength ancy was resolved in the present study: in two-solution,
of the rat's polysaccharide, or more precisely, mal- sham-feeding tests the rats strongly preferred the 32% su-
tooligosaccharide appetite. (Note that because of the limited crose solution to the 32% Polycose solution, although in
availability of pure maltooligosaccharide preparations we one-bottle tests they sham-fed similar amounts of the two
have continued to use Polycose in our research.) solutions. The failure to obtain a difference in Polycose and
sucrose solution intakes in the one-bottle tests was attributed
E/.fects of Gustatoo' Det/ferentution on Sac('haride Appetite to a ceiling effect, i.e., the rats were sham-feeding at near-
[2021 maximum rates throughout the 30-min test periods.
The sham-feeding response to less concentrated solutions
Our behavioral findings indicated that rats taste polysac-
was also measured and an unexpected result emerged from
charides and taste them as different from sucrose, but there
these tests. That is, whereas in one-solution tests the rats
is no published data on the response of the rat's gustatory
sham-fed significantly more 4% Polycose than 4% sucrose, in
nerves to polysaccharides (such studies are now in prog-
the two-solution test they preferred the 4% sucrose to the 4%
ress). Based on indirect evidence (see [202]), however, it
Polycose. Analysis of the rat's drinking pattern during the
seemed likely that different gustatory nerves mediate the
one-bottle tests suggested that the animals satiated to the
rat's appetite for polysaccharide and sucrose. This
taste of sucrose faster than to the taste of the Polycose. (This
possibility was explored in the present study by comparing
satiety effect was presumably orosensory in origin since the
the effects of selective gustatory nerve transections on the
gastric fistula eliminated postingestive satiety (see [127].)
intake of sucrose and Polycose solutions in short-term tests.
The mechanism responsible for the differential "oral sati-
The results of this study revealed that selective transec-
ety" to sucrose and Polycose remains to be determined, but
tions of the glossopharyngeal nerve, superficial petrosal
the results are compatible with the view that different gus-
nerve, and the pharyngeal branch of the vagus nerve differ-
tatory systems mediate the taste and appetite for these
entially altered the intake of sucrose and Polycose solutions.
carbohydrates.
On the other hand, selective transection of the chorda tym-
pani nerve (CTN) produced comparable effects on sucrose
and Polycose intake. In addition to the groups given selected Saccharin-Carbohydrate Taste Interactions [160]
nerve transections, one group of rats received combined Rats consume enormous amounts of solutions containing
bilateral transections of all four gustatory nerves. These glucose (3%) and saccharin (0. I-0.2%) [195]. This polydipsic
animals displayed comparable reductions in Polycose and response has been attributed to the synergistic taste effects
sucrose intake. Taken together, the results indicate that of the glucose + saccharin (G+S) mixture (see [179]). In this
polysaccharide and sucrose appetites are mediated to the study we explored the possibility that the rat's polysac-
same degree by the gustatory system, although the gustatory charide taste may be involved in the overconsumption of
pathways involved appear to differ. This latter finding is G + S solutions. Our previous findings [133] suggest that glu-
consistent with the hypothesis that rats have different taste cose stimulates both polysaccharide and sucrose taste recep-
receptors for sucrose and polysaccharides. tors whereas saccharin stimulates only sucrose receptors,
and perhaps the combined stimulation of both receptor types
Effects oJ'Anosmia on Polycose Appetite [2011 by the G + S mixture contributes to the polydipsia.
The results showed that a sucrose + saccharin solution,
The near-total gustatory denervation produced in the which presumably stimulates only sucrose type receptors,
previous study did not completely block the rat's Polycose induced as much polydipsia as did a Polycose + saccharin
intake. Taste fibers spared by the surgery may have been solution, which presumably stimulates both receptor types.
CARBOHYDRATE TASTE AND APPETITE 143

