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.

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