HUNGER (Hunger Gradation Evaluation and Resolution): The Basis of Obesity Care

Dr SANJAY KALRA; Dr ANUPAM BISWAS; Dr NISHANT RAIZADA; Dr SAPTARSHI BHATTACHARYA; Dr NITIN KAPOOR

doi:10.59793/brskwn06

HUNGER (Hunger Gradation Evaluation and Resolution): The Basis of Obesity Care

Authors

Dr SANJAY KALRA Treasurer, International Society of Endocrinology (ISE); Vice President, South Asian Obesity Forum (SOF); Bharti Hospital, Karnal, Haryana, India
Dr ANUPAM BISWAS Dept. of Endocrinology, Fortis Hospital, Noida, Uttar Pradesh, India
Dr NISHANT RAIZADA Dept. of Endocrinology, University College of Medical Sciences, New Delhi, India
Dr SAPTARSHI BHATTACHARYA Dept. of Endocrinology, Apollo Indraprastha Hospitals, New Delhi, India
Dr NITIN KAPOOR Dept. of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, Tamil Nadu, India; Noncommunicable Disease Unit, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia

DOI:

https://doi.org/10.59793/brskwn06

Keywords:

Behavioral therapy,, hunger, obesity,, overweight,, psychological therapy,, psychosocial aspects

Abstract

This communication describes hunger awareness training as a means of managing appetite, optimizing nutritional intake,
and improving obesity-related outcomes. The HUNGER (Hunger Gradation Evaluation and Resolution) games use the
endocrine, nervous (sensory, autonomic, and motor), and psycho-cognitive symptoms and signals of hunger to help control
unnecessary food intake. The model lists three types of hunger - homeostatic, habitual, and hedonistic, as opposed to the

conventional binary classification of homeostatic and hedonistic cues. Habitual hunger can be defined as eating due to pre-
set habits, activated by routines of time, place of company, without either physiological need or pleasure. Hunger training

stimulates introspection, facilitates self-management of disease, and promotes patient provider communication. It can be
customized according to the needs of the person living with obesity, their caregivers, and the health care system. Further
validation of the module is required to utilize it fully.

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Published

2025-12-12

Issue

Vol. 36 No. 6 (2025)

Section

Brief Communication

License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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How to Cite

HUNGER (Hunger Gradation Evaluation and Resolution): The Basis of Obesity Care. (2025). Indian Journal Of Clinical Practice, 36(6), 29-31. https://doi.org/10.59793/brskwn06