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Disinhibited Eating and Executive Functioning in Children and Adolescents: A Systematic Review and Meta-Analysis
Clarissa V Shields1, Kara V Hultstrand1, Caroline E West1
1Department of Psychological Sciences, Kent State University, Kent, OH 44242, USA.
Insights
Poorer executive function (EF) skills are linked to increased disinhibited eating in children and adolescents. This systematic review highlights EF as a potential target for pediatric obesity prevention and treatment strategies.
Area of Science:
- Neuroscience
- Developmental Psychology
- Public Health
Background:
- Disinhibited eating and weaker executive function (EF) are recognized risk factors for pediatric obesity.
- Emerging research indicates a connection between EF skills and eating regulation in youth.
- A synthesis of the association between diverse EF skills and disinhibited eating across child development is lacking.
Approach:
- A systematic review and meta-analysis was performed to investigate the impact of EF skills on disinhibited eating behaviors in individuals aged 3-18 years.
- Data from 15 studies, encompassing 4909 youth, were analyzed using PubMed and PsychINFO databases.
- A random effects meta-analysis quantified the relationship between overall EF skills and disinhibited eating.
Key Points:
- Overall executive function skills demonstrated a small, statistically significant negative effect on disinhibited eating behavior (r = -0.14, p < 0.01).
- Working memory, a specific EF skill, exhibited a medium negative effect on disinhibited eating behavior (r = -0.25, p < 0.05).
- Findings indicate an inverse relationship: poorer EF abilities correlate with higher levels of disinhibited eating in children and adolescents.
Conclusions:
- The meta-analysis supports an inverse relationship between executive function abilities and disinhibited eating patterns in youth.
- Executive function difficulties may represent a barrier to effective weight management in pediatric populations.
- Future research should explore EF skills as a potential target for obesity prevention and treatment in children and adolescents.
Abstract:
A growing body of research suggests disinhibited eating and weaker executive function (EF) are two risk factors for pediatric obesity. Emerging brain imaging and behavioral findings support the notion that EF skills impact eating regulation. However, a major gap in the current literature is a synthesis of the association between various EF skills and disinhibited eating patterns across child development. To address this gap, a systematic review and meta-analysis was conducted to examine the effect of EF skills on disinhibited eating behaviors among youth ages 3-18 years old. PubMed and PsychINFO databases were utilized and data from 15 studies with a total sample of 4909 youth were included. A random effects meta-analysis revealed a small negative effect of overall EF skills on disinhibited eating behavior, r = -0.14, p < 0.01. Analysis of individual EF skills found working memory had an overall medium negative effect on disinhibited eating behavior, r = -0.25, p < 0.05. Taken together, findings from this meta-analysis support an inverse relationship between EF abilities and disinhibited eating patterns in children and adolescents, such that poorer EF abilities are associated with higher levels of disinhibited eating. Given the effect on eating behavior, future research is needed to assess whether EF difficulties may be a barrier to effective weight management in youth. Specifically, research is needed to examine whether EF skills may be a key target to consider for effective obesity prevention and treatment in children and adolescents.
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