Effects of addictive-like eating behaviors on weight loss with behavioral obesity treatment
Open accessAbstract
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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A 14-week group lifestyle modification program including caloric reduction (n = 178) significantly reduced addictive eating behaviors.
“A 14-week group lifestyle modification program including caloric reduction (n = 178) significantly reduced addictive eating behaviors [222].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [222]
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Paslakis, G., Halbeisen, G., Agüera, Z., Jiménez‐Múrcia, S., & Fernández‐Aranda, F. (2024) · doi:10.1093/oso/9780190671051.003.0044
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KARLI, K. (2026) · Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi · doi:10.61535/bseusbfd.1600957
- 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.
- ORCID
- Venue
- Journal of Behavioral Medicine
- Published
- 2018-07-31
- Volume
- 42
- Issue
- 2
- Pages
- 246-255
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- PMC
- PMC6711180
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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