Abstract
The impact of obesity on physical and psychological health is well recognized in the literature with, among others, evidence of alterations in cognition. Indeed, obese populations are characterized by lower executive functions as well as an enhanced food craving. However, the relationship between executive functions and food craving remains unexplored. Moreover, these two variables have also been shown to predict food intake, but studies in the context of obesity are lacking. Thus, this study had two objectives: (1) determining if executive functions and food craving are linked, and (2) examining the predictors of highly palatable food intake and bland food intake. First, it was hypothesized that executive functions would be negatively associated with food craving. Second, it was expected that food craving would predict positively highly palatable food intake but not bland food intake. Third, it was predicted that executive functions would predict negatively highly palatable food intake and positively bland food intake. 48 participants (34 females) with BMIs ranging from 17.9 to 46.4 took part in two experimental sessions. First, executive functions were assessed using the delayed discounting task (impulsivity towards food and money) and the color–word interference test (CWIT; inhibition/flexibility). Second, a cue-induced food craving protocol, with images as well as real food, was administered followed by an ad libitum food intake protocol including both highly palatable and bland food. The inhibition/flexibility condition of the CWIT was significantly and negatively correlated with food craving following induction. Highly palatable food intake was significantly predicted by food craving following induction, but bland food intake was not. This study reveals an association between lower inhibition/flexibility and susceptibility to food craving induction that is of great importance in obesogenic environments. Moreover, this study confirmed the link between food craving and food intake, and showed for the first time a specific contribution of food craving to highly palatable food intake but not to bland food intake, highlighting its potential influence in obesity. This work leads to future research questions regarding the possible benefits of cognitive remediation interventions, as well as interventions aiming at reducing food craving, in weight loss programs.
Level of evidence
Level IV, quasi-experimental study.
Similar content being viewed by others
References
Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, Lee A, Marczak L, Mokdad AH, Moradi-Lakeh M, Naghavi M (2017) Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med 377(1):13–27. https://doi.org/10.1056/NEJMoa1614362
Tackling Obesity in Canada (2018) Obesity and excess weight rates in canadian adults. Public Health Agency of Canada. https://www.canada.ca/en/public-health/services/publications/healthy-living/obesity-excess-weight-rates-canadian-adults.html. Accessed 11 May 2019
Hales CM, Carroll MD, Fryar CD, Ogden CL (2017) Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS Data Brief
Berenson GS, Bogalusa Heart Study G (2012) Health consequences of obesity. Pediatric Blood Cancer 58(1):117–121. https://doi.org/10.1002/pbc.23373
Petry NM, Barry D, Pietrzak RH, Wagner JA (2008) Overweight and obesity are associated with psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychosom Med 70(3):288–297. https://doi.org/10.1097/PSY.0b013e3181651651
Volkow ND, Wang GJ, Fowler JS, Telang F (2008) Overlapping neuronal circuits in addiction and obesity: evidence of systems pathology. Philos Trans R S 363(1507):3191–3200. https://doi.org/10.1098/rstb.2008.0107
Carnell S, Gibson C, Benson L, Ochner CN, Geliebter A (2012) Neuroimaging and obesity: current knowledge and future directions. Obes Rev 13(1):43–56. https://doi.org/10.1111/j.1467-789X.2011.00927.x
