Cited by 48Eating Disorders and BehaviorsNutrition, Health and Food BehaviorObesity, Physical Activity, Diet

Effects of addictive-like eating behaviors on weight loss with behavioral obesity treatment

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Chao, Ariana M., Wadden, Thomas A., Tronieri, Jena Shaw, Pearl, Rebecca L., Alamuddin, Naji, Bakizada, Zayna M., Pinkasavage, Emilie, Leonard, Sharon M. +2 more·2019·Journal of Behavioral Medicine

Abstract

To examine the relationship between food cravings and food addiction as defined by the Yale Food Addiction Scale (YFAS) and to assess the effects of these variables on weight loss during a 14-week group lifestyle modification program. Data were from 178 participants who were prescribed a 1000-1200 kcal/day portion-controlled diet and provided with weekly group lifestyle modification sessions. Participants completed the Food Craving Inventory and YFAS pre- and post-treatment. Weight was measured weekly. Participants with YFAS-defined food addiction (6.7%) reported more frequent overall food cravings relative to those without food addiction. More frequent food cravings at baseline were associated with less weight loss over the 14 weeks. Analyzed categorically, participants in the highest tertile of baseline food cravings lost 7.6 ± 0.5% of initial weight, which was significantly less compared to those in the lowest tertile who lost 9.1 ± 0.5%. Percent weight loss did not differ significantly between participants with YFAS-defined food addiction (6.5 ± 1.2%) and those who did not meet criteria (8.6 ± 0.3%). Addictive-like eating behaviors significantly declined from pre- to post-treatment. Participants with frequent food cravings lost less weight than their peers. Targeted interventions for food cravings could improve weight loss in these individuals. Few participants met YFAS-defined criteria for food addiction. Addictive-like eating behaviors tended to decline during behavioral weight loss, but neither baseline nor change in YFAS scores predicted weight loss.

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  1. Heymsfield S, Van Mierlo C, Van der Knaap H, Heo M, & Frier H (2003b). Weight management using a meal replacement strategy: meta and pooling analysis from six studies. International Journal of Obesity, 27(5), 537– 549. 12704397
  2. White MA, Whisenhunt BL, Williamson DA, Greenway FL, & Netemeyer RG (2002b). Development and validation of the Food-Craving Inventory. Obesity, 10(2), 107– 114. 11836456

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Authors
Chao, A. M., Wadden, T. A., Tronieri, J. S., Pearl, R. L., Alamuddin, N., Bakizada, Z. M., Pinkasavage, E., Leonard, S. M., Alfaris, N., & Berkowitz, R. I.
Affiliations
  • University of Pennsylvania (US)
  • King Fahd Medical City (SA)
  • Children's Hospital of Philadelphia (US)
Corresponding author
Chao, Ariana M.
Venue
Journal of Behavioral Medicine
Published
2018-07-31
Volume
42
Issue
2
Pages
246-255
ISSN
  • 0160-7715 (ISSN-L)
  • 1573-3521
OpenAlex
W2885425227
Cited by
48
References
55
Citations by year
2026: 4 · 2025: 5 · 2024: 8 · 2023: 7 · 2022: 6 · 2021: 4 · 2020: 7 · 2019: 7
FWCI
5.28
Type
journal article
Language
en
Open access
Locations
  • Journal of Behavioral Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Nursing Research (T32NR007100)
  • Eisai Pharmaceuticals
  • HMR Weight Management Services Corp
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
food cravings, food addiction, weight loss, Yale Food Addiction Scale, predictors of weight loss
MeSH terms
Food Addiction, Adult, Behavior Therapy, Body Weight, Feeding Behavior, Female, Humans, Life Style, Male, Middle Aged, Obesity, Surveys and Questionnaires, Weight Loss, Treatment Outcome, Young Adult

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