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Brand J, Yeum D, Stewart T, Emond JA, Gilbert-Diamond D. The associations between attentional bias to food cues, parent-report appetitive traits, and concurrent adiposity among adolescents. Eat Behav 2024; 53:101874. [PMID: 38636439 PMCID: PMC11144077 DOI: 10.1016/j.eatbeh.2024.101874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 03/27/2024] [Accepted: 03/28/2024] [Indexed: 04/20/2024]
Abstract
OBJECTIVE To assess whether attentional bias to food cues and appetitive traits are independently and interactively associated with adiposity in adolescents. METHOD Eighty-five adolescents, 14-17-years had their attentional bias to food images measured in a sated state by computing eye tracking measures of attention (first fixation duration, cumulative fixation duration) to food and control distractor images that bordered a computer game. Parents reported adolescent appetitive traits including the food approach domains of enjoyment of food, food responsiveness, emotional overeating, and the food avoidance domains of satiety responsiveness and emotional overeating through the Children's Eating Behavior Questionnaire. RESULTS First fixation bias to food cues was positively associated with enjoyment of food, and negatively associated with satiety responsiveness. In a series of regression models adjusted for relevant covariates, first fixation bias to food cues (β = 0.83, p = 0.007), higher food responsiveness (β = 0.74, p < 0.001), higher emotional overeating (β = 0.51, p = 0.002), and a composite appetite score (β = 1.42, p < 0.001) were each significantly associated with greater BMI z-scores. In models assessing the interactive effects between attentional bias and appetitive traits, higher first fixation bias to food cues interacted synergistically with food responsiveness and emotional overeating in relation to BMI z-score. A synergistic interaction between first fixation bias to food cues and the composite appetite score in relation to BMI z-score was also observed. CONCLUSION Individuals with high attentional bias to food cues and obesogenic appetitive traits may be particularly susceptible to weight gain.
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Affiliation(s)
- John Brand
- Department of Epidemiology, Geisel School of Medicine at Dartmouth College, Hanover, NH, United States; Dartmouth Cancer Center, Lebanon, NH, United States.
| | - Dabin Yeum
- Department of Epidemiology, Geisel School of Medicine at Dartmouth College, Hanover, NH, United States
| | - Tessa Stewart
- Department of Epidemiology, Geisel School of Medicine at Dartmouth College, Hanover, NH, United States
| | - Jennifer A Emond
- Department of Pediatrics, Geisel School of Medicine at Dartmouth College, Hanover, NH, United States; Department of Biomedical Data Sciences, Geisel School of Medicine at Dartmouth College, Hanover, NH, United States
| | - Diane Gilbert-Diamond
- Department of Epidemiology, Geisel School of Medicine at Dartmouth College, Hanover, NH, United States; Dartmouth Cancer Center, Lebanon, NH, United States; Department of Pediatrics, Geisel School of Medicine at Dartmouth College, Hanover, NH, United States; Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, United States
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Yeum D, Gilbert-Diamond D, Masterson TD, Carlson DD, Ballarino GA, Lansigan RK, Renier TJ, Emond JA. Associations between behavioral self-regulation and external food cue responsiveness (EFCR) in preschool-age children and evidence of modification by parenting style. Appetite 2023; 188:106637. [PMID: 37352897 PMCID: PMC10528472 DOI: 10.1016/j.appet.2023.106637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 05/05/2023] [Accepted: 06/14/2023] [Indexed: 06/25/2023]
Abstract
Decreased behavioral regulation is hypothesized to be a risk factor for excess weight gain among children, possibly via reduced appetite-specific regulation. Little research has specifically focused on behavioral regulation and food cue responsiveness, a conditioned precursor to eating, at a young age. This study examined the association between behavioral regulation and external food cue responsiveness among preschool-age children and explored if a more structured parenting style moderated that association. Baseline data from a prospective study on media use among preschool-age children (n = 83) in Northern New England were used. Parents reported on three domains of children's behavioral regulation (attentional focusing, inhibitory control, and emotional self-regulation), the children's external food cue responsiveness (EFCR), and their parenting styles (authoritative and permissive) via validated questionnaires. Mean age among children was 4.31 (SD 0.91) years, 57% of children were male, 89% were non-Hispanic white, and 26.2% had overweight or obesity. In a series of adjusted linear regression models, lower attentional focusing (standardized β, βs = -0.35, p = 0.001), inhibitory control (βs = -0.30, p = 0.008), and emotional self-regulation (standardized beta, βs = -0.38, p < 0.001) were each significantly associated with greater EFCR. In exploratory analyses, a more structured parenting style (more authoritative or less permissive) mitigated the associations between inhibitory control and EFCR (Bonferroni-adjusted p-interaction < 0.017). Findings support that lower attentional focusing, inhibitory control, and emotional self-regulation relate to greater ECFR in preschool-age children. The association between inhibitory control and EFCR may be modified by parenting style. Further research is needed to understand if children's responsiveness to external food cues may account for reported associations between lower behavioral regulation and adiposity gain over time.
