According to a friend, there have been studies linking obesity with an inability to recognise real hunger symptoms:
“…these doctors did these tests…locked one group of normal weight people in a room, and another group of obese people in another. gave both groups only a simple sugar syrup to eat. the normal group ate their usual daily caloric intake of the syrup; ate when they were hungry. the obese people, lacking visual cues, ate hardly anything at all. ”The implication being that the obese people were becoming hungry primarily through visual cues.
We are never truly sure of our beliefs.