Brooks SJ, Cedernaes J, Schioth HB (2013) Increased prefrontal and parahippocampal activation with reduced dorsolateral prefrontal and insular cortex activation to food images in obesity: a meta-analysis of fMRI studies. PLoS One 8(4):e60393. https://doi.org/10.1371/journal.pone.0060393
Chao A, Grilo CM, White MA, Sinha R (2014) Food cravings, food intake, and weight status in a community-based sample. Eat Behav 15(3):478–482. https://doi.org/10.1016/j.eatbeh.2014.06.003
Boswell RG, Kober H (2016) Food cue reactivity and craving predict eating and weight gain: a meta-analytic review. Obes Rev 17(2):159–177. https://doi.org/10.1111/obr.12354
Hallam J, Boswell RG, DeVito EE, Kober H (2016) Gender-related Differences in Food Craving and Obes. Yale J Biol Med 89(2):161
Ng L, Davis C (2013) Cravings and food consumption in binge eating disorder. Eat Behav 14(4):472–475. https://doi.org/10.1016/j.eatbeh.2013.08.011
Ferriday D, Brunstrom J (2011) ‘I just can not help myself’: effects of food-cue exposure in overweight and lean individuals. Int J Obes 35(1):142. https://doi.org/10.1038/ijo.2010.117
Vainik U, Dagher A, Dube L, Fellows LK (2013) Neurobehavioural correlates of body mass index and eating behaviours in adults: a systematic review. Neurosci Biobehav Rev 37(3):279–299. https://doi.org/10.1016/j.neubiorev.2012.11.008
Fitzpatrick S, Gilbert S, Serpell L (2013) Systematic review: are overweight and obese individuals impaired on behavioural tasks of executive functioning? Neuropsychol Rev 23(2):138–156. https://doi.org/10.1007/s11065-013-9224-7
Perpina C, Segura M, Sanchez-Reales S (2017) Cognitive flexibility and decision-making in eating disorders and obesity. Eat Weight Disord 22(3):435–444. https://doi.org/10.1007/s40519-016-0331-3
Kakoschke N, Aarts E, Verdejo-Garcia A (2019) The cognitive drivers of compulsive eating behavior. Front Behav Neurosci 12:338. https://doi.org/10.3389/fnbeh.2018.00338
Coumans JMJ, Danner UN, Ahrens W, Hebestreit A, Intemann T, Kourides YA, Lissner L, Michels N, Moreno LA, Russo P, Stomfai S, Veidebaum T, Adan RAH (2018) The association of emotion-driven impulsiveness, cognitive inflexibility and decision-making with weight status in European adolescents. Int J Obes 42(4):655–661. https://doi.org/10.1038/ijo.2017.270
Gunstad J, Paul RH, Cohen RA, Tate DF, Spitznagel MB, Gordon E (2007) Elevated body mass index is associated with executive dysfunction in otherwise healthy adults. Compr Psychiatry 48(1):57–61. https://doi.org/10.1016/j.comppsych.2006.05.001
Gunstad J, Lhotsky A, Wendell CR, Ferrucci L, Zonderman AB (2010) Longitudinal examination of obesity and cognitive function: results from the Baltimore longitudinal study of aging. Neuroepidemiology 34(4):222–229. https://doi.org/10.1159/000297742
Sabia S, Kivimaki M, Shipley MJ, Marmot MG, Singh-Manoux A (2009) Body mass index over the adult life course and cognition in late midlife: the Whitehall II Cohort Study. Am J Clin Nutr 89(2):601–607. https://doi.org/10.3945/ajcn.2008.26482
Rasmussen EB, Lawyer SR, Reilly W (2010) Percent body fat is related to delay and probability discounting for food in humans. Behav Proc 83(1):23–30. https://doi.org/10.1016/j.beproc.2009.09.001
Davis C, Levitan RD, Muglia P, Bewell C, Kennedy JL (2004) Decision-making deficits and overeating: a risk model for obesity. Obes Res 12(6):929–935. https://doi.org/10.1038/oby.2004.113
Limbers CA, Young D (2015) Executive functions and consumption of fruits/vegetables and high saturated fat foods in young adults. J Health Psychol 20(5):602–611. https://doi.org/10.1177/1359105315573470
Allan JL, Johnston M, Campbell N (2011) Missed by an inch or a mile? Predicting the size of intention–behaviour gap from measures of executive control. Psychol Health 26(6):635–650. https://doi.org/10.1080/08870441003681307