Based on these findings we concluded that the combined identify starch-rich foods. Consistent with this interpreta-
activation of sucrose-type and polysaccharide-type taste re- tion, in this study rats displayed an immediate preference for
ceptors is a sufficient but not a necessary condition to obtain powdered corn starch over powdered cellulose in short-
taste-induced polydipsia. term, two-choice tests. The rats also preferred the corn
starch to Polycose powder. This latter finding was unex-
Species D(fferences in Saccharide Taste Preferences [60] pected. We had assumed that because Polycose contains
smaller and more soluble polysaccharides than does corn
In this study we turned our attention to the species speci-
starch, Polycose would be a better stimulus for the rat's
ficity of polysaccharide taste. Informal taste tests indicated
polysaccharide taste receptors than corn starch.
that Polycose is minimally sweet and not very palatable to
Since corn starch consists mostly of branched-chain
humans and this was confirmed in a formal experiment.
polysaccharides (amylopectin) whereas Polycose contains
Human subjects rated Polycose solutions to be less sweet
predominantly straight-chain polysacchardes we determined
and less palatable than equimolar solutions of sucrose or
the rat's preference for these two types of polysacchardes.
maltose solutions. In fact, at the higher concentrations, the
In short-term tests using powdered saccharides the rats reli-
subjects reported the Polycose solutions to be unpleasant.
ably preferred amylopectin (branched chain) starch to
Thus humans and rats respond quite differently to polysac-
amylose (straight-chain) starch as well as to Polycose. How-
charide solutions.
ever, when tested with the saccharides in a hydrated form
To determine if other species share the rat's appetite for
(solutions, suspensions or gels) the rats strongly preferred
polysaccharides a second experiment compared the taste
Polycose to amylopectin starch. These latter findings
preferences of rats, hamsters, gerbils, and spiny mice using
suggested that the preferences observed with the powdered
24-hr/day two-bottle tests (solution vs. water). In general,
saccharides was due to nongustatory factors, i.e., texture or
the rats displayed stronger preferences for Polycose and mal-
odor. The results of additional tests, though, failed to iden-
tose (over water) than did the other three species. The spe-
tify these factors. That is, texture, as manipulated by particle
cies did not differ in their sucrose preferences except that the
size, was found not to influence the rat's preferences for
spiny mice preferred sucrose less than did the other three
powdered saccharides. Also, the noncarbohydrate con-
species. Within-species comparisons revealed that for all the
stituents of corn starch, which give it its "cereal" flavor,
rodents the preference for Polycose was as strong or
were found not to be a factor in the rat's preference for
stronger than their preference for sucrose or maltose. There-
amylopectin powder over Polycose powder. Thus, the
fore, while less responsive than the laboratory rat, the gerbil,
orosensory determinants of starch preference remain to be
hamster, and spiny mouse all share with the rat an appetite
fully identified.
for polysaccharides. In contrast with these rodent species, in
The present study also examined the rat's long-term pref-
another study [79] we observed that cats failed to prefer
erence for starch and Polycose powder. Despite their strong
either Polycose or sucrose solutions to water. These species
preference for powdered starch over powdered Polycose in
differences in carbohydrate taste preference are presumably
short-term tests, the rats quickly reversed this preference
related to the natural dietary habits of the animals, but this
during 24-hr/day tests and consumed more Polycose than
relationship requires much further study.
starch. In a subsequent experiment (Sclafani, Vigorito and
Pfeiffer, in preparation) we observed that rats consumed
Sex Differences in Saccharide Taste Preferences [161] more Polycose than amylopectin in long-term tests whether
In the preceding study both male and female rodents were the saccharides were presented in powder or gel form. Fur-
tested, but few sex differences in taste preference were ob- thermore, the Polycose gel produced greater increases in
tained. This was surprising since previous studies indicate food intake and body weight than did the amylopectin gel.
that male and female rodents differ in their sweet taste pref- This latter finding indicates that food intake is influenced by
erence [203]. In this study, therefore, we investigated the saccharide type as well as form. Rats may switch their pref-
taste preferences of male and female rats in greater detail. erence from amylopectin to Polycose and consume more
While 24-hr/day two-bottle (solution vs. water) tests failed to Polycose than starch in long-term tests because the Polycose
reveal sex differences, 3-rain and 30-rain/day Polycose vs. is digested and absorbed at a faster rate than is starch.
sucrose tests indicated that male rats have a greater prefer-
ence for Polycose, and female rats a greater preference for INTEGRATION
sucrose. Somewhat different results were obtained with 24- The findings reviewed above and detailed in the subse-
hr/day Polycose vs. sucrose tests. In this case, both sexes
quent papers in this issue provide a considerable amount of
initially displayed a preference for 32% sucrose over 32%
new information concerning carbohydrate taste and appetite
Polycose, but then shifted their preference over days to the in animals. These new findings are integrated with previous
Polycose solution. The female rats, though, displayed a more
research in the following "working" models of carbohydrate
pronounced preference shift than did the male rats. The
taste and appetite in the rat.
cause of the preference reversal appears to be related to the
postingestive rather than the orosensory properties of the
Carbohy~h'ate Taste
Polycose and sucrose solutions. Taken together, the results
indicate that there are differences in the carbohydrate taste With respect to carbohydrate taste, Fig. 4 presents a
preferences of male and female rats as well as in their re- two-carbohydrate taste model that postulates that rats have
sponse to the postingestive effects of carbohydrates. two types of taste receptors for carbohydrates: a sucrose-
type or "sweet" receptor and a polysaccharide-type recep-
tor. The sucrose-type receptor is thought to consist of glu-
Starch Preference in Rats [168] cose and fructose subsites [8], and is responsive to sucrose,
The presumed function of the polysaccharide taste sen- fructose, glucose, and maltose, in that order, as well as to
sitivity revealed in our studies is to allow rodents to readily saccharin. The polysaccharide-type receptor is postulated to
144 SCLAFANI