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Affiliation(s)
- Dabin Yeum
- Department of Epidemiology, Geisel School of Medicine at Dartmouth College, Williamson Translational Research Building 7th Floor, 1 Medical Center Drive, Lebanon, NH, 03756, USA.
| | - Diane Gilbert-Diamond
- Department of Epidemiology, Geisel School of Medicine at Dartmouth College, Williamson Translational Research Building 7th Floor, 1 Medical Center Drive, Lebanon, NH, 03756, USA; Department of Medicine, Geisel School of Medicine at Dartmouth College, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA; Department of Pediatrics, Geisel School of Medicine at Dartmouth College, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA
| | - Travis D Masterson
- Department of Nutritional Sciences, College of Health and Human Development, The Pennsylvania State University, 110 Chandlee Laboratory, University Park, PA, 16802, USA
| | - Delaina D Carlson
- Department of Pediatrics, Geisel School of Medicine at Dartmouth College, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA
| | - Grace A Ballarino
- Department of Pediatrics, Geisel School of Medicine at Dartmouth College, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA
| | - Reina K Lansigan
- Department of Pediatrics, Geisel School of Medicine at Dartmouth College, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA
| | - Timothy J Renier
- Department of Epidemiology, Geisel School of Medicine at Dartmouth College, Williamson Translational Research Building 7th Floor, 1 Medical Center Drive, Lebanon, NH, 03756, USA
| | - Jennifer A Emond
- Department of Pediatrics, Geisel School of Medicine at Dartmouth College, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA; Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth College, Williamson Translational Research Building 3rd Floor, 1 Medical Center Drive, Lebanon, NH, 03756, USA
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Francis LA, Rollins BY, Keller KL, Nix RL, Savage JS. Profiles of Behavioral Self-Regulation and Appetitive Traits in Preschool Children: Associations With BMI and Food Parenting Practices. Front Nutr 2022; 9:796580. [PMID: 35308281 PMCID: PMC8931462 DOI: 10.3389/fnut.2022.796580] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Accepted: 02/07/2022] [Indexed: 11/13/2022] Open
Abstract
Appetitive traits that contribute to appetite self-regulation have been shown to relate to non-food-related regulation in general domains of child development. Latent profile analysis (LPA) was used to identify typologies of preschool children's behavioral self-regulation (BSR) and appetitive traits related to appetite self-regulation (ASR), and we examined their relation with children's BMIz and food parenting practices. Participants included 720 children and their parents (90% mothers), drawn from the baseline assessment of a childhood obesity preventive intervention. BSR measures included teacher reports of children's inhibitory control, impulsivity and attentional focusing, as well as an observed measure of inhibitory control. ASR was assessed using parents' reports of children's appetitive traits related to food avoidance (e.g., satiety responsiveness, slowness in eating) and food approach (e.g., enjoyment of food, food responsiveness). Children's body mass index z-score (BMIz) was calculated from measured height and weight. Parents' BMI and food parenting practices were also measured. Four profiles were identified that characterized children with dysregulated behavior, higher food approach and lower food avoidance (16%), dysregulated behavior but lower food approach and higher food avoidance (33%), regulated behavior but highest food approach and lowest food avoidance (16%), and highly-regulated behavior, lowest food approach and highest food avoidance (35%). Children's BMIz was highest in the profile consisting of children with dysregulated behavior, higher food approach and lower food avoidance. BMI was similar in the profile with children with regulated behavior but highest food approach and lowest food avoidance; children in this profile also had parents who reported the highest levels of controlling food parenting practices, and the lowest levels of parental modeling of healthy eating. Compared to all other profiles, children in the profile characterized by highly-regulated behavior, lowest food approach and highest food avoidance had the lowest BMIz and had parents who reported food parenting practices characterized by the highest levels of child control in feeding and the lowest levels of pressure to eat. These findings provide evidence of differing patterns of relations between self-regulation across behavioral and eating domains, and children's obesity risk may vary based on these different patterns.
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Affiliation(s)
- Lori A. Francis
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA, United States
- *Correspondence: Lori A. Francis
| | - Brandi Y. Rollins
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA, United States
| | - Kathleen L. Keller
- Department of Nutrition Sciences, The Pennsylvania State University, University Park, PA, United States
| | - Robert L. Nix
- Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, WI, United States
| | - Jennifer S. Savage
- Department of Nutrition Sciences, The Pennsylvania State University, University Park, PA, United States
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Desdentado L, Navarrete J, Folgado-Alufre M, de Blas A, Navarro-Siurana J, Ponce F, Molinari G, Jimeno-Martínez A, Rupérez AI, Bueno-Lozano G, Cuenca-Royo A, Corbella E, Agüera Z, Baños RM, Álvarez-Pitti J. Are Peripheral Biomarkers Determinants of Eating Styles in Childhood and Adolescence Obesity? A Cross-Sectional Study. Nutrients 2022; 14:305. [PMID: 35057485 PMCID: PMC8780085 DOI: 10.3390/nu14020305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 11/24/2021] [Accepted: 11/30/2021] [Indexed: 02/04/2023] Open
Abstract
Disturbances in eating behaviors have been widely related to obesity. However, little is known about the role of obesity-related biomarkers in shaping habitual patterns of eating behaviors (i.e., eating styles) in childhood. The objective of the present study was to explore the relationships between several biomarkers crucially involved in obesity (ghrelin, insulin resistance, and leptin/adiponectin ratio) and eating styles in children and adolescents with obesity. Seventy participants aged between 8 and 16 (56.2% men) fulfilled the Spanish version of the Dutch Eating Behavior Questionnaire for Children to measure external, emotional, and restrained eating styles. In addition, concentrations of ghrelin, leptin, adiponectin, insulin, and glucose were obtained through a blood test. Hierarchical multiple regression analyses controlling for age and sex were computed for each eating style. Results indicated that individuals with higher ghrelin concentration levels showed lower scores in restrained eating (β = -0.61, p < 0.001). The total model explained 32% of the variance of the restrained pattern. No other relationships between obesity-related biomarkers and eating behaviors were found. This study highlights that one of the obesity-risk factors, namely lower plasma ghrelin levels, is substantially involved in a well-known maladaptive eating style, restraint eating, in childhood obesity.
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Affiliation(s)
- Lorena Desdentado
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
- Polibienestar Research Institute, University of Valencia, Calle Serpis, 29, 46022 Valencia, Spain; (J.N.); (M.F.-A.); (J.N.-S.)