Graham AL, Gluck ME, Votruba SB, Krakoff J, Thearle MS (2014) Perseveration augments the effects of cognitive restraint on ad libitum food intake in adults seeking weight loss. Appetite 82:78–84. https://doi.org/10.1016/j.appet.2014.07.008
Rodrigue C, Ouellette AS, Lemieux S, Tchernof A, Biertho L, Begin C (2018) Executive functioning and psychological symptoms in food addiction: a study among individuals with severe obesity. Eat Weight Disord 23(4):469–478. https://doi.org/10.1007/s40519-018-0530-1
Spitznagel MB, Alosco M, Strain G, Devlin M, Cohen R, Paul R, Crosby RD, Mitchell JE, Gunstad J (2013) Cognitive function predicts 24-month weight loss success after bariatric surgery. Surg Obes Relat Disord 9(5):765–770. https://doi.org/10.1016/j.soard.2013.04.011
Spitznagel MB, Garcia S, Miller LA, Strain G, Devlin M, Wing R, Cohen R, Paul R, Crosby R, Mitchell JE, Gunstad J (2013) Cognitive function predicts weight loss after bariatric surgery. Surg Obes Relat Disord 9(3):453–459. https://doi.org/10.1016/j.soard.2011.10.008
Koritzky G, Dieterle C, Rice C, Jordan K, Bechara A (2014) Decision-making, sensitivity to reward, and attrition in weight management. Obesity. https://doi.org/10.1002/oby.20770
Polivy J, Coleman J, Herman CP (2005) The effect of deprivation on food cravings and eating behavior in restrained and unrestrained eaters. Int J Eat Disord 38(4):301–309. https://doi.org/10.1002/eat.20195
Hofmann J, Meule A, Reichenberger J, Weghuber D, Ardelt-Gattinger E, Blechert J (2016) Crave, like, eat: determinants of food intake in a sample of children and adolescents with a wide range in body mass. Front Psychol. https://doi.org/10.3389/fpsyg.2016.01389
Nederkoorn C, Smulders FTY, Jansen A (2000) Cephalic phase responses, craving and food intake in normal subjects. Appetite 35(1):45–55. https://doi.org/10.1006/appe.2000.0328
Martin CK, O’Neil PM, Tollefson G, Greenway FL, White MA (2008) The association between food cravings and consumption of specific foods in a laboratory taste test. Appetite 51(2):324–326. https://doi.org/10.1016/j.appet.2008.03.002
Gilhooly CH, Das SK, Golden JK, McCrory MA, Dallal GE, Saltzman E, Kramer FM, Roberts SB (2007) Food cravings and energy regulation: the characteristics of craved foods and their relationship with eating behaviors and weight change during 6 months of dietary energy restriction. Int J Obes 31(12):1849–1858. https://doi.org/10.1038/sj.ijo.0803672
Hill AJ (2007) The psychology of food craving. Proc Nutr Soc 66(2):277–285. https://doi.org/10.1017/s0029665107005502
Jastreboff AM, Sinha R, Lacadie C, Small DM, Sherwin RS, Potenza MN (2013) Neural correlates of stress-and food cue–induced food craving in obesity association with insulin levels. Diabetes Care 36(2):394–402. https://doi.org/10.2337/dc12-1112
Yin X, Li Y, Xu G, An W, Zhang W (2009) Ghrelin fluctuation, what determines its production. Acta Biochim Biophys Sin 41(3):188–197
Williams DL, Cummings DE (2005) Regulation of ghrelin in physiologic and pathophysiologic states. J Nutr 135(5):1320–1325. https://doi.org/10.1093/jn/135.5.1320
Mercer ME, D Holder M (1997) Food cravings, endogenous opioid peptides, and food intake: a review. Appetite 29(3):325–352. https://doi.org/10.1006/appe.1997.0100
McConnaughy EA, DiClemente CC, Prochaska JO, Velicer WF (1989) Stages of change in psychotherapy: a follow-up report. Psychotherapy 26(4):494
Delis DC, Kaplan E, Kramer JH (2001) The Delis-Kaplan executive function system: examiner’s manual. The Psychological Corporation, San Antonio
Strauss E, Sherman EM, Spreen O (2006) A compendium of neuropsychological tests: Administration, norms, and commentary. Oxford University Press, Oxford
Delis DC, Kramer JH, Kaplan E, Holdnack J (2004) Reliability and validity of the Delis–Kaplan executive function system: an update. J Int Neuropsychol Soc 10(2):301–303. https://doi.org/10.1017/S1355617704102191