Two C a r b o h y d r a t e
T a s t e Model

Polysaccharide Receptor Sucrose R ecept or

-V-1V
- = -
Glucose Subslte ~ = Fructose Subsite

R e c e p t o r S t i m u l a t e d bY: Receptor S t i m u l a t e d bF:

N a l t o o l Igosaccharldes Sucrose
Maltopolysacchar Ides Fructose
Maltose Glucose
Glucose Maltose
Saccharin

FIG. 4. Schematic representation of the two carbohydrate taste model. The model
postulates that rats have a polysaccharide taste receptor that consists of several
glucose subsites and that is stimulated by maltooligosaccharides, maltopolysac-
charides, maltose, and glucose. The sucrose receptor consists of a glucose subsite
and a fructose subsite and is stimulated by sucrose, fructose, glucose, maltose,
and saccharin.

consist of several glucose subsites and to be responsive to their polysaccharide taste sensitivity may be mediated by
maltooligosaccharides, maltopolysaccharides, maltose, and one of these sugar receptor subtypes, in particular by a
glucose, in that order. The model further postulates that the "'maltose" receptor, rather than by a polysaccharide recep-
two receptors activate separate gustatory systems (or sub- tor. After all, maltose-sensitive gustatory single fibers have
systems) such that rats perceive the taste of sucrose and been identified [8], and the conditioned taste aversion data
polysaccharides as qualitatively different. This two-taste indicate that maltose and Polycose produce a similar taste
model is based on the findings that (a) rats display an avid sensation [133]. Furthermore, although Polycose contains
appetite for Polycose and, in particular, for maltooligosac- only small amounts of free maltose, hydrolysis of Polycose
charide solutions; (b) the relative preference for Polycose in the mouth by salivary amylase would increase its maltose
and sucrose varies as a function of concentration, i.e., Poly- content. According to this argument, though, rats should
cose is preferred at low concentrations, sucrose is preferred prefer maltose solutions to Polycose solutions, and their mal-
at high concentrations; (c) the preference threshold for Poly- tose preference threshold should be lower than their Poly-
cose is much lower than that for sucrose; (d) conditioned cose preference threshold but this is not the case. Note in
taste aversions to sucrose and Polycose do not cross- particular, that at the Polycose preference threshold even if
generalize; (e) Polycose and sucrose differ in their "'oral" all the Polycose in solution was converted to maltose the
satiety effects; and (f) Polycose and sucrose intake are dif- concentration would be below the rat's maltose preference
ferentially affected by selective gustatory deafferentation. threshold. In fact, given the rapidity of the rat's drinking
Electrophysiological evidence. The above findings are response probably only a small amount of Polycose in solu-
based on behavioral studies and obviously electrophysiolog- tion is hydrolyzed in the mouth. Empirical evidence that
ical data are needed to fully evaluate the two-carbohydrate salivary amylase plays little role in Polycose appetite is pro-
taste model. Preliminary results obtained with whole nerve vided by the findings that inhibiting salivation with atropine
recordings indicate that the rat's chorda tympani nerve is methyl nitrate does not reduce Polycose solution intake
equally responsive to Polycose and sucrose, whereas the (Sclafani and Nissenbaum, unpublished observations). Fi-
greater superficial nerve is more responsive to sucrose than nally, preliminary observations indicate that the rat's chorda
to Polycose (Beidler and Nejad, unpublished observations). tympani nerve is equally responsive to Polycose and sucrose
In contrast to the rat, in the gerbil initial results indicate that (Beidler and Nejad, unpublished observations) whereas
the corda tympani nerve is less responsive to Polycose than previous reports indicate that the CTN is less responsive to
to s,fcrose (Beider and Nejad, unpublished observations; maltose than to sucrose [140]. Thus, while further elec-
Jakinovich, unpublished observations). These observations trophysiological evidence is required, the available data do
are compatible with our findings that selective deafferenta- not support the idea that maltose taste receptors mediate
tion of the chorda tympani and superficial nerves differen- polysaccharide appetite in the rat. Rather it may be that the
tially affect Polycose and sucrose intake, and that rats and rat's responsivity to maltose is mediated by polysaccharide
gerbils differ in the strength of their preference for Polycose. receptors.
Thus, although further electrophysiological evidence is re- Salivary amylase, while it may not be involved in the taste
quired, particularly single fiber data, the preliminary results response to polysaccharide solutions, may play an important
provide direct evidence that the gustatory system is respon- role in the taste response to naturally occurring polysac-
sive to polysaccharides. charides [150]. That is, as the rat masticates starch foods
Maltose receptors? It could be argued that since the rat sufficient amounts of soluble maltopolysaccharides and mal-
appears to have multiple sugar receptor subtypes (see [9]) tooligosaccharides may be produced by the action of salivary
C A R B O H Y D R A T E TASTE AND APPETITE 145

