BACKGROUND: Food reinforcement is an empirical index of motivation to obtain food. Higher levels of food reinforcement are associated with increased energy intake and increased body weight. Food reinforcement can vary over repeated food presentations, as people may show reduced reinforcing value if they satiate to repeated reinforcers, or they may show sensitization, or an increase in reinforcing value with repeated presentations. Over the past few years, our laboratory has been studying the impact of repeated administration of large portions of high energy density snack foods on food reinforcement. We have shown in three separate studies that the majority of non-obese individuals become satiated after 2 weeks of the same snack food administration, but that a subset of obese individuals sensitize after this same manipulation. OBJECTIVE: The purpose of the study presented here was to identify predictors of reinforcer satiation or sensitization. SUBJECTS: For the analyses presented here, we combined data sets from three previous studies for a total of 67 adult participants. RESULTS: We found that higher body mass index (BMI) and higher baseline motivation to eat predicted sensitization, and baseline motivation to eat moderated the effects of BMI, such that higher baseline responding for food predicted sensitization in obese individuals, but satiation in non-obese individuals. CONCLUSIONS: These data suggest that repeated exposure to high energy density snack foods may result in sensitization to those foods, with similar effects as drugs of abuse in susceptible individuals, and that an individual's BMI and baseline responding act as predictors of this response. Keywords: sensitization; food reinforcement; energy intake; motivation; satiation
INTRODUCTIONFood is a primary reinforcer that motivates behavior in the absence of learning or conditioning. Reinforcing value of food is determined by how much effort someone will engage in to gain access to food, with the magnitude of food reinforcement proportional to the amount of work performed. 1 Food reinforcement is a predictor of energy intake, with individuals who find food more reinforcing consuming more food than those who find food less reinforcing. 2,3 In addition, obese individuals find food more reinforcing than non-obese individuals. 4,5 Although food reinforcement is a relatively stable trait, it can be modified depending on the context or types of foods that are used. Food deprivation and food variety reliably increase the reinforcing value of food 6 --9 and high-fat, palatable foods are more reinforcing than healthier, low-fat alternatives. 10,11 Our laboratory has demonstrated that repeated exposure to highly palatable food increases food reinforcement in obese individuals, but decreases it in non-obese individuals. 12 --14 One mechanism for the increase in reinforcing value of food in obese individuals is incentive sensitization, which is the process by which repeated exposure to a reinforcer increases motivation to access that reinforcer. Incentive sensit...