- Department of Personality, Evaluation, and Psychological Treatments, University of Valencia, Avda. Blasco Ibañez, 21, 46010 Valencia, Spain
| | - Jaime Navarrete
- Polibienestar Research Institute, University of Valencia, Calle Serpis, 29, 46022 Valencia, Spain; (J.N.); (M.F.-A.); (J.N.-S.)
| | - María Folgado-Alufre
- Polibienestar Research Institute, University of Valencia, Calle Serpis, 29, 46022 Valencia, Spain; (J.N.); (M.F.-A.); (J.N.-S.)
- Department of Personality, Evaluation, and Psychological Treatments, University of Valencia, Avda. Blasco Ibañez, 21, 46010 Valencia, Spain
| | - Ana de Blas
- Pediatric Department, Consorcio Hospital General Universitario de Valencia, Avda. Tres Cruces, 2, 46014 Valencia, Spain;
| | - Jéssica Navarro-Siurana
- Polibienestar Research Institute, University of Valencia, Calle Serpis, 29, 46022 Valencia, Spain; (J.N.); (M.F.-A.); (J.N.-S.)
| | - Francisco Ponce
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
- Pediatric Department, Consorcio Hospital General Universitario de Valencia, Avda. Tres Cruces, 2, 46014 Valencia, Spain;
| | - Guadalupe Molinari
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
| | - Andrea Jimeno-Martínez
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Facultad de Ciencias de la Salud, Instituto Agroalimentario de Aragón, Universidad de Zaragoza, Calle Miguel Servet, 177, 50013 Zaragoza, Spain
| | - Azahara I. Rupérez
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Facultad de Ciencias de la Salud, Instituto Agroalimentario de Aragón, Universidad de Zaragoza, Calle Miguel Servet, 177, 50013 Zaragoza, Spain
| | - Gloria Bueno-Lozano
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Facultad de Ciencias de la Salud, Instituto Agroalimentario de Aragón, Universidad de Zaragoza, Calle Miguel Servet, 177, 50013 Zaragoza, Spain
- Paediatric Endocrinology Department, Clinical Hospital Lozano Blesa, Zaragoza, Avda. San Juan Bosco, 50009 Zaragoza, Spain
| | - Aida Cuenca-Royo
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
- Integrative Pharmacology and Systems Neurosciences Research Group, Neurosciences Research Program, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain
| | - Emili Corbella
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
- Cardiovascular Risk Unit, Internal Medicine Department, Bellvitge University Hospital—IDIBELL, Feixa Llarga, s/n, 08907 Barcelona, Spain
| | - Zaida Agüera
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
- Department of Public Health, Mental Health and Perinatal Nursing, Health Sciences Campus Bellvitge, School of Nursing, University of Barcelona, Feixa Llarga, s/n, 08907 Barcelona, Spain
| | - Rosa M. Baños
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
- Polibienestar Research Institute, University of Valencia, Calle Serpis, 29, 46022 Valencia, Spain; (J.N.); (M.F.-A.); (J.N.-S.)
- Department of Personality, Evaluation, and Psychological Treatments, University of Valencia, Avda. Blasco Ibañez, 21, 46010 Valencia, Spain
| | - Julio Álvarez-Pitti
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029 Madrid, Spain; (L.D.); (F.P.); (G.M.); (A.J.-M.); (A.I.R.); (G.B.-L.); (A.C.-R.); (E.C.); (Z.A.); (R.M.B.)
- Pediatric Department, Consorcio Hospital General Universitario de Valencia, Avda. Tres Cruces, 2, 46014 Valencia, Spain;
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Subtyping youngsters with obesity: A theory-based cluster analysis. Appetite 2022; 168:105723. [PMID: 34606939 DOI: 10.1016/j.appet.2021.105723] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Revised: 09/15/2021] [Accepted: 09/28/2021] [Indexed: 11/24/2022]
Abstract
Psychological mechanisms play a crucial role in explaining weight gain. Aim of the present study was to identify subtypes in youngsters with obesity in line with these mechanisms. Defining homogeneous clusters within this heterogeneous group provides relevant information for personalized treatments. Data were collected in N = 572 participants (51% boys, aged 7-19) with extreme obesity (%BMI M = 187.8; SD = 30.9) recruited in an inpatient treatment centre. Based on psychological models of overweight/obesity, the Affect Regulation Model, the Reward Deficiency Model and The Dual Pathway Model, cluster variables were selected assessing emotional eating, reward reactivity and regulative capacities. Youngsters reported on emotional eating (DEBQ Emotional Eating) and reward sensitivity (BAS), while parents reported on children's regulative Executive Functions (BRIEF). Characteristics of the different clusters were examined concerning weight variables (pre and post treatment) and variables indexing problematic eating (DEBQ External Eating, Ch-EDE), affect regulation (FEEL-KJ) and depressive symptoms (CDI). Hierarchical cluster analyses supported the presence of three clusters, further evaluated by K-means cluster analyses. The cluster solutions differed according to age and sex (boys 7-13, boys 14-19, girls 7-13, girls 14-19). In all four age and gender subsamples, an "Emotional Eating" cluster displaying a vulnerable profile (high depression, maladaptive emotion regulation, problematic eating) and a "Reward Deficiency" cluster displaying a more resilient profile were detected. In girls 7-13, a "Weak Executive Functioning" indicative of insufficient self-regulative capacities, showed moderate to high emotional problems and problematic eating. In the other subgroups, the "Mean Level Functioning" cluster also showed elevated emotional problems and problematic eating. Given that different clusters can be identified, and given that these clusters have different profiles on emotional problems and problematic eating, subtyping youngsters with severe obesity is indicated, setting the stage for personalized treatments.