Multifactor tions, but sucrose to Polycose at high concentrations [134,


159, 161]? Perhaps this preference behavior represents an
C a r b o h y d r a t e Appetite Model adaptation related to the different solubilities of starch and
sugar. That is, since starch is poorly soluble, a starch-rich
food would produce a " w e a k " polysaccharide taste. In con-
DIET AVAILABILITY trast, sugar is very soluble and a " w e a k " sugar taste would
FLAVOR ~ be produced by a food low in sugar. Thus, rats may prefer
Taste
Polycose to sucrose at low concentrations because the Poly-
cose taste signifies a high-starch (and high-calorie) food
Texture~ ) APPETITE ) HYPERPHAGIA ~ OBESITY whereas the sucrose taste signifies a low-sugar (and low-
Smell / calorie) food. At high concentrations, on the other hand, the
sucrose taste would signify a sugar-rich food which rats
POSTINGESTIVE FACTORS may ordinarily prefer to a starch-rich food. Recall, however
that with experience with concentrated solutions rats alter
Rate of Absorption
Osmolarlty their preferences for sucrose and Polycose (see below).
Nutrient Interactions
Others

FIG. 5. Multifactor model of carbohydrate appetite. See text for Carbohydrate Appetite
explanation. Flavor. The above discussion has focused on taste but
clearly other factors contribute to carbohydrate appetite.
This is illustrated in Fig. 5 which presents a multifactor
amylase to stimulate the animal's polysaccharide taste re- model of carbohydrate appetite. As the model indicates,
ceptors. The fact that the rat's preference threshold for taste is only one component, albeit the most extensively
polysaccharides is very low [166] is consistent with this in- studied one, of flavor. Recent studies demonstrate that the
terpretation. Thus, salivary amylase, in addition to its role in orosomatosensory system plays an important role in the con-
the digestion of carbohydrates in the rat's stomach [108], trol of food intake and macronutrient selection [221]. Of par-
may facilitate the gustatory detection of carbohydrates. In ticular interest is the finding that trigeminal deafferentation
view of the species differences in polysaccharide taste pref- reduces the rat's hedonic response to sucrose solutions [14].
erences it is interesting to note that rat salivary amylase is Note that food technologists have long recognized that sugar
100 times more active than is human salivary amylase [108], adds texture ( " b o d y " or "mouth feel") as well as sweet
and that many mammalian species lack salivary amylase taste to foods and fluids [131]. Mouth feel is probably a fac-
[150]. tor in the preference rats display for carbohydrate liquids
Ftmctional significance. If, according to the two- and gels over carbohydrate powders in short-term tests
carbohydrate taste model, rats can taste polysaccharides as [ 168,169]. However, whether orosomatosensory stimuli con-
well as sugars, and taste them as qualitatively different from tribute to the rat's differential hedonic response to sugars
sugars (i.e., sucrose and fructose), what is the functional and polysaccharides is less certain. Olfactory stimuli do not
significance of this dual taste sensitivity? It has long been appear to be involved in the rat's response to carbohydrates
assumed that sweet taste sensitivity is adaptive because it in pure form [168, 198,201], but olfaction presumably plays a
allows animals to readily identify sugar-rich foods. Similarly, crucial role in the location and identification of carbo-
polysaccharide taste may be adaptive because it allows hydrate-rich foods in the animal's natural environment. Fur-
animals to readily identify starch-rich foods. Less obvious is thermore, olfactory cues are important in the conditioning of
why polysaccharides and sugars should produce different food preferences [111] (see below). Much remains to be
taste sensations. Only speculations can be offered at this learned about the contribution of the different orosensory
point. Perhaps having two rather than one carbohydrate systems to carbohydrate appetite and preference. In particu-
taste improves the animal's ability to adjust its food selection lar, as previously mentioned, the sensory basis of the rat's
according to its nutritional needs and variations in food preference for starch powders is not fully understood (see
availability and abundance. For example, animals in need of [ 1681).
immediate energy may preferentially select sweet foods since Cephalic phase responses. Carbohydrate taste (flavor), in
sugar is more rapidly digested than is starch. This may ex- addition to directly stimulating appetite via central nervous
plain the interesting finding [185] that insulin injections in- system mechanisms, may have an indirect influence through
crease glucose and sucrose intake, but not maltose intake in the activation of cephalic-phase digestive responses
mice--assuming that maltose has a polysaccharide-like taste mediated by the autonomic nervous system. It is well estab-
to mice. On the other hand, animals in need of protein may lished that the taste, texture, and smell of food can elicit
preferentially select polysaccharide-tasting foods since reflexive changes in pancreatic and gastrointestinal secre-
starch-rich plants (e.g., vegetables) have a higher protein tions and motility which facilitate the postingestive disposi-
content than do sugar-rich plants (fruits). Previous studies in tion of food [21,141]. Some investigators hypothesize that
fact demonstrate that pregnant rats display a reduced sweet these cephalic reflexes, the cephalic insulin response (CIR)
taste preference, as measured by two-bottle preference tests, in particular, may also modulate the animal's hedonic and
and this has been attributed to their increased protein re- ingestive responses to food [114,115]. It has been reported,
quirement [203]. However, whether pregnancy or other for example, that the size of the CIR is related to diet
states of increased protein need alter polysaccharide taste palatability, and that manipulations that block this cephalic
preferences remains to be determined. reflex (e.g., vagotomy) abolish the influence of diet palata-
Another interesting question is why should rats prefer bility on food intake [114,115]. Sweet taste is a potent
Polycose solutions to sucrose solutions at low concentra- stimulus of the CIR [141] and therefore this may be one way
146 SCLAFANI