Kirby KN, Petry NM, Bickel WK (1999) Heroin addicts have higher discount rates for delayed rewards than non-drug-using controls. J Exp Psychol Gen 128(1):78
Güth W, Schmittberger R, Schwarze B (1982) An experimental analysis of ultimatum bargaining. J Econ Behav Organ 3(4):367–388
Cepeda-Benito A, Gleaves DH, Williams TL, Erath SA (2001) The development and validation of the state and trait food-cravings questionnaires. Behav Ther 31(1):151–173
Fregni F, Orsati F, Pedrosa W, Fecteau S, Tome FA, Nitsche MA, Mecca T, Macedo EC, Pascual-Leone A, Boggio PS (2008) Transcranial direct current stimulation of the prefrontal cortex modulates the desire for specific foods. Appetite 51(1):34–41. https://doi.org/10.1016/j.appet.2007.09.016
Uher R, Yoganathan D, Mogg A, Eranti SV, Treasure J, Campbell IC, McLoughlin DM, Schmidt U (2005) Effect of left prefrontal repetitive transcranial magnetic stimulation on food craving. Biol Psychiat 58(10):840–842. https://doi.org/10.1016/j.biopsych.2005.05.043
Lapenta OM, Sierve KD, de Macedo EC, Fregni F, Boggio PS (2014) Transcranial direct current stimulation modulates ERP-indexed inhibitory control and reduces food consumption. Appetite 83c:42–48. https://doi.org/10.1016/j.appet.2014.08.005
Kekic M, McClelland J, Campbell I, Nestler S, Rubia K, David AS, Schmidt U (2014) The effects of prefrontal cortex transcranial direct current stimulation (tDCS) on food craving and temporal discounting in women with frequent food cravings. Appetite 78:55–62. https://doi.org/10.1016/j.appet.2014.03.010
Moubarac J-C, Batal M, Louzada M, Steele EM, Monteiro C (2017) Consumption of ultra-processed foods predicts diet quality in Canada. Appetite 108:512–520. https://doi.org/10.1016/j.appet.2016.11.006
Herman CP, Polivy J (1980) Restrained eating. In: Stunkard A (ed) Obesity. Saunders, Philadelphia, pp 208–225
Beck AT, Steer RA, Carbin MG (1988) Psychometric properties of the beck depression inventory: 25 years of evaluation. Clin Psychol Rev 8(1):77–100
Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 54:893
Canadian Attention Deficit Hyperactivity Disorder Alliance (CADDRA) (2011) Lignes directrices canadiennes pour le TDAH, troisiéme édition, Toronto, ON; CADDRA 2011. www.caddra.ca. Accessed 11 May 2019
WHO (2011) Waist circumference and waist-hip ratio: report of a WHO expert consultation. Geneva, 8–11 December 2008. https://www.who.int/nutrition/publications/obesity/WHO_report_waistcircumference_and_waisthip_ratio/en/. Accessed 11 May 2019
Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Erlbaum, Hillsdale
Meule A, Kuppers C, Harms L, Friederich HC, Schmidt U, Blechert J, Brockmeyer T (2018) Food cue-induced craving in individuals with bulimia nervosa and binge-eating disorder. PLoS One 13(9):e0204151. https://doi.org/10.1371/journal.pone.0204151
Meule A, Kubler A (2012) Food cravings in food addiction: the distinct role of positive reinforcement. Eat Behav 13(3):252–255. https://doi.org/10.1016/j.eatbeh.2012.02.001
Meule A (2018) Food cravings in food addiction: exploring a potential cut-off value of the Food Cravings Questionnaire-Trait-reduced. Eat Weight Disord 23(1):39–43. https://doi.org/10.1007/s40519-017-0452-3
Jones A, Hardman CA, Lawrence N, Field M (2018) Cognitive training as a potential treatment for overweight and obesity: a critical review of the evidence. Appetite 124:50–67. https://doi.org/10.1016/j.appet.2017.05.032
Allom V, Mullan B, Smith E, Hay P, Raman J (2018) Breaking bad habits by improving executive function in individuals with obesity. BMC Publ Health 18(1):505. https://doi.org/10.1186/s12889-018-5392-y
Raman J, Hay P, Tchanturia K, Smith E (2018) A randomised controlled trial of manualized cognitive remediation therapy in adult obesity. Appetite 123:269–279. https://doi.org/10.1016/j.appet.2017.12.023