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Valero-García AV, Olmos-Soria M, Madrid-Garrido J, Martínez-Hernández I, Haycraft E. The Role of Regulation and Emotional Eating Behaviour in the Early Development of Obesity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182211884. [PMID: 34831637 PMCID: PMC8622852 DOI: 10.3390/ijerph182211884] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Revised: 11/02/2021] [Accepted: 11/05/2021] [Indexed: 11/23/2022]
Abstract
The purpose of our research was to explore the role of both parents’ use of behavioural regulation with food and children’s emotional self-regulation in young children with and without overweight/obesity. For this purpose, 123 participants (n = 62 boys and n = 61 girls) were recruited and classified into two groups by their Body Mass Index (BMI, non-overweight vs. overweight/obese) and into two age groups (four years and seven years). The children’s parents/primary caregivers completed two scales of the Childhood Obesogenic Behaviours’ Questionnaire (COBQ). The participants were measured and weighed to calculate their BMI to identify overweight, obesity, and non-overweight. The results showed that the means for children who were obese/overweight were significantly higher than those of children who were non-overweight for both the parents’ behavioural regulation scale (non-overweight: M = 1.80, SD = 0.69; overweight/obesity: M = 2.94, SD = 0.85) and the child’s emotional overeating scale (non-overweight: M = 1.47, SD = 0.56; overweight/obesity: M = 2.65, SD = 0.87). No statistically significant differences were found related to age (4 and 7 years), indicating that the potential impact of obesogenic behaviours starts early in development. Similarly, no differences by gender were found. Due to the implications of obesity for physical and mental health, and the high probability of maintaining this overweight status in the long term, family-based interventions to prevent obesity are highly advisable from birth.
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Affiliation(s)
- Ana V. Valero-García
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Murcia, 30100 Murcia, Spain;
- Correspondence: ; Tel.: +34-868-884-069
| | - Marina Olmos-Soria
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Murcia, 30100 Murcia, Spain;
| | - Julia Madrid-Garrido
- Pre-anaesthesia Unit, General University Hospital Santa Lucía, 30202 Cartagena, Spain;
| | | | - Emma Haycraft
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK;
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7
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Toh JY, Quah PL, Wong CH, Lun Yuan W, Aris IM, McCrickerd K, Godfrey KM, Chong YS, Shek LP, Tan KH, Yap F, Meaney MJ, Forde CG, Lee YS, Broekman BFP, Chong MFF. Evaluation of a child food reward task and its association with maternal feeding practices. PLoS One 2021; 16:e0254773. [PMID: 34288967 PMCID: PMC8294516 DOI: 10.1371/journal.pone.0254773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Accepted: 07/04/2021] [Indexed: 11/18/2022] Open
Abstract
Food reward is defined as the momentary value of a food to the individual at the time of ingestion and is characterised by two psychological processes-"liking" and "wanting". We aimed to validate an age-appropriate food reward task to quantify implicit wanting of children from the GUSTO cohort (n = 430). At age 5 years, child appetitive traits and maternal feeding practices were reported by mothers via questionnaires. At age 6, a write-for-food task based on the child's preference for food or toy rewards was undertaken in laboratory conditions. Child BMI and skinfold measurements were taken at age 7. Convergent validity of the food reward task was assessed by associating with child appetitive traits, where enjoyment of food/food responsiveness (OR: 1.51; 95% CI: 1.06, 2.15) and emotional overeating (OR: 1.64; 95% CI: 1.09, 2.48) were positively associated with high food reward in children. Criterion validity was tested by associating with child BMI, however no significant relationships were observed. Multivariable logistic regression analysis with maternal feeding practices revealed that children whose mother tend to restrict unhealthy food (OR: 1.37; 95% CI: 1.03, 1.82) and girls whose mothers taught them about nutrition (OR: 2.09; 95% CI: 1.19, 3.67) were more likely to have high food reward. No further significant associations were observed between food reward, other appetitive traits and feeding practices. Despite the lack of association with child weight status, this study demonstrated the value of the write-for-food task to assess food reward in children and presented sex-specific associations with maternal feeding practices.
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Affiliation(s)
- Jia Ying Toh
- Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore, Singapore
| | - Phaik Ling Quah
- Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore, Singapore
| | - Chun Hong Wong
- Department of Food Science and Technology, National University of Singapore, Singapore, Singapore
| | - Wen Lun Yuan
- Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Izzuddin M. Aris
- Division of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, United States of America
| | - Keri McCrickerd
- Clinical Nutrition Research Centre, Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), National University Health System, Singapore, Singapore
| | - Keith M. Godfrey
- Medical Research Council Lifecourse Epidemiology Unit and National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton and University Hospital, Southampton National Health Service Foundation Trust, Southampton, United Kingdom
| | - Yap-Seng Chong
- Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore, Singapore
- Department of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Lynette P. Shek
- Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore, Singapore
- Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
- Divisions of Paediatric Allergy, Immunology, and Rheumatology, Khoo Teck Puat-National University Children’s Medical Institute, National University Hospital, National University Health System, Singapore, Singapore
| | - Kok Hian Tan
- Maternal Fetal Medicine, KK Women’s and Children’s Hospital, Singapore, Singapore
- Duke-National University of Singapore Graduate Medical School, Singapore, Singapore
| | - Fabian Yap
- Duke-National University of Singapore Graduate Medical School, Singapore, Singapore
- Departments of Paediatrics, KK Women’s and Children’s Hospital, Singapore, Singapore
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - Michael J. Meaney
- Integrative Neurosciences, Singapore Institute for Clinical Sciences, Agency for Science and Technology, Brenner Centre for Molecular Medicine, Singapore, Singapore
- Department of Psychiatry, McGill University, Montréal, QC, Canada
- Ludmer Centre for Neuroinformatics and Mental Health, Montréal, QC, Canada
| | - Ciarán G. Forde
- Clinical Nutrition Research Centre, Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), National University Health System, Singapore, Singapore
- Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Yung Seng Lee
- Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore, Singapore
- Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
- Division of Paediatric Endocrinology, Khoo Teck Puat-National University Children’s Medical Institute, National University Hospital, National University Health System, Singapore, Singapore
| | - Birit F. P. Broekman
- Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore, Singapore
- Department of Psychiatry, OLVG and AmsterdamUMC, VU University, Amsterdam, Netherlands
| | - Mary F. F. Chong
- Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore, Singapore
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
- * E-mail:
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8
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Kidd C, Loxton NJ. A narrative review of reward sensitivity, rash impulsivity, and food addiction in adolescents. Prog Neuropsychopharmacol Biol Psychiatry 2021; 109:110265. [PMID: 33545225 DOI: 10.1016/j.pnpbp.2021.110265] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 01/10/2021] [Accepted: 01/26/2021] [Indexed: 02/06/2023]
Abstract
Adolescence represents a neurodevelopmental period characterised by heightened reward drive and weaker inhibitory control that may increase vulnerability to compulsive overconsumption of highly-palatable foods and food addiction. This narrative review aimed to summarise research investigating the presence of food addiction in adolescents and establish the role that impulsivity traits (i.e., reward sensitivity and rash impulsivity), previously linked to substance and behavioural addictions, play in contributing to food addiction in this cohort. It was found that the prevalence of food addiction was typically higher in studies that recruited adolescents who were overweight/obese or from clinical populations. Overall, impulsivity was found to be more consistently associated with food addiction, while the relationships between measures of reward sensitivity and food addiction were mixed. Findings of this review suggest trait impulsivity may contribute to food addiction in adolescents, however, further longitudinal and prospective research is recommended to confirm these findings and to investigate the potential interactive effects of reward sensitivity and rash impulsivity.
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Affiliation(s)
- Chloe Kidd
- School of Applied Psychology, Griffith University, Mt Gravatt Campus, Brisbane, Queensland, Australia
| | - Natalie J Loxton
- School of Applied Psychology, Griffith University, Mt Gravatt Campus, Brisbane, Queensland, Australia.
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9
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Mason TB, Do B, Dunton G. Interactions of approach motivation and self-regulation in relation to obesity in children. Eat Weight Disord 2021; 26:85-92. [PMID: 31784947 PMCID: PMC7255926 DOI: 10.1007/s40519-019-00817-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Accepted: 11/11/2019] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Motivation and self-regulation are two psychological systems that have been shown to be related to childhood obesity. OBJECTIVE This study evaluated independent and interactive associations of approach-oriented motivation (i.e., drive and reward responsiveness) and self-regulation (i.e., self-control and behavioral regulation) in relation to age- and sex-adjusted body mass index-z scores (BMI-z) in children. METHODS Children (55% female; Mage = 12.5 years ± .93) completed questionnaires assessing motivation and self-regulation, and anthropometric measurements were taken by research staff cross-sectionally. RESULTS Regressions revealed no independent associations of approach motivation or self-regulation and BMI-z. There were interactions between the drive facet of approach motivation, which assesses motivation to follow goals, and self-regulation in relation to BMI-z. Children with lower motivation to follow goals and lower self-regulation had higher BMI-z, and children with lower motivation to follow goals and higher self-regulation had lower BMI-z. Children with higher motivation to follow goals had similar BMI-z at all levels of self-regulation. CONCLUSION For children with low motivation to follow goals, self-regulation may be an important buffer of high BMI-z. LEVEL OF EVIDENCE Level V: cross-sectional descriptive study.
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Affiliation(s)
- Tyler B Mason
- Department of Preventive Medicine, University of Southern California, 2001 Soto St., Los Angeles, CA, 90032, USA.
| | - Bridgette Do
- Department of Preventive Medicine, University of Southern California, 2001 Soto St., Los Angeles, CA, 90032, USA
| | - Genevieve Dunton
- Department of Preventive Medicine, University of Southern California, 2001 Soto St., Los Angeles, CA, 90032, USA.,Department of Psychology, University of Southern California, Los Angeles, CA, USA
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10
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Smith AD, Sanchez N, Reynolds C, Casamassima M, Verros M, Annameier SK, Melby C, Johnson SA, Lucas-Thompson RG, Shomaker LB. Associations of parental feeding practices and food reward responsiveness with adolescent stress-eating. Appetite 2020; 152:104715. [PMID: 32315656 DOI: 10.1016/j.appet.2020.104715] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Revised: 04/13/2020] [Accepted: 04/13/2020] [Indexed: 01/23/2023]
Abstract
Rates of adolescent obesity have continued to rise over the past decade. As adolescence is an important time for developing eating habits that endure into adulthood, more information is needed about the potentially modifiable family- and individual-level factors that influence the development of common overeating behaviors such as stress-eating during adolescence. In this study, we conducted secondary data analyses to evaluate how parental feeding practices and adolescents' food reward responsiveness related to adolescents' stress-eating during a laboratory test meal. Participants were 90 healthy adolescents (50% female), 12-17 years of age (M = 14.3, SD = 1.7 years), at risk for excess weight gain (BMI percentile M = 92.7, SD = 7.5). Parental feeding behaviors were assessed with parent-report on the Child Feeding Questionnaire-Adolescent Version. Adolescents' relative reward value of food was measured with a behavioral task. Stress-eating was assessed as total energy intake from a buffet lunch meal after adolescents participated in the Trier Social Stress Test adapted for adolescents. Results revealed that parental concern about their child's weight (t = 2.27, p = .02) and adolescents' relative reward value of food (t = 2.24, p = .03) were related to greater stress-eating, controlling for BMI standard score, age, sex, and general perceived stress. Parental restriction was not related to stress-eating in this sample (p = .21). These findings suggest that parental attitudes about their adolescent's weight and adolescents' own internalized responsiveness to food as a reward may play a role in propensity to engage in overeating in response to stress.