in which sweet taste influences carbohydrate appetite and is, rats may develop a preference for the saccharide that is
intake. more rapidly absorbed.
The relationship between sweet taste, the CIR, and sugar Conditio:u,d prefi'rences. Other studies report that rats
intake remains controversial, however. For example, Grill et develop preferences for flavors that are added to polysac-
al. [71] reported that of several sweeteners tested, including charide solutions [19,121]. In these studies it was assumed
seven sugars and saccharin, only glucose produced a reliable that rats do not taste polysaccharides and that postingestive
CIR in rats. In contrast, other investigators obtained a CIR stimuli were responsible for the flavor conditioning. How-
to saccharin although there was considerable interanimal ever, the discovery that rats have a very sensitive polysac-
variability in the size of the response [141]. Furthermore, charide taste complicates the interpretation of these studies.
manipulations that block the CIR do not consistently inhibit That is, it is possible that the taste of the polysaccharides in
sugar intake. For example, atropine methyl nitrate injections addition to their postingestive actions may have served as
reduce sucrose intake in sham-feeding tests but not in real- the unconditioned stimulus in the conditioning of the flavor
feeding tests [132, 170, 207]. Also, while subdiaphragmatic preference (see [58]).
vagotomy reduces the intake of sucrose solutions it does not The most direct evidence for the postingestive modula-
suppress the intake of sucrose powder [ 164,200]. In addition, tion of appetite is provided by experiments in which flavor
gastric vagotomy, which is reported to spare the CIR, in- preferences were conditioned by carbohydrate loads that
hibits sucrose solution intake to the same extent as does bypassed the oral cavity. Although negative results have
subdiaphragmatic wlgotomy [200]. Thus, no firm conclu- been obtained [53, 104, 142, 148], intragastric and intrave-
sions can be reached concerning the role of cephalic reflexes nous infusions of glucose have been found to condition
in the rat's appetite for sugar. Even less is known about the flavor preferences [I 19. 176, 191]. (The failure to obtain pos-
possible involvement of cephalic reflexes in starch and Poly- itive conditioning in some experiments may have been due to
cose appetite. the use of hypertonic glucose solutions which have aversive
Postingestive inflttences. In addition to orosensory fac- consequences.) We have recently observed that rats also
tors, postingestive factors have a major influence on carbo- rapidly develop preferences for flavors associated with
hydrate appetite and intake. Feeding inhibitory effects, i.e., intragastric infusions of Polycose (Nissenbaum and Sclafani,
postingestive satiety, are the most extensively documented unpublished findings). We further observed that retarding
and these limit the amount of carbohydrate animals can con- the rate of digestion and absorption of the Polycose with the
sume [87]. Thus, variations in carbohydrate taste (or flavor) glucosidase inhibitor acarbose [46] blocked flavor condition-
may not affect intake because of the limits set by postinges- ing. Much more remains to be learned about the physiolog-
live satiety. On the other hand, variations in the form or type ical mechanisms involved in the postingestive conditioning
of carbohydrate may alter intake because they affect the of food preferences although recent reports indicate that
postingestive disposition of the carbohydrate [186]. For both preabsorptive (i.e., gastric) and postabsorptive (i.e..
example, rats may consume more of carbohydrate solutions hepatic) nutrient "'sensors'" are involved [52,191].
