Efficacy of a cognitive training based on inhibitory spillover and attribute conditioning: No weight and food intake reductions in adults with overweight and obesity

Appetite. 2024 Dec 1:203:107648. doi: 10.1016/j.appet.2024.107648. Epub 2024 Aug 30.

Abstract

Background: Overeating and obesity have been linked to deficient self-control and recent evidence suggests that the inhibitory spillover effect (ISE) may be an effective means to improve self-control. Specifically, it was shown that the ISE increases self-control by transfer of self-control capacity from one domain to another unrelated domain. Against this backdrop, our aim was to reduce hedonic food intake and body weight in non-dieting participants with overweight and obesity by transferring inhibitory control abilities from a food-unrelated domain to the food domain by means of an attribute conditioning procedure in a novel cognitive training (vs. a placebo training) comprising 8-sessions delivered over four weeks.

Method: In total, 93 adults with overweight and obesity were included in a two-arm randomized controlled trial and assigned to the computerized cognitive training or a placebo training (active control condition). Food intake in a bogus taste test and body weight were assessed prior to and after the training. Weight was additionally assessed at 3-months follow-up.

Results: There was no improvement in food intake and weight reduction.

Discussion: The cognitive training based on the ISE and attribute conditioning (ISAC) is not yet ready for application. Future studies need to identify the factors critical for a successful implementation of conditioning procedures aiming to associate food stimuli with self-control in overweight and obesity.

Keywords: Food intake; Inhibitory control; Inhibitory spillover effect; Obesity.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Cognition
  • Cognitive Behavioral Therapy* / methods
  • Cognitive Training
  • Eating* / psychology
  • Female
  • Humans
  • Inhibition, Psychological
  • Male
  • Middle Aged
  • Obesity* / psychology
  • Obesity* / therapy
  • Overweight* / psychology
  • Overweight* / therapy
  • Self-Control*
  • Treatment Outcome
  • Weight Loss
  • Young Adult