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Affiliation(s)
- Amy D Smith
- Human Development & Family Studies, Colorado State University, 1570 Campus Delivery, Fort Collins, CO, 80523, United States
| | - Natalia Sanchez
- Colorado School of Public Health, 1612 Campus Delivery, Fort Collins, CO, 80523, United States
| | - Chelsea Reynolds
- Human Development & Family Studies, Colorado State University, 1570 Campus Delivery, Fort Collins, CO, 80523, United States
| | - Milena Casamassima
- Colorado School of Public Health, 1612 Campus Delivery, Fort Collins, CO, 80523, United States
| | - Megan Verros
- Colorado School of Public Health, 1612 Campus Delivery, Fort Collins, CO, 80523, United States
| | - Shelly K Annameier
- Human Development & Family Studies, Colorado State University, 1570 Campus Delivery, Fort Collins, CO, 80523, United States
| | - Christopher Melby
- Colorado School of Public Health, 1612 Campus Delivery, Fort Collins, CO, 80523, United States; Food Science & Human Nutrition, Colorado State University, 1501 Campus Delivery, Fort Collins, CO, 80523, United States
| | - Sarah A Johnson
- Food Science & Human Nutrition, Colorado State University, 1501 Campus Delivery, Fort Collins, CO, 80523, United States
| | - Rachel G Lucas-Thompson
- Human Development & Family Studies, Colorado State University, 1570 Campus Delivery, Fort Collins, CO, 80523, United States
| | - Lauren B Shomaker
- Human Development & Family Studies, Colorado State University, 1570 Campus Delivery, Fort Collins, CO, 80523, United States; Colorado School of Public Health, 1612 Campus Delivery, Fort Collins, CO, 80523, United States.
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11
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Naets T, Vervoort L, Tanghe A, De Guchtenaere A, Braet C. Maladaptive Eating in Children and Adolescents With Obesity: Scrutinizing Differences in Inhibition. Front Psychiatry 2020; 11:309. [PMID: 32425824 PMCID: PMC7212434 DOI: 10.3389/fpsyt.2020.00309] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Accepted: 03/27/2020] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION In order to grasp the complex etiology of childhood obesity, we aim to clarify the relationship between external eating and weight. Based on theory and empirical evidence, we claim that inhibition is an important moderator in this association. In our first research question we expected that high external eating would be related to a higher weight status, especially for those with high inhibition problems. Secondly, we explored the moderating role of inhibition in the association between external eating and weight change after a multidisciplinary obesity treatment. METHOD We investigated n=572 participants (51% boys, aged 7-19) with moderate to extreme obesity recruited in a Belgian inpatient treatment center. At intake, parents reported on inhibition (BRIEF), while the children and adolescents reported on their eating behavior (DEBQ). Weight and length were objectively measured pre and post treatment (ADJUSTED BMI). Two hierarchical linear regression models were built to scrutinize the influence of inhibition on the association between external eating and both baseline weight and weight change. RESULTS First, predicting baseline weight, we found no significant moderating effect of inhibition problems. Second, predicting weight loss, inhibition turned out to be a substantial moderator, specifically in adolescents. Some unexpected gender differences occurred in favor of adolescent boys, in a way that those with high external eating and low inhibition problems lost most weight. CONCLUSION Inhibition problems act as a moderator explaining weight loss, but this only holds for adolescents. This suggests that external eating and inhibition play a complex role in weight loss in certain age and gender categories, and stresses the importance of identifying subgroups for tailoring interventions. For those with high inhibition problems, interventions aimed at increasing inhibition skills might be needed to optimize treatment outcomes.
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Affiliation(s)
- Tiffany Naets
- Clinical Child and Adolescent Psychology (CCAP) Lab, Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium
| | - Leentje Vervoort
- Clinical Child and Adolescent Psychology (CCAP) Lab, Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium
| | - Ann Tanghe
- Obesity Department, Zeepreventorium vzw, De Haan, Belgium
| | | | - Caroline Braet
- Clinical Child and Adolescent Psychology (CCAP) Lab, Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium
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12
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Parcet MA, Adrián-Ventura J, Costumero V, Ávila C. Individual Differences in Hippocampal Volume as a Function of BMI and Reward Sensitivity. Front Behav Neurosci 2020; 14:53. [PMID: 32327982 PMCID: PMC7160594 DOI: 10.3389/fnbeh.2020.00053] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Accepted: 03/23/2020] [Indexed: 01/09/2023] Open
Abstract
Sensitivity to reward is a personality trait that predisposes a person to several addictive behaviors, including the presence of different risky behaviors that facilitates uncontrolled eating. However, the multifactorial nature of obesity blurs a direct relationship between the two factors. Here, we studied the brain anatomic correlates of the interaction between reward sensitivity and body mass index (BMI) to investigate whether the coexistence of high BMI and high reward sensitivity structurally alters brain areas specifically involved in the regulation of eating behavior. To achieve this aim, we acquired T1-weighted images and measured reward sensitivity using the Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ) and BMI in a sample of 206 adults. Results showed that reward sensitivity and BMI were not significantly correlated. However, neuroimaging results confirmed a relationship between BMI and reduced volume in the medial and lateral orbitofrontal cortex, and between reward sensitivity and lower striatum volume. Importantly, the interaction between the two factors was significantly related to the right anterior hippocampus volume, showing that stronger reward sensitivity plus a higher BMI were associated with reduced hippocampal volume. The hippocampus is a brain structure involved in the higher-order regulation of feeding behavior. Thus, a dysfunctional hippocampus may contribute to maintaining a vicious cycle that predisposes people to obesity.
