Findings

Refined taste

Kevin Lewis

May 05, 2015

Nutritional advice from George Orwell. Exploring the social mechanisms behind the overconsumption of unhealthy foods by people with low socio-economic status

Morten Larsen
Appetite, August 2015, Pages 150–156

Abstract:
Despite a general consensus and recognition of the importance of the “social gradient” on nutritional standards and ultimately people's health, the body of literature identifying and describing the actual underlying social mechanisms which could explain this association is small, fragmented and not contained within one single discipline of thought – the effects of this conundrum seem easier to describe than to explain. The aim of this article is therefore to explore and identify social mechanisms, which could help explain why people with low socio-economic status consume a disproportionate amount of unhealthy foods and therefore also observe poorer diets. It is therefore in many ways an exploration into the nature of (relative) poverty. The point of departure for this exploration and identification is historical descriptions (in the form of excerpts) from George Orwell's (1937) book “The Road to Wigan Pier” on the living conditions of the British working classes. These descriptions will be aligned with results from contemporary research into nutritional behaviour. Strong similarities are identified between George Orwell's historical descriptions of the working-class's unhealthy diet and the findings from contemporary research into nutritional behaviour of people with a low socio-economic status. The article, on this basis, argues that certain social mechanisms influencing nutritional choices are readily identifiable across disciplines, and even partly reproduced in different historical, social and spatial contexts, with stronger negative (ill health) consequences for people with low socio-economic status especially. Finally the article discusses how social mechanisms affecting our nutritional choices could challenge the underlying rationalities and assumptions of the rational yet “knowledge deficient” individual consumer implicitly present in much nutritional advice – both past and present. The disregard of social mechanisms, and therefore implicitly issues of class, could indicate a general “de-socialization” of nutritional advice also in its dispersal through various health-promotion initiatives and campaigns, which raises serious questions about the usefulness of much nutritional advice, already tentatively questioned by some nutritionists (Burr et al., 2007) as well as “food” sociologists (Smith & Holm, 2010).

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What Drives Nutritional Disparities? Retail Access and Food Purchases Across the Socioeconomic Spectrum

Jessie Handbury, Ilya Rahkovsky & Molly Schnell
NBER Working Paper, April 2015

Abstract:
The poor diets of many consumers are often attributed to limited access to healthy foods. In this paper, we use detailed data describing the healthfulness of household food purchases and the retail landscapes in which these consumers are making these decisions to study the role of access in explaining why some people in the United States eat more nutritious foods than others. We first confirm that households with lower income and education purchase less healthful foods. We then measure the spatial variation in the average nutritional quality of available food products across local markets, revealing that healthy foods are less likely to be available in low-income neighborhoods. Though significant, spatial differences in access are small and explain only a fraction of the variation that we observe in the nutritional content of household purchases. Systematic socioeconomic disparities in household purchases persist after controlling for access: even in the same store, more educated households purchase more healthful foods. Consistent with this result, we further find that the nutritional quality of purchases made by households with low levels of income and education respond very little when new stores enter or when existing stores change their product offerings. Together, our results indicate that policies aimed at improving access to healthy foods in underserved areas will leave most of the socioeconomic disparities in nutritional consumption intact.

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The affective and interpersonal consequences of obesity

Emma Levine & Maurice Schweitzer
Organizational Behavior and Human Decision Processes, March 2015, Pages 66–84

Abstract:
The incidence of obesity in the United States has tripled over the past fifty years, posing significant challenges for organizations. We build on stereotype content research and offer an overarching framework to understand individuals’ affective, cognitive, and behavioral responses to obesity. Across five studies, we demonstrate that individuals associate obesity with perceptions of low competence. Perceptions of low competence predict affective (disgust, sympathy) and behavioral (low help, high harm) responses to obesity. Consistent with the BIAS Map (Cuddy, Fiske, & Glick, 2007), these discriminatory responses are moderated by perceptions of warmth. We demonstrate that, in some cases, shifting perceptions of warmth is just as effective as losing weight for curtailing discrimination towards the obese. Our findings demonstrate that social categorization is labile and we offer prescriptive advice for individuals seeking to change the way others perceive them.

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So Many Brands and Varieties to Choose from: Does This Compromise the Control of Food Intake in Humans?

