Cited by 61Eating Disorders and BehaviorsRegulation of Appetite and ObesityNutrition, Health and Food Behavior

Appetitive traits as targets for weight loss: The role of food cue responsiveness and satiety responsiveness

Open access
Boutelle, Kerri N., Manzano, Michael A., Eichen, Dawn M.·2020·Physiology & Behavior

Abstract

Individuals with overweight or obesity (OW/OB) are at increased risk for significant physical and psychological comorbidities. The current treatment for OW/OB is behavioral weight loss, which provides psychoeducation on nutrition and physical activity, as well as behavior therapy skills. However, behavioral weight loss is not effective for the majority of the individuals who participate. Research suggests that overeating, or eating past nutritional needs, is one of the leading causes of weight gain. Accumulating evidence suggests that appetitive traits, such as food cue responsiveness and satiety responsiveness, are associated with overeating and weight in youth and adults. The following review presents the current literature on the relationship between food cue responsiveness, satiety responsiveness, overeating, and OW/OB. Research suggests that higher food cue responsiveness and lower satiety responsiveness are associated with overeating and OW/OB cross-sectionally and longitudinally. Emerging data suggest that food cue responsiveness and satiety responsiveness may exist along the same continuum and can be targeted to manage overeating and reduce weight. We have developed a treatment model targeting food cue responsiveness and satiety responsiveness to reduce overeating and weight and have preliminary feasibility, acceptability, and efficacy data, with testing currently being conducted in larger trials. Through programs targeting appetitive traits we hope to develop an alternative weight loss model to assist individuals with a propensity to overeat.

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  • Constant factors such as appetitive traits, genetic makeup, usual food preferences, and weight status are associated with different levels of reactivity to food cues.

    “Constant factors such as certain appetitive traits (e.g., those assessed by the Adult and Children Eating Behavior Questionnaires) [42,43], a person’s genetic makeup, usual food preferences, and weight status are all associated with different levels of reactivity to food cues [44,45,46,47,48,49].”
  • Increased food cue reactivity is associated over time with weight gain or regain, disordered eating behaviors and eating disorders, and loss of quality of life.

    “increased food cue reactivity is associated, over time, with important health-related outcomes, including weight gain or regain [50,65,76], disordered eating behaviors and eating disorders [77,78,79], and, consequently, loss of quality of life [45,80].”

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  1. [7]Diabetes Prevention Program (DPP) Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care. 2002; 25(12): 2165– 71. doi: 10.2337/diacare.25.12.2165. 12453955 PMC1282458 · DOI · Paper page

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Authors
Boutelle, K. N., Manzano, M. A., & Eichen, D. M.
Affiliations
  • University of California San Diego (US)
  • San Diego State University (US)
Corresponding author
Boutelle, Kerri N.
Venue
Physiology & Behavior
Publisher
Elsevier BV
Published
2020-10
Volume
224
Pages
113018
ISSN
0031-9384 (ISSN-L)
OpenAlex
W3036050468
Cited by
61
References
181
Citations by year
2026: 1 · 2025: 17 · 2024: 10 · 2023: 14 · 2022: 13 · 2021: 6
FWCI
0.65
Type
journal article
Language
en
Open access
Locations
  • Physiology & Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institutes of Health
  • National Institute of Diabetes and Digestive and Kidney Diseases
  • U.S. Department of Defense (R01DK094475, R01DK103554, R01DK114794, K23DK114480, W81XWH-18–1–0220)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
satiety responsiveness, appetitive traits, overeating, obesity, overweight, weight loss, behavioral weight loss, treatment model, dietary habits
MeSH terms
Adolescent, Adult, Appetite, Cues, Feeding Behavior, Humans, Satiation, Weight Loss, Overweight

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