or gels than of carbohydrate powders [157] because carbo- The evidence that the postingestive effects of carbo-
hydrates in hyd,ated forms are more rapidly digested and hydrates can condition flavor preferences, or in some cases
absorbed than are carbohydrates in a dehydrated form. Simi- aversions [18], raises the question as to the degree to which
larly, rats may consume more Polycose than corn starch in the rat's hedonic response to carbohydrate taste is learned or
long-term tests [168] because the Polycose is more rapidly unlearned. As already noted, behavioral findings indicate
digested than is the corn starch, it is now clear that a number that rats have an innate preference for sweet taste [75,92] but
of factors affect the digestibility and absorption of carbo- whether they also have an innate preference for polysac-
hydrates [94,1471. charide taste remains to be determined. Even if rats have
Pret'erence reversals. The postingestive actions of carbo- innate preferences for sweet and polysaccharide tastes their
hydrates not only have an inhibitory effect on food intake but preferences can be modulated by the postingestive feedback
they can also modulate food preferences and, under certain provided by the saccharides. Nevertheless, there may be
conditions, actually stimulate food intake. The reversals in limits to the modifiability of carbohydrate taste preferences
saccharide preference observed in our studies and in previ- by postingestive nutritive feedback. This is suggested by
ous experiments appea. to be due to postingestive actions of preliminary results obtained in a study in which rats were
the carbohydrates. Recall that in long-term tests rats reverse trained to sham-feed one flavored Polycose solution and
their initial preference for starch powder over Polycose really-feed a different flavored Polycose solution (Nissen-
powder [ 168], 329,; sucrose solution over 32% Polycose solu- baum and Sclafani, unpublished findings). With 8% Polycose
tion [161], 32CA glucose solution over 32% Polycose (unpub- solutions the rats developed a preference for the flavor that
lished findings), sucrose powder over SOA-Polycose solu- they really fed (and that was associated with nutritive ef-
tion [169], and concentrated glucose solutions over dilute fects) over the flavor that they sham-fed, but with 32% Poly-
glucose solutions [19,1371. As previously mentioned, the cose solutions the rats failed to display such a preference
preference reversal obtained with concentrated and dilute (see also [197]). Thus a strong carbohydrate taste may limit
glucose solutions has been attributed to the hypertonicity of the ability of postingestive nutritional cues to modify food
the concentrated solutions [19]. Osmotic factors may also preferences. Another issue concerns whether or not rats in-
contribute to the preference reversals obtained with Poly- nately associate sweet and/or polysaccharide taste with the
cose, sucrose, and glucose solutions since the osmolarity of specific nutritive effects of carbohydrates. Booth [18] has
Polycose is less than that of the sucrose and glucose at argued that in this respect carbohydrate appetite (or hunger
isocaloric concentrations 1152]. It is less certain that osmo- to use his term) is learned. For example, Booth maintains
larity contributes to the preference reversal obtained with that the sweet taste preference elicited by insulin-induced
sucrose powder and SOA-Polycose solution, and starch and hypoglycemia is a conditioned response.
Polycose powders. In these cases rate of gastric emptying Feeding stimuhm,3' effect. In addition to their effects on
and/or intestinal absorption may be the critical factor. That food preferences, the postingestive actions of carbohydrates
C A R B O H Y D R A T E TASTE AND APPETITE 147

