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 Weight Control 


Diet / Weight Control Infocenter

After the Glycemic Index, now Meet the Satiety Index

by Caroline J. Cederquist, M.D.

We know thereís no miracle munchie, but if you had to choose just one food for snacking, based on how long it would keep you from getting hungry again, what would you choose to eat?

Maybe a better question is how would you choose? Diners and dieters familiar with the glycemic index could run through the numbers they know from that nifty scale and come up with a pretty good response for the question, but others may be more stymied.

Thereís actually another measurement tool might help us identify the best hunger-fighter foods of all. Itís called the ďSatiety Index,Ē meaning that itís a gauge of how well a food keeps you feeling satisfied and keeps hunger sensations at bay. Itís similar to the glycemic index, and itís a pretty nifty tool in its own right.

All the scores can seem a little daunting at first, but after a while, you just learn which foods you want to eat in order to achieve your particular result. And you donít have to memorize any of this anyway. You can get handy little resource materials like wallet card references for either index, so you might as well arm yourself with the best information from both ideas to help you pick the best foods for your own defensive diet.

Reviewing the Glycemic Index

The glycemic index (GI) is a ranking of foods based on their immediate effect on blood sugar levels. It measures how much your blood sugar increases over a period of two or three hours after a meal.

Glucose, a simple, very quickly digested sugar, is used as the ďindex,Ē or the standard against which other foods are measured. Itís assigned a value of 100. Highly processed carbohydrate foods that break down quickly during digestion end up with the highest rankings. High-protein foods and high-fiber complex carbohydrates tend to rank low. And generally speaking, when it comes to identifying healthy, hunger-abating foods, low GI is good.

The glycemic index has been around for years, and it supports arguments in favor of low-fat, high carbohydrate diets for weight loss, as well as prevention of cardiovascular disease and diabetes. In fact, diabetics are often urged to memorize the glycemic index with the same diligence they used in going after the multiplication tables in fourth grade. Thatís because foods that take longer to digest (low GI scores) produce less dramatic spikes and drops in blood sugar and insulin production.

While those fluctuations can actually be dangerous for diabetics, for nearly any dieter, they are at least a misery, causing urgent, even painful hunger sensations to race off to the brain. So the glycemic index has also been used as a good measure of the ďstick-to-your-ribs-nessĒ of foods. People who want to lose weight choose foods with the lowest glycemic index.

Meet the Satiety Index

Of course, for dieting in general, the limitation of the glycemic index is that it mostly includes carbohydrate foods, those most likely to have a significant effect on blood sugar. And thatís not all most of us eat.

So a few years ago, Susanna Holt, PhD, of the University of Sydney wanted a system specifically to measure different foods' ability to produce satiety and fend off hunger; in other words, an even better indicator of their ďstick-to-your-ribs-ness,Ē and one that would include other sorts of foods.

In Holtís Satiety Index, a slice of white bread is the index, and itís also assigned a value of 100. The satiety value of other foods is rated relative to the bread, with foods offering longer-lasting hunger abatement scoring higher. That means on this scale, people trying to lose weight would choose foods with the highest numbers.

In developing the satiety index, Holtís test subjects were college students, not famous for their wise diet choices. The students were invited for Ďbreakfastí which consisted of 240 calories worth of various specific foods, anything from jelly beans to bacon.

After eating, the students were asked to rank their feelings of hunger every 15 minutes for the next two hours, during which they could continue to eat more of that particular food, but nothing else. Holtís various tests yielded the scores used in the Satiety Index.

Here are a few samples from each scale, for comparison. Thereís no Satiety Index score for the plain sugar, because, well, who wants to eat plain sugar? Yuck.

glucose (sugar) 100  
white bread 70 100
croissant 67 47
whole wheat bread 68 154
potatoes (boiled or baked) 59 323
french fries 72 116
chocolate bar 49 70
lentils 30 133

Now, looking at the differences between the two scales, you might start to suspect that there is more to satiety than the effect a food has on your blood sugar. Indeed, protein and fat both have minimal effects on blood sugar.

And here is where Dr. Holtís studies produced some real surprises. She and her hungry student volunteers demonstrated that foods high in fat made people want to eat more, even though we usually think of rich, high-fat foods as filling. This explains the apparent contradiction between potatoes, the runaway winner on the Satiety Index, and french fries, which scored poorly on both scales. Itís not the spud thatís to blame, itís all that fat!

Dr. Holt speculated that because the body responds to fat as something to be stored for a Ďrainy day,í a period of scarcity, rather than something to be used immediately, the gut doesnít stop sending hunger signals as soon, so we go on wanting to eat more.

But letís donít forget the function of sheer mass. A 240-calorie serving of boiled potatoes is just a lot more food than a 240-calorie serving of greasy French fries. As a rule, itís going to take longer to digest and therefore, it will hold off the next round of hunger signals for a longer time.

But why would whole wheat bread be 54 percent more satisfying than the same number of calories in white bread? Itís not any bigger a slice, is it? It may or may not be, but whatís at play here is the fact of processing. As foods become more refined, the seed coats and other fiber components that are removed are the very ones that slow the passage of food through the digestive tract, resulting in prolonged ďIím not hungryĒ messages to the brain.

The Satiety Index really only measures short-term satiety, because the experiments ran for just two hours. Fruit was very satisfying initially, because 240 calories worth of fruit is a rather large portion, that matter of mass again. But because fruit is really mostly water and sugar and a little fiber, it leaves the gut rapidly, so hunger returned at the end of the second hour for the fruit eaters.

On the other hand, participants who had eaten whole grain bread or lean protein kept their nibbling impulses at bay for much longer as their bodies continued to work on what they were still processing.

Taken together, the best scoring items on these two indexing tools offer a variety of really good choices for healthy, low-calorie foods to incorporate into your daily diet. And if you can only pick one for snack time, go for something with some staying power.

See Also:

What if it wasnít about low-carb or low-fat, but it was about YOU?
It seems now that scientists have shown that the big variable in deciding which is better isnít so much the fat or the carbsóitís you!

Dining Out, Weighing In: Restaurant Meals are Higher in Calories
When we eat out, we simply have much less control over what ends up on our plates, and from there, on our bottom line. That shows up in a variety of ways.

The Mind-Body Connection: Complexity in Weight Loss
You canít eat your way into healthy thinking, but you can probably think your way into healthy eating, which in turn, actually could make your thinking healthierÖ if only you could figure out where to start.

Working Out with Kids: Do What YOU Like!
When parents try to get their kids to be more active, these efforts usually start out full of enthusiasm and good intentions, but very often end up sidelined, not by the kids' unwillingness to cooperate, but by the parents' inability to provide the consistent support needed.

Caroline J. Cederquist, M.D. is a board certified Family Physician and a board certified Bariatric Physicians (the medical specialty of weight management). She specializes in lifetime weight management at the Cederquist Medical Wellness Center, her Naples, FL private practice, you can also get more information about Dr Cederquist and her weight management plan by visiting www.DietToYourDoor.com

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