Design and implementation of a study evaluating extinction processes to food cues in obese children: The Intervention for Regulations of Cues Trial (iROC)

Boutelle, Kerri N.; Liang, June; Knatz, Stephanie; Matheson, Brittany E.; Risbrough, Victoria B.; Strong, David R.; Rhee, Kyung E.; Craske, Michelle G.; Zucker, Nancy; Bouton, Mark E.

doi:10.1016/j.cct.2014.11.011

Cited by 17 publications

(7 citation statements)

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“…Typical onset of obesity in adulthood is a slow, incremental process (Christiansen, Swann, & Sorensen, 2008), and while a few dozen additional calories at a given meal may not seem substantial, individuals prone to eat 50 kcal more per day will end up approximately 50 lb heavier than their counterparts after ten years. Targeting reward sensitivity through cue-exposure paradigms (Boutelle et al, 2015) or DD through interventions designed to boost ability to delay gratification (Daniel, Stanton, & Epstein, 2013) may be useful in preventing weight gain.…”

Section: Discussionmentioning

confidence: 99%

Delayed discounting and hedonic hunger in the prediction of lab-based eating behavior

2015

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Section: Discussionmentioning

confidence: 99%

Delayed discounting and hedonic hunger in the prediction of lab-based eating behavior

2015

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“…We are in the process of developing a “cue-exposure treatment” for food (CET-Food) for overweight and obese children (Boutelle et al, 2011; Boutelle, N. Zucker, et al, 2014; Boutelle, Liang, et al, 2014). These methods were initially described decades ago in a pilot trial which showed that cue-exposure treatment led to abstinence as compared to self-control training with adults who binge eat and/or have bulimia nervosa (Jansen, Broekmate, & Heymans, 1992).…”

Section: Using Learning Theory To Reduce Food Cue Reactivitymentioning

confidence: 99%

“…Following the exposure session, the food is thrown away in a trashcan. Initial pilot studies suggest that CET-Food shows some efficacy in decreasing overeating in overweight and obese children (Boutelle et al, 2011) and we are currently in the process of conducting a series of studies based on extinction theory to enhance CET-Food with children (Boutelle, Liang, et al, 2014). Additionally, recent data suggest that this method may also have promise with adults.…”

Section: Using Learning Theory To Reduce Food Cue Reactivitymentioning

confidence: 99%

Implications of learning theory for developing programs to decrease overeating

Boutelle

Bouton

2015

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Childhood obesity is associated with medical and psychological comorbidities, and interventions targeting overeating could be pragmatic and have a significant impact on weight. Calorically dense foods are easily available, variable, and tasty which allows for effective opportunities to learn to associate behaviors and cues in the environment with food through fundamental conditioning processes, resulting in measurable psychological and physiological food cue reactivity in vulnerable children. Basic research suggests that initial learning is difficult to erase, and that it is vulnerable to a number of phenomena that will allow the original learning to re-emerge after it is suppressed or replaced. These processes may help explain why it may be difficult to change food cue reactivity and overeating over the long term. Extinction theory may be used to develop effective cue-exposure treatments to decrease food cue reactivity through inhibitory learning, although these processes are complex and require an integral understanding of the theory and individual differences. Additionally, learning theory can be used to develop other interventions that may prove to be useful. Through an integration of learning theory, basic and translational research, it may be possible to develop interventions that can decrease the urges to overeat, and improve the weight status of children.

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“…For example, the stability of EAH as measured by questionnaire has been explored in older children (Tanofsky-Kraff et al, 2008), but to our knowledge no studies have evaluated the stability in observed EAH across time, particularly in very young children (Lansigan et al, 2015), which is a unique contribution of the current study. Our finding that EAH emerges early in the lifespan and remains moderately stable also suggests that childhood obesity prevention efforts that focus on EAH (Boutelle et al, 2015) should begin as early as possible.…”

Section: Discussionmentioning

confidence: 58%

Longitudinal associations between eating and drinking engagement during mealtime and eating in the absence of hunger in low income toddlers

et al. 2018

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To develop effective obesity-related interventions during early life, it is important to identify predictors of eating in the absence of hunger during toddlerhood. Hence, this study examined longitudinal associations between child eating and drinking engagement at 27 months of age and child eating in the absence of hunger (EAH) at 33 months of age (N = 91 children; 57.1% boys). At 27 months of age, we coded child eating and drinking engagement during a videotaped naturalistic lunch meal at home. We also obtained mothers' reports of their child's food responsiveness (FR), satiety responsiveness (SR), and desire to drink (DD) using the Child Eating Behavior Questionnaire (CEBQ). Children participated in a standard EAH protocol at 27 and 33 months of age where they were presented with palatable foods and the amount of food eaten was assessed (calculated as total kilocalories consumed). Correlational analyses showed that EAH at 27 months of age was positively related to EAH at 33 months of age and that neither mother-reported child FR or SR were associated with child eating engagement. Mother-reported child DD was associated with child drinking engagement. To predict EAH at 33 months, a regression analysis was conducted in which EAH at 27 months, mother-reported and observed child eating and drinking engagement at 27 months were entered as predictors, controlling for child demographics (i.e., age, sex, race/ethnicity and weight-for-length z-score (WLZ). Findings were that children who were observed to engage in more drinking at 27 months of age consumed more energy (measured as kcal) in the EAH at 33 months of age. Implications for understanding eating, and drinking, behaviors in toddlerhood are discussed.

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Design and implementation of a study evaluating extinction processes to food cues in obese children: The Intervention for Regulations of Cues Trial (iROC)

Cited by 17 publications

References 71 publications

Delayed discounting and hedonic hunger in the prediction of lab-based eating behavior

Delayed discounting and hedonic hunger in the prediction of lab-based eating behavior

Implications of learning theory for developing programs to decrease overeating

Longitudinal associations between eating and drinking engagement during mealtime and eating in the absence of hunger in low income toddlers

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