Pre-exposure to Tempting Food Reduces Subsequent Snack Consumption in Healthy-Weight but Not in Obese-Weight Individuals

Development and Evaluation of a Virtual Reality Puzzle Game to Decrease Food Intake: Randomized Controlled Trial

Background

Virtual reality (VR) has gained popularity in daily life, and VR food cues seem to elicit food cravings, similar to real food cues. However, little is known about the impact of VR food cues on actual food intake.

Objective

In real life (RL), exposure to food cues in a situation in which the desire to eat food interferes with the completion of a food-related task reduces the subsequent food intake (ie, the pre-exposure effect). In this study, we examine, on the one hand, whether the pre-exposure effect could be replicated in RL and, on the other hand, whether this effect could be extended to VR contexts.

Methods

The study used a 2 (stimulus type: food vs nonfood) × 2 (mode: VR vs RL) between-subject design (n=175). Participants were randomly assigned to 1 of the 4 conditions.

Results

We found the main effect of mode on food intake, with a higher food intake after both VR conditions than after RL conditions (P=.02). In addition, among female participants, we found that exposure to both food cues (ie, VR and RL) resulted in lower food intake than exposure to both nonfood cues (P=.05). In contrast, this effect was not observed among male participants (P=.34). Additionally, VR and RL cues generated similar emotional and behavioral responses (eg, arousal and game difficulty).

Conclusions

We were unable to replicate the exposure effect in our complete sample. Subgroup analyses, however, showed that for women, exposure to food cues (either in VR or in RL) reduces food intake, indicating that a VR pre-exposure procedure may effectively be applied exclusively for women.

Trial Registration

ClinicalTrials.gov NCT05169996; https://clinicaltrials.gov/ct2/show/NCT05169996

Active Confirmation Bias in the Evaluative Processing of Food Images

Predictive processing is fundamental to many aspects of the human mind, including perception and decision-making. It remains to be elucidated, however, in which way predictive information impacts on evaluative processing, particularly in tasks that employ bivalent stimulus sets. Various accounts, including framing, proactive interference, and cognitive control, appear to imply contradictory proposals on the relation between prediction and preference formation. To disambiguate whether predictive cues produce congruent biases versus opponent mechanisms in evaluative processing, we conducted two experiments in which participants were asked to rate individual food images. The image database included appetitive and aversive items. In each trial, a cue predicted, with varying degrees of reliability, the valence of the impending food image. In both experiments, we found that the ratings exhibited congruent biases as a function of the reliability of the predictive cue, with the highest evaluations following the most reliable positive-valence predictions. Eye prepositioning further showed a selective spatial bias suggestive of response preparation in line with the predictions. The response times also exhibited a pattern of results consistent with selective preparation, producing slow responses following invalid predictions. The data suggested an active form of evaluative processing, implementing a confirmation bias that aims to accommodate the prediction.