1. Leptin is generally thought to play a key role in the regulation of
eating, However, its real role in human eating behaviour is still poo
rly known, Therefore, the role of leptin in the regulation of eating w
as examined in obese binge- and non-binge-eating women during exposure
to food and food-related stimuli, 2. Eleven binge- and ten non-binge-
eating obese women took part in the study, In addition to serum leptin
, serum insulin, non-esterified fatty acids, plasma glucose, salivatio
n, the feeling of hunger and the desire to eat were repeatedly measure
d during the experiment, 3. Serum leptin levels did not differ between
the binge- and non-binge-eating women, Neither were leptin levels ass
ociated with the feeling of hunger or the desire to eat food, nor,vith
the amount or composition of food eaten, During food exposure leptin
levels did not change, whereas at the same time serum insulin levels i
ncreased and serum non-esterified fatty acid levels decreased, The cha
nge in salivation during food exposure was inversely associated with t
he fasting leptin level, 4. This study indicates that serum leptin doe
s not play a role in the regulation of eating in obese women, at least
not in the short term, Furthermore, leptin levels are not different i
n obese binge-eating women as compared with obese non-binge-eating wom
en, Interestingly, high fasting leptin levels may be associated with a
decreased salivation response in the presence of food and food-relate
d stimuli.