Executive functioning in overweight individuals with and without loss-of-control eating

Eur Eat Disord Rev. 2014 Sep;22(5):373-7. doi: 10.1002/erv.2304. Epub 2014 Jun 24.

Abstract

Objective: The current study sought to examine executive function (EF) in overweight individuals with and without loss-of-control (LOC) eating.

Method: Eighty overweight and obese individuals entering a behavioural weight loss trial with (n=18) and without (n=62) LOC eating were administered a clinical interview and neuropsychological battery designed to assess self-regulatory control, planning, delayed discounting and working memory.

Results: After controlling for age, IQ and depression, individuals with LOC eating performed worse on tasks of planning and self-regulatory control and did not differ in performance on other tasks.

Discussion: Results indicate that overweight individuals with LOC eating display relative deficits in EF compared with overweight individuals without LOC eating. Planning and self-regulatory control deficits in particular may contribute to dysregulated eating patterns, increasing susceptibility to LOC episodes. Future research should examine how EF deficits relate to treatment outcome.

Keywords: binge eating; executive function; loss-of-control-eating; neuropsychology; obesity.

Publication types

  • Controlled Clinical Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Behavior Therapy
  • Eating / psychology*
  • Executive Function / physiology*
  • Female
  • Humans
  • Internal-External Control*
  • Interview, Psychological
  • Middle Aged
  • Neuropsychological Tests
  • Obesity / psychology
  • Obesity / therapy
  • Overweight / psychology*
  • Overweight / therapy*
  • Treatment Outcome
  • Weight Reduction Programs
  • Young Adult