The Executive Functions in Overweight and Obesity: A Systematic Review of Neuropsychological Cross-Sectional and Longitudinal Studies
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Background The increasing incidence of people affected by overweight or obesity is a significant health problem. The knowledge of the factors which influences the inappropriate eating behaviours causing excessive body fat is an essential goal for the research. In fact, overweight and obesity are significant risk factors for many health diseases, such as cardiovascular problems, diabetes, etc. Recently, many studies have focused on the relationship between body weight and cognitive processes. Objectives This systematic review is aimed to investigate the existence and the nature of the relationship between excessive body weight (overweight/obesity) and executive functions, analysing cross-sectional and longitudinal studies in order to verify the evidence of a possible causality between these variables. Methods The review was carried out according to the PRISMA-Statement, through systematic searches in the scientific databases PubMed, Medline, PsychInfo, and PsycArticles. The studies selected examined performance on executive tasks by participants with overweight or obesity, aged between 5 and 70 years. Studies examining eating disorders or obesity resulting from other medical problems were excluded. Furthermore, the results of studies using a cross-sectional design and those using a longitudinal one were separately investigated. Results Sixty-three cross-sectional studies and twenty-eight longitudinal studies that met our inclusion and exclusion criteria were analysed. The results confirmed the presence of a relation between executive functions and overweight/obesity, although the directionality of this relation was not clear; nor did any single executive function emerge as being more involved than others in this relation. Despite this, there was evidence of a reciprocal influence between executive functions and overweight/obesity. Conclusions This systematic review underlines the presence of a relationship between executive functions and overweight/obesity. Moreover, it seems to suggest a bidirectional trend in this relationship that could be the cause of the failure of interventions for weight reduction. The results of this review highlight the importance of a theoretical model able to consider all the main variables of interest, with the aim to structuring integrated approaches to solve the overweight/obesity problems.
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Poor executive functioning is associated with consumption of palatable food, leading to inflammation and metabolic changes promoting weight gain.
“It is established that poor executive functioning is associated with consumption of palatable food, leading to inflammation and metabolic changes promoting weight gain [161,162,163].”
From Food Addiction and Psychosocial Adversity: Biological Embedding, Contextual Factors, and Public Health Implications (2020) · cites this paper as [162]
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Flagged first, then by citations
Research works printed but not linked: 1
- World Health Organization (2000). Obesity: Preventing and Managing the Global Epidemic (No. 894). World Health Organization; 894: i–xii, 1– 253. 11234459
Cited by
Sorted by citations
Wiss, D. A., Avena, N., & Gold, M. (2020) · Nutrients · doi:10.3390/nu12113521 · Cited by 66 · see citing works
Favieri, F., Forte, G., Pazzaglia, M., Chen, E. Y., & Casagrande, M. (2022) · Brain Sciences · doi:10.3390/brainsci12020149 · Cited by 10 · see citing works
Self-citation
- Authors
- Favieri, F., Forte, G., & Casagrande, M.
- Affiliations
- Sapienza University of Rome (IT)
- Corresponding author
- Favieri, Francesca
- Casagrande, Maria
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2019-09-20
- Volume
- 10
- Pages
- 2126-2126
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC6764464
- OpenAlex
- W2971358891
- Cited by
- 170
- References
- 172
- Citations by year
- 2026: 16 · 2025: 20 · 2024: 20 · 2023: 22 · 2022: 38 · 2021: 36 · 2020: 16 · 2019: 2
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Sapienza Università di Roma
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- executive function, overweight, obesity, cognitive function, eating behaviour, bidirectional relationship, weight loss interventions
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