may directly stimulate food intake under some conditions. were required to bar press for sucrose solution " m e a l s " on
This is indicated by the findings that intragastric, fixed ratio schedules of 1 to 200 or more presses/meal
intraduodenal, or hepatic-portal infusions of sugar solutions [30,32]. Increasing the bar-pressing requirement or " c o s t " to
increase the amount of chow consumed by rabbits in their obtain sucrose increased sucrose meal size but decreased the
next meal [63]. Note that the feeding stimulatory effect was number of meals such that daily sucrose intake was reduced.
dependent upon the rate of infusion; at a high rate of infusion Making the sucrose more costly also blocked its weight-
(3 ml/min) subsequent food intake was increased, but at a promoting effect, but apparently not its effect on feed effi-
low infusion rate (1 ml/min) food intake was decreased. The ciency. That is, rats that worked for sucrose meals gained
feeding stimulation obtained at the high infusion rate was more weight per calorie consumed than did control rats that
hypothesized to be a consequence of the hyperinsulinemia were not given access to the sucrose solution. As previously
and subsequent events triggered by the rapid rise in blood mentioned, we have also observed that reducing diet avail-
glucose [63,64]. ability by placing an antiscatter plate in the food cup was
Rate ~/'absorption. The findings obtained with low and sufficient to block the rat's hyperphagic response to the diet,
high infusion rates compliment other results cited in this i.e., Polycose gel (Sclafani et al., unpublished findings). In
paper that implicate an important role of absorption rate in one experiment we observed that when the antiscatter plate
the feeding effects of carbohydrates (see also [186]). This is was removed the animals did not recover their hyperphagia
further indicated by the results of a study in which the but nevertheless continued to gain more weight than chow-
glucosidase inhibitor acarbose [46] was used to slow down fed controls. This finding raises the intriguing possibility that
the rate of digestion and absorption of Polycose (Sclafani and reductions in diet availability may actually increase feed ef-
Mann, unpublished observations). The rats in this experi- ficiency under certain conditions.
ment were fed, in addition to chow and water, a 32% Poly- Limiting the availability of a carbohydrate source also
cose solution to which was added 0, 20, 40, or 60 mg/100 ml appears to increase the animal's carbohydrate appetite. This
of acarbose. The acarbose produced a dose dependent de- is suggested by the results of a study [112] in which rats were
crease in absolute and percent Polycose intake, as well as in maintained in a complex environment in which they had to
total caloric intake. (Note that Vasselli et al. [199] reported bar press for all their food and water. Both sucrose and
that acarbose did not reduce 32% sucrose intake in rats, but regular food pellets were available from separate feeders.
in their study the acarbose was added to the chow diet rather When the daily supply of sucrose pellets was limited the rats
than the sucrose solution.) increased their rate of bar pressing for sucrose even though
Variations in carbohydrate absorption may affect food the regular food pellets remained available and the animals
intake via several different mechanisms. The rapid rise in were never calorically deprived. Thus, rats seem to behave
blood glucose is thought to trigger a sequence of hormonal like humans: when the supply of sugar is reduced, the de-
and metabolic events that promotes lipogenesis and overeat- mand increases. Conversely, other studies show that when
ing [63,64]. Also, rats may develop preferences for carbo- rats are fed a sweet, palatable maintenance diet their appetite
hydrate foods that are rapidly absorbed (Nissenbaum and for a sugar meal is reduced [125,163]. Since in the real world
Sclafani, unpublished observations; [191]). On the other animals must forage for food that varies in abundance and
hand, slowly absorbed carbohydrates ("lente carbo- availability, as well as in caloric value and nutrient composi-
hydrates" [94]) may prolong satiety by their action in the tion, the influence of diet availability on appetite, intake and
gastrointestinal tract. For example, slowly absorbed carbo- feed efficiency is of considerable interest and requires much
hydrates travel further down the intestinal tract than do further study.
rapidly absorbed carbohydrates [94] where they might ac- A related issue concerns the availability of nutrients other
tivate lower gut satiety mechanisms (see [105]). than carbohydrates. As discussed in a previous section,
Diet ft,-re. Although it has been discussed in previous under some conditions at least, the protein and fat content of
sections, it is worth emphasizing here the importance of the diet has a significant impact on the rat's preference and
carbohydrate form as a determinant of food preference and intake of carbohydrate-rich foods [69, 113, 118, 130, 211]
intake. The findings reviewed in this paper demonstrate that (see also [30]). A considerable amount of research has focused
rats respond quite differently to carbohydrate diets in hy- on the factors involved in carbohydrate and protein selec-
drated (solutions, gels, semiliquids) and dehydrated forms tion, particularly the involvement of specific brain neuro-
(powders). Both orosensory and postingestive factors anpear transmitter systems, but a discussion of this work is beyond
to contribute to the greater hyperphagic response produced the scope of the present paper (see [2, 4, 61]).
by hydrated diets compared to dehydrated diets. That is, rats
prefer the flavor of carbohydrate solutions and gels to the Importance of Carbohydrate Taste
flavor of carbohydrate powders, and hydrated carbohydrates
appear to produce postingestive effects that enhance appe- Given the multiplicity of factors reviewed above, what
tite and food intake more than those produced by dehydrated can be concluded concerning the relative importance of
carbohydrates. The influence of carbohydrate form on appe- carbohydrate taste in determining carbohydrate appetite and
tite and food intake has until recently received relatively intake'? With respect to the original question addressed by
little attention. Dry diets are the norm in laboratory feeding our research--the role of sweet taste in carbohydrate-
studies since they are more convenient to use and more re- induced overeating--it can be concluded that sweet taste is
sistant to spoilage than are hydrated diets. Yet, animals and not essential since rats overeat and become obese when of-
people rarely eat dehydrated foods in the real world. Thus, fered nonsweet polysaccharide solutions. However, since it
greater emphasis should be given in future research to the is now apparent that rats are very attracted to the taste of
study of hydrated foods. polysaccharides, the question must be rephrased: what is the
Diet availability. Another factor that can influence carbo- role of carbohydrate taste, sweet or polysaccharide, in
hydrate appetite, intake, and obesity is diet availability (Fig. carbohydrate-induced overeating and obesity? Clearly,
5). This is illustrated by the results of studies in which rats orosensory stimulation facilitates the feeding response of
148 SCLAFANI

