Food-Related Impulsivity in Obesity and Binge Eating Disorder-A Systematic Update of the Evidence
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The specific eating pattern of Binge Eating Disorder (BED) patients has provoked the assumption that BED might represent a phenotype within the obesity spectrum that is characterized by increased impulsivity. Following the guidelines of the PRISMA statement (preferred reporting items for systematic reviews and meta-analyses), we here provide a systematic update on the evidence on food-related impulsivity in obese individuals, with and without BED, as well as normal-weight individuals. We separately analyzed potential group differences in the impulsivity components of reward sensitivity and rash-spontaneous behavior. Our search resulted in twenty experimental studies with high methodological quality. The synthesis of the latest evidence consolidates conclusions drawn in our initial systematic review that BED represents a distinct phenotype within the obesity spectrum that is characterized by increased impulsivity. Rash-spontaneous behavior in general, and specifically towards food, is increased in BED, while food-specific reward sensitivity is also increased in obese individuals without BED, but potentially to a lesser degree. A major next step for research entails the investigation of sub-domains and temporal components of inhibitory control in BED and obesity. Based on the evidence of impaired inhibitory control in BED, affected patients might profit from interventions that address impulsive behavior.
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Some individuals who have obesity and impulsivity may have high sensitivity to food-related rewards and may persistently seek out certain foods intended to intensify sensory impact-ultra-processed foods with high-fat, high-sugar, and high-salt content-in anticipation of experiencing reward.
“Stated differently, some individuals who have obesity and impulsivity may have high sensitivity to food-related rewards. They may persistently seek out certain foods intended to intensify sensory impact—ultra-processed foods with high-fat, high-sugar, and high-salt content—in anticipation of experiencing reward (63, 65).”
From Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery (2022) · cites this paper as [63]
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- Authors
- Giel, K., Teufel, M., Junne, F., Zipfel, S., & Schag, K.
- Affiliations
- Universitätsklinikum Tübingen (DE)
- University of Duisburg-Essen (DE)
- Corresponding author
- Giel, Katrin
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2017-10-27
- Volume
- 9
- Issue
- 11
- Pages
- 1170
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC5707642
- OpenAlex
- W2765885508
- Cited by
- 283
- References
- 60
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 33 · 2023: 27 · 2022: 33 · 2021: 39 · 2020: 71 · 2019: 25 · 2018: 19 · 2017: 1
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- INSTITUT DANONE Ernährung für Gesundheit e.V. (2015/2)
- 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
- binge eating disorder, obesity, reward sensitivity, inhibitory control, dietary habits, normal-weight individuals
- MeSH terms
- Feeding Behavior, Food, Humans, Impulsive Behavior, Inhibition, Psychological, Obesity, Phenotype, Reward, Binge-Eating Disorder
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