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Affiliation(s)
- Maria Antònia Parcet
- Neuropsychology and Functional Neuroimaging, Jaume I University, Castellón, Spain
| | - Jesús Adrián-Ventura
- Neuropsychology and Functional Neuroimaging, Jaume I University, Castellón, Spain
| | - Víctor Costumero
- Center for Brain and Cognition, Pompeu Fabra University, Barcelona, Spain
| | - César Ávila
- Neuropsychology and Functional Neuroimaging, Jaume I University, Castellón, Spain
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13
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Mason TB, Dunton GF, Gearhardt AN, Leventhal AM. Emotional disorder symptoms, anhedonia, and negative urgency as predictors of hedonic hunger in adolescents. Eat Behav 2020; 36:101343. [PMID: 31715461 PMCID: PMC7044051 DOI: 10.1016/j.eatbeh.2019.101343] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2019] [Revised: 11/05/2019] [Accepted: 11/06/2019] [Indexed: 10/25/2022]
Abstract
Affect and reward are associated with unhealthy eating and weight; however, less research has examined affective predictors of hedonic hunger (i.e., extreme reward responsivity, pleasure toward, and drive for food), particularly among adolescents. Whether symptoms indicative of emotional disturbance increase risk of adverse reward-based eating-related symptoms such as hedonic hunger, is unknown. Such evidence could explain why emotional problems increase risk of eating and weight problems among adolescents, when eating-related health problems often originate. This report examined baseline emotional disorder symptoms, negative urgency (i.e., tendency to act impulsively in response to negative affect), and anhedonia (i.e., loss of interest in activities and decreased pleasure) as prospective predictors of increases in hedonic hunger in adolescents; associations between changes in emotional disturbance problems and hedonic hunger were also examined. Ninth-grade students (N = 2598) from high schools completed paper-and-pencil surveys at baseline and a 1-year follow-up. In a multivariable model controlling for the covariance of emotional problems, higher negative urgency, general anxiety, and obsessive-compulsive symptoms, and lower anhedonia at baseline independently predicted increases in hedonic hunger one year later. Also, increases in negative urgency, general anxiety, and obsessive-compulsive symptoms and decreases in anhedonia independently predicted increases in hedonic hunger. Affect- and reward-related variables may be important contributors to risk of hedonic hunger in adolescence.
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Affiliation(s)
- Tyler B Mason
- Deparment of Preventive Medicine, University of Southern California, Los Angeles, CA, United States of America.
| | - Genevieve F Dunton
- Deparment of Preventive Medicine, University of Southern California, Los Angeles, CA, United States of America
| | - Ashley N Gearhardt
- Department of Psychology, University of Michigan, Ann Arbor, MI, United States of America
| | - Adam M Leventhal
- Deparment of Preventive Medicine, University of Southern California, Los Angeles, CA, United States of America
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14
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Jonker NC, van Malderen E, Glashouwer KA, Vervoort L, Braet C, Goossens L, de Jong PJ. No Differential Reward Responsivity and Drive, Punishment Sensitivity or Attention for Cues Signaling Reward or Punishment in Adolescents With Obesity. Front Psychol 2019; 10:2363. [PMID: 31695649 PMCID: PMC6817582 DOI: 10.3389/fpsyg.2019.02363] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Accepted: 10/03/2019] [Indexed: 02/04/2023] Open
Abstract
Although it has been proposed that obese and healthy weight individuals might differ in their reward and punishment sensitivity, the literature shows diverse and inconsistent findings. The current study was set out to examine the role of reward and punishment sensitivity in adolescent obesity by differentiating between reward responsivity and reward drive, and by complementing self-report measures with performance-based measures indexing attention for cues signaling reward and punishment as well as effort to approach reward and avoid punishment. Participants were adolescents aged 12-23, with obesity (n = 51, adjusted BMI [(actual BMI/Percentile 50 of BMI for age and gender) × 100) between 143 and 313%], and with a healthy weight (n = 51, adjusted BMI between 75 and 129%). Individuals with obesity did not significantly differ from adolescents with a healthy weight in reward responsivity, reward drive or attention to cues signaling reward. Further, no differences in self-reported punishment sensitivity or attention for cues signaling punishment were found between obese and healthy weight adolescents. The current study thus does not corroborate the theories that general reward and punishment sensitivity play a role in obesity.
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Affiliation(s)
- Nienke C. Jonker
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, Netherlands
| | - Eva van Malderen
- Clinical Developmental Psychology, Ghent University, Ghent, Belgium
| | - Klaske A. Glashouwer
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, Netherlands
- Department of Eating Disorders, Accare Child and Adolescent Psychiatry, Groningen, Netherlands
| | - Leentje Vervoort
- Clinical Developmental Psychology, Ghent University, Ghent, Belgium
| | - Caroline Braet
- Clinical Developmental Psychology, Ghent University, Ghent, Belgium
| | - Lien Goossens
- Clinical Developmental Psychology, Ghent University, Ghent, Belgium
| | - Peter J. de Jong
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, Netherlands
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15
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Hobbs M, McKenna J. In which population groups are food and physical activity environments related to obesity? Perspect Public Health 2019; 139:222-223. [DOI: 10.1177/1757913919865138] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Affiliation(s)
- Matthew Hobbs
- GeoHealth Laboratory, Geospatial Research Institute, University of Canterbury, Christchurch, New Zealand
| | - J McKenna
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK
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16
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Dantas RR, da Silva GAP. THE ROLE OF THE OBESOGENIC ENVIRONMENT AND PARENTAL LIFESTYLES IN INFANT FEEDING BEHAVIOR. REVISTA PAULISTA DE PEDIATRIA : ORGAO OFICIAL DA SOCIEDADE DE PEDIATRIA DE SAO PAULO 2019; 37:363-371. [PMID: 31116240 PMCID: PMC6868558 DOI: 10.1590/1984-0462/;2019;37;3;00005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/21/2017] [Accepted: 04/02/2018] [Indexed: 01/19/2023]
Abstract
OBJECTIVE To identify the role of the obesogenic environment and parental lifestyles in infant feeding behavior. DATA SOURCES The searches were performed in PubMed, Medline, Cochrane, Lilacs and Scielo databases, in Portuguese, English and Spanish. The descriptors used were found in the Medical Subject Headings and in the Descriptors in Health Sciences being these: Comportamento alimentar/Feeding Behavior/ Conducta Alimentaria; Crianças/Child/ Niño; Relações familiares/Family Relations/Relaciones Familiares; e Ecologia/ Ecology/ Ecología. These were combined by the Boolean operator AND. DATA SYNTHESIS Researchers consider that parents (orprimary caregivers) are responsible, in part, for the unhealthy eating behavior presented by children, and for them to change it is necessary to change the behavior of the family, ensuring the correct choice of food and the practice of physical activity. The family environment has a significant impact on the development of eating behavior, so adults should provide a good model of this behavior for children. CONCLUSIONS It was verified through this review that, in order to maintain and develop a healthy eating behavior, it is necessary to reach different spheres of life of the individual - physical, social, psychological, family, cultural and mediatic environment.