Charlotte Hardman et al.
PLoS ONE, April 2015

Abstract:
The recent rise in obesity is widely attributed to changes in the dietary environment (e.g., increased availability of energy-dense foods and larger portion sizes). However, a critical feature of our “obesogenic environment” may have been overlooked - the dramatic increase in “dietary variability” (the tendency for specific mass-produced foods to be available in numerous varieties that differ in energy content). In this study we tested the hypothesis that dietary variability compromises the control of food intake in humans. Specifically, we examined the effects of dietary variability in pepperoni pizza on two key outcome variables; i) compensation for calories in pepperoni pizza and ii) expectations about the satiating properties of pepperoni pizza (expected satiation). We reasoned that dietary variability might generate uncertainty about the postingestive effects of a food. An internet-based questionnaire was completed by 199 adults. This revealed substantial variation in exposure to different varieties of pepperoni pizza. In a follow-up study (n= 66; 65% female), high pizza variability was associated with i) poorer compensation for calories in pepperoni pizza and ii) lower expected satiation for pepperoni pizza. Furthermore, the effect of uncertainty on caloric compensation was moderated by individual differences in decision making (loss aversion). For the first time, these findings highlight a process by which dietary variability may compromise food-intake control in humans. This is important because it exposes a new feature of Western diets (processed foods in particular) that might contribute to overeating and obesity.

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Greater perceived ability to form vivid mental images in individuals with high compared to low BMI

Barkha Patel et al.
Appetite, August 2015, Pages 185–189

Abstract:
Obese individuals report more frequent food cravings than their lean counterparts. Since mental imagery plays a role in eliciting and maintaining craving we hypothesized that one's ability to image may be associated with body mass index (BMI) and account, at least in part, for the association between BMI and craving. Twenty-five participants (BMI range: 17.7 kg/m2 – 34.2 kg/m2) completed three measures of perceived mental imagery ability (The Vividness of Visual Imagery Questionnaire, The Vividness of Olfactory Imagery Questionnaire, The Vividness of Food Imagery Questionnaire), and one measure of craving (Food-Craving Inventory). As predicted, correlation analyses revealed positive associations between BMI and perceived ability to image odors and foods, but not visual objects. Olfactory imagery was singled out as the best predictor of BMI in a hierarchical regression analysis. A second experiment with 57 participants (BMI range: 19.1 kg/m2 – 38.7 kg/m2) then confirmed the significant positive association between BMI and perceived ability to image odors. These results raise the possibility that imagery ability may play a role in the heightened food cue reactivity observed in obese individuals.

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Eaten up by boredom: Consuming food to escape awareness of the bored self

Andrew Moynihan et al.
Frontiers in Psychology, April 2015

Abstract:
Research indicates that being bored affectively marks an appraised lack of meaning in the present situation and in life. We propose that state boredom increases eating in an attempt to distract from this experience, especially among people high in objective self-awareness. Three studies were conducted to investigate boredom’s effects on eating, both naturally occurring in a diary study and manipulated in two experiments. In Study 1, a week-long diary study showed that state boredom positively predicted calorie, fat, carbohydrate, and protein consumption. In Study 2, a high (vs. low) boredom task increased the desire to snack as opposed to eating something healthy, especially amongst those participants high in objective self-awareness. In addition, Study 3 demonstrated that among people high in objective self-awareness, high (vs. low) boredom increased the consumption of less healthy foods and the consumption of more exciting, healthy foods. However, this did not extend to unexciting, healthy food. Collectively, these novel findings signify the role of boredom in predicting maladaptive and adaptive eating behaviors as a function of the need to distant from the experience of boredom. Further, our results suggest that more exciting, healthy food serves as alternative to maladaptive consumption following boredom.

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Threatened belonging and preference for comfort food among the securely attached

Jordan Troisi et al.
Appetite, July 2015, Pages 58–64

Abstract:
Research has shown that comfort food triggers relationship-related cognitions and can fulfill belongingness needs for those secure in attachment (i.e., for those with positive relationship cognitions) (Troisi & Gabriel, 2011). Building on these ideas, we examined if securely attached individuals prefer comfort food because of its “social utility” (i.e., its capacity to fulfill belongingness needs) in one experiment and one daily diary study using two samples of university students from the United States. Study 1 utilized a belongingness threat essay among half of the participants, and the results showed that securely attached participants preferred the taste of a comfort food (i.e., potato chips) more after the belongingness threat. Study 2 utilized a 14-day daily diary design and found that securely attached individuals consumed more comfort food in response to naturally occurring feelings of isolation. Implications for the social nature of food preferences are discussed.