rats [20,85], and the tastes of sugar and polysaccharides obesity since rats are also very attracted to the taste of
provide a strong incentive to feed, but are these specific polysaccharides. Although humans lack this appetite for
tastes necessary to obtain the hyperphagic response to polysaccharide taste, we are attracted to starch-rich foods
carbohydrates? Or are the postingestive effects of carbo- appropriately flavored with sauces and spices (see [60]). The
hydrates sufficient to induce and/or maintain carbohydrate source of this attraction is not entirely understood [154].
appetite and carbohydrate-induced hyperphagia in the ab- Findings obtained with rats demonstrate that postingestive
sence of a sugar or polysaccharide taste? The answer to this factors have an important modulatory influence on food
question is not known, but it appears likely that it is the preferences. In some cases postingestive factors may re-
combination of taste and postingestive effects that make verse initial food choices and the animal's hedonic response
carbohydrate foods so attractive to animals. in short-term tests do not always predict its long-term pref-
erence and intake. Human feeding studies indicate that the
Other Nutrient Receptors? hedonic response to taste does not predict long-term food
selection and intake [120]. Thus, it may be that in humans, as
The discovery of a heretofore unknown taste sensitivity
in rats, the postingestive effects of foods condition our appe-
to starch-derived polysaccharides expands our understand-
tites and flavor preferences, although clearly many other fac-
ing of the "taste worlds" of animals. It also raises the
tors are involved in human food selection [154].
possibility that other taste sensitivities remain to be dis-
covered. Is it the case, as the quotation at the beginning of
this paper indicates, that animals have orosensory receptors CONCLUSIONS
for carbohydrates only or is it possible that receptors for fats
I. Rats and presumably other rodents have two different
and proteins exist in some species (see [51]). Much also re-
taste (sub)systems for carbohydrates. The sweet taste sysem
mains to be learned about the location, nutrient specificity,
is stimulated by sucrose, other sugars, and saccharin, while
and function of visceral receptors responsible for the
the polysaccharide taste system is stimulated by starch-
postingestive modulation of food preferences.
derived polysaccharides, oligosaccharides, maltose, and
glucose. Rats display an avid appetite for both carbohydrate
Relevance to Human Feeding and Obesity
tastes and their relative preference varies as a function of
The role of dietary sugar, sucrose in particular, in human carbohydrate type and concentration. The presumed func-
feeding behavior and obesity has been the subject of consid- tion of the polysaccharide taste system is to facilitate the
erable concern and controversy. While it is a popular belief detection and recognition of starch-rich foods but the
that sweet taste promotes overeating and sugar promotes orosensory determinants of starch preference are not fully
obesity in humans, the data to support this belief are lacking understood.
[54,210]. The results of animals studies have been cited as 2. Postingestive factors have an important modulatory ef-
evidence both for and against the view that sugar causes fect on carbohydrate appetite and preference. The
overeating and obesity [64, 143, 206]. There are of course postingestive actions of carbohydrates can condition flavor
many differences between rats and humans as well as be- preferences and can in some cases reverse the animal's ini-
tween the environmental conditions of the laboratory and the tial food choices. The postingestive mechanisms responsible
real world. These differences limit the inferences that can be for this appetite modulatory effect remain to be identified.
made from animal studies concerning human behavior and 3. Other factors that influence carbohydrate appetite and
nutrition. Nevertheless, the findings obtained with labora- intake include the diet availability and macronutrient com-
tory rats suggest possibilities that should be considered and position. Cephalic-phase digestive responses have also been
variables that should be examined in the human feeding re- implicated but their role in carbohydrate appetite is ques-
sponse to carbohydrates. tionable.
Much of the discussion in the literature has focused on the 4. The long-term feeding and body weight response to
question: Is sucrose more obesity-promoting than other carbohydrate diets depends upon a number of factors. Diet
sugars and starch?. The research reviewed above indicates form is a particularly important variable; carbohydrates in
that sucrose is more obesity-promoting than other carbo- hydrated form (liquid or gel) promote more overeating and
hydrates but only under certain dietary conditions and the obesity than do carbohydrates in dehydrated form (powder).
relevance of these conditions to the human situation has This may be related to the differential rate of absorption of
been questioned [143]. The rat studies also demonstrate, hydrated and dehydrated carbohydrates. Less important is
however, that monosaccharides and polysaccharides can the specific type of carbohydrate since monosaccharides
produce overeating and obesity, and that the physical form (glucose, fructose), disaccharides (sucrose, maltose), and
of the carbohydrate is at least as important as carbohydrate polysaccharides (Polycose) all promote obesity when offered
type in determining food intake and adiposity. Rate of ab- m solution form. However. carbohydrate type is a significant
sorption, as influenced by diet form, composition, and other factor under some dietary conditions. For example, with
factors, appears to be a critical determinant of the feeding composite diets dissacharides are often more effective than
and body weight response to carbohydrates. Perhaps less monosaccharides or polysaccharides in promoting obesity.
emphasis should be placed on the sugar vs. starch 5. Results obtained with rats suggest that research on the
dichotomy, and more attention should be directed to the role of carbohydrates in human feeding and obesity should
influence of rapidly absorbed vs. slowly absorbed carbo- not be limited to sugars and sweet taste. The influence of
hydrate foods on human adiposity. This latter classification other carbohydrates, rate of carbohydrate digestion and ab-
scheme has received considerable attention recently in the sorption, and the postingestive modulation of appetite
dietary treatment of diabetes mellitus [45,93]. should be considered.
The role of sweet taste in human obesity has also received 6. The discovery of a polysaccharide taste sensitivity in
much attention. The rat studies reviewed here indicate that rodents raises the question as to what other nutrient-specific
sweet taste is not essential to obtain carbohydrate-induced sensory receptors may exist in animals.
CARBOHYDRATE TASTE AND APPETITE 149

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