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17
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Derks IPM, Sijbrands EJG, Wake M, Qureshi F, van der Ende J, Hillegers MHJ, Jaddoe VWV, Tiemeier H, Jansen PW. Eating behavior and body composition across childhood: a prospective cohort study. Int J Behav Nutr Phys Act 2018; 15:96. [PMID: 30285789 PMCID: PMC6167809 DOI: 10.1186/s12966-018-0725-x] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2018] [Accepted: 09/11/2018] [Indexed: 11/24/2022] Open
Abstract
Background Although many cross-sectional studies reported that children with overweight or obesity show more food approaching and less food avoidant eating behaviors, there is a lack of replication in longitudinal studies. Therefore, the question remains whether healthcare professionals should target eating behaviors in childhood obesity interventions and prevention. We aimed to examine the longitudinal and possible bi-directional associations between eating behavior and body composition across childhood. Methods Data was included from 3331 children participating in the Generation R Study. At 4 and 10 years, mothers reported on the Child Eating Behavior Questionnaire including the subscales Food Responsiveness, Enjoyment of Food, Emotional Overeating and Satiety Responsiveness, and children’s BMI was measured. Body composition, consisting of Fat Mass Index and Fat Free Mass Index was measured at 6 and 10 years with Dual-energy-X-ray-Absorptiometry scans. Results Cross-lagged models including both directions of the BMI – eating behavior association showed that a higher BMI at the age of 4 years predicted more food responsiveness and enjoyment of food and less satiety responsiveness at 10 years (e.g. satiety responsiveness:β = − 0.10, 95% CI = − 0.14, − 0.07), but no associations were found in the opposite direction. For emotional overeating, however, a bi-directional association was found with BMI predicting more emotional eating and vice versa. Multivariable linear regression analyses showed that associations were stronger for Fat Mass Index than for Fat Free Mass Index. Conclusions Results showed that a higher BMI, and particularly higher fat mass, at pre-school age predicted more food approaching and less food avoidant eating behaviors at the age of 10 years, rather than the hypothesized reverse direction. This suggests that increased adiposity in early childhood might upregulate appetite and related eating behaviors. Electronic supplementary material The online version of this article (10.1186/s12966-018-0725-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Ivonne P M Derks
- Department of Child and Adolescent Psychiatry/ Psychology, Erasmus MC-University Medical Center, Wytemaweg 80, 3000, CA, Rotterdam, the Netherlands.,The Generation R Study Group, Erasmus MC-University Medical Center, Rotterdam, the Netherlands
| | - Eric J G Sijbrands
- Department of Internal Medicine, Erasmus MC-University Medical Center, Rotterdam, the Netherlands
| | - Melissa Wake
- Murdoch Children's Research Institute, Parkville, Australia.,Department of Pediatrics, The University of Melbourne, Parkville, Australia
| | - Farah Qureshi
- Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health, Boston, MA, USA
| | - Jan van der Ende
- Department of Child and Adolescent Psychiatry/ Psychology, Erasmus MC-University Medical Center, Wytemaweg 80, 3000, CA, Rotterdam, the Netherlands
| | - Manon H J Hillegers
- Department of Child and Adolescent Psychiatry/ Psychology, Erasmus MC-University Medical Center, Wytemaweg 80, 3000, CA, Rotterdam, the Netherlands
| | - Vincent W V Jaddoe
- The Generation R Study Group, Erasmus MC-University Medical Center, Rotterdam, the Netherlands.,Department of Epidemiology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands.,Department of Pediatrics, Erasmus MC-University Medical Center, Rotterdam, the Netherlands
| | - Henning Tiemeier
- Department of Child and Adolescent Psychiatry/ Psychology, Erasmus MC-University Medical Center, Wytemaweg 80, 3000, CA, Rotterdam, the Netherlands.,Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health, Boston, MA, USA
| | - Pauline W Jansen
- Department of Child and Adolescent Psychiatry/ Psychology, Erasmus MC-University Medical Center, Wytemaweg 80, 3000, CA, Rotterdam, the Netherlands. .,Department of Psychology, Education, and Child Studies, Erasmus University Rotterdam, Rotterdam, the Netherlands.
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18
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Loxton NJ. The Role of Reward Sensitivity and Impulsivity in Overeating and Food Addiction. CURRENT ADDICTION REPORTS 2018. [DOI: 10.1007/s40429-018-0206-y] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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