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Associations of Family and Neighborhood Socioeconomic Characteristics with Longitudinal Adiposity Patterns in a Biracial Cohort of Adolescent Girls

Catherine Crespi et al.
Biodemography and Social Biology, Spring 2015, Pages 81-97

Abstract:
Although many studies have examined the relationship of adiposity with neighborhood socioeconomic context in adults, few studies have investigated this relationship during adolescence. Using 10-year annual measurements of body mass index, expressed as z-scores (BMIz), obtained from 775 black and white participants of the National Heart, Lung, and Blood Institute Growth and Health Study, a prospective cohort study of girls from pre- to postadolescence, we used multilevel modeling to investigate whether family socioeconomic status (SES) and neighborhood socioeconomic characteristics (measured by census-tract median family income) explain variation in BMIz trajectory parameters. Analyses controlled for pubertal maturation. We found that lower SES was associated with higher overall levels of BMIz for both white and black girls. Additionally, lower-SES black girls had a more sustained increase in BMIz during early adolescence and reached a higher peak compared to higher-SES black girls and to white girls. Neighborhood income was associated with BMIz trajectory for black girls only. Unexpectedly, among black girls, living in higher-income neighborhoods was associated with higher overall levels of BMIz, controlling for SES. Our findings suggest that neighborhood socioeconomic characteristics may affect adolescent BMIz trajectories differently in different racial/ethnic groups.

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Impact of Baltimore Healthy Eating Zones: An Environmental Intervention to Improve Diet Among African American Youth

Ahyoung Shin et al.
Health Education & Behavior, April 2015, Pages 97S-105S

Abstract:
This study assessed the impact of a youth-targeted multilevel nutrition intervention in Baltimore City. The study used a clustered randomized design in which 7 recreation centers and 21 corner stores received interventions and 7 additional recreation centers served as comparison. The 8-month intervention aimed to increase availability and selection of healthful foods through nutrition promotion and education using point-of purchase materials such as posters and flyers in stores and interactive sessions such as taste test and cooking demonstrations. Two hundred forty-two youth–caregiver dyads residing in low-income areas of Baltimore City recruited from recreation centers were surveyed at baseline using detailed instruments that contained questions about food-related psychosocial indicators (behavioral intentions, self-efficacy, outcome expectancies, and knowledge), healthful food purchasing and preparation methods, and anthropometric measures (height and weight). The Baltimore Healthy Eating Zones intervention was associated with reductions in youth body mass index percentile (p = .04). In subgroup analyses among overweight and obese girls, body mass index for age percentile decreased significantly in girls assigned to the intervention group (p = .03) and in girls with high exposure to the intervention (p = .013), as opposed to those in comparison or lower exposure groups. Intervention youth significantly improved food-related outcome expectancies (p = .02) and knowledge (p < .001). The study results suggest that the Baltimore Healthy Eating Zones multilevel intervention had a modest impact in reducing overweight or obesity among already overweight low-income African American youth living in an environment where healthful foods are less available. Additional studies are needed to determine the relative impact of health communications and environmental interventions in this population, both alone and in combination.

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Maternal adiposity negatively influences infant brain white matter development

Xiawei Ou et al.
Obesity, May 2015, Pages 1047–1054

Objective: To study potential effects of maternal body composition on central nervous system (CNS) development of newborn infants.

Methods: Diffusion tensor imaging (DTI) was used to evaluate brain white matter development in 2-week-old, full-term, appropriate for gestational age (AGA) infants from uncomplicated pregnancies of normal-weight (BMI < 25 at conception) or obese ( BMI = 30 at conception) and otherwise healthy mothers. Tract-based spatial statistics (TBSS) analyses were used for voxel-wise group comparison of fractional anisotropy (FA), a sensitive measure of white matter integrity. DNA methylation analyses of umbilical cord tissue focused on genes known to be important in CNS development were also performed.

Results: Newborns from obese women had significantly lower FA values in multiple white matter regions than those born of normal-weight mothers. Global and regional FA values negatively correlated (P < 0.05) with maternal fat mass percentage. Linear regression analysis followed by gene ontology enrichment showed that methylation status of 68 CpG sites representing 57 genes with GO terms related to CNS development was significantly associated with maternal adiposity status.

Conclusions: These results suggest a negative association between maternal adiposity and white matter development in offspring.

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The relationship between acculturation and infant