Smith E, Hay P, Raman J (2015) Cognitive remediation therapy for obesity. In: Tchanturia K (ed) Cognitive remediation therapy (CRT) for eating and weight disorders. Routledge, New York, pp 176–191
Meule A, Lutz A, Vogele C, Kubler A (2012) Food cravings discriminate differentially between successful and unsuccessful dieters and non-dieters. Validation of the food cravings questionnaires in German. Appetite 58(1):88–97. https://doi.org/10.1016/j.appet.2011.09.010
Boswell RG, Kober H (2016) Food cue reactivity and craving predict eating and weight gain: a meta-analytic review. Obes Rev 17(2):159–177. https://doi.org/10.1111/obr.12354
Batra P, Das SK, Salinardi T, Robinson L, Saltzman E, Scott T, Pittas AG, Roberts SB (2013) Relationship of cravings with weight loss and hunger. Results from a 6 month worksite weight loss intervention. Appetite 69:1–7. https://doi.org/10.1016/j.appet.2013.05.002
Smithson E, Hill A (2016) It is not how much you crave but what you do with it that counts: behavioural responses to food craving during weight management. Eur J Clin Nutr. https://doi.org/10.1038/ejcn.2016.235
Hebert JR, Clemow L, Pbert L, Ockene IS, Ockene JK (1995) Social desirability bias in dietary self-report may compromise the validity of dietary intake measures. Int J Epidemiol 24(2):389–398
Hebert JR, Hurley TG, Peterson KE, Resnicow K, Thompson FE, Yaroch AL, Ehlers M, Midthune D, Williams GC, Greene GW (2008) Social desirability trait influences on self-reported dietary measures among diverse participants in a multicenter multiple risk factor trial. J Nutr 138(1):226S–234S. https://doi.org/10.1093/jn/138.1.226S
Hebert JR, Ma Y, Clemow L, Ockene IS, Saperia G, Stanek EJ III, Merriam PA, Ockene JK (1997) Gender differences in social desirability and social approval bias in dietary self-report. Am J Epidemiol 146(12):1046–1055
Hébert JR, Peterson KE, Hurley TG, Stoddard AM, Cohen N, Field AE, Sorensen G (2001) The effect of social desirability trait on self-reported dietary measures among multi-ethnic female health center employees. Ann Epidemiol 11(6):417–427
Taren DL, Tobar M, Hill A, Howell W, Shisslak C, Bell I, Ritenbaugh C (1999) The association of energy intake bias with psychological scores of women. Eur J Clin Nutr 53(7):570–578
Allan JL, Johnston M, Campbell N (2010) Unintentional eating. What determines goal-incongruent chocolate consumption? Appetite 54(2):422–425. https://doi.org/10.1016/j.appet.2010.01.009
Laessle RG, Lehrke S, Dückers S (2007) Laboratory eating behavior in obesity. Appetite 49(2):399–404. https://doi.org/10.1016/j.appet.2006.11.010
Lindroos AK, Lissner L, Mathiassen ME, Karlsson J, Sullivan M, Bengtsson C, Sjöström L (1997) Dietary intake in relation to restrained eating, disinhibition, and hunger in obese and nonobese Swedish women. Obesity 5(3):175–182
Kemps E, Herman CP, Hollitt S, Polivy J, Prichard I, Tiggemann M (2016) Contextual cue exposure effects on food intake in restrained eaters. Physiol Behav 167:71–75. https://doi.org/10.1016/j.physbeh.2016.09.004
Acknowledgements
The authors thank Jean Leblond for his assistance with statistical analysis, Shirley Fecteau for help on the development of the research protocol, and Sophie Regueiro for help in the experimentation.
Funding
This work was supported by a salary grant from the Fond de Recherche Québec-Santé and a grant from the Faculty of Social Sciences to P. L. Jackson. E. Massicotte was supported by a doctoral scholarship from the Canadian Institute of Health Research (CIHR).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This article is part of topical collection on Food and Addiction.
Rights and permissions
About this article
Cite this article
Massicotte, E., Deschênes, SM. & Jackson, P.L. Food craving predicts the consumption of highly palatable food but not bland food. Eat Weight Disord 24, 693–704 (2019). https://doi.org/10.1007/s40519-019-00706-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40519-019-00706-8