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Updated: Nov 23, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Reliance on model-based and model-free control in obesity
Lieneke K Janssen1,2, Florian P Mahner3, Florian Schlagenhauf3,4
1Integrated Research and Treatment Center Adiposity Diseases, Leipzig University Medical Center, Leipzig, Germany. lieneke.janssen@gmail.com.
Obese individuals exhibit less model-based control in decision-making compared to normal-weight and overweight individuals. This suggests obesity is linked to an imbalance in behavioral control strategies, favoring model-free computations.
Area of Science:
- Neuroscience
- Behavioral Science
- Obesity Research
Background:
- Obesity is often associated with impaired control over eating behavior.
- Behavioral control relies on a balance between model-free and model-based reinforcement learning strategies.
Purpose of the Study:
- To investigate the relationship between body mass index (BMI) and the balance of model-based versus model-free control in decision-making.
- To test the hypothesis that weight status is associated with an imbalance in these control strategies.
Main Methods:
- A sequential decision-making task was administered to 90 participants across a range of BMIs (normal-weight, overweight, obese).
- Computational modeling was used to analyze choice behavior and quantify reliance on model-based and model-free control.
Main Results:
- Obese participants demonstrated significantly less reliance on model-based control compared to normal-weight and overweight participants.
- A negative linear relationship was observed between BMI and the degree of model-based control.
- Computational models indicated a shift towards less model-based control in obese individuals.
Conclusions:
- Obesity may be characterized by an imbalance in behavioral control, specifically a reduced reliance on model-based strategies.
- This phenotype of diminished model-based control could stem from an increased reliance on model-free computations in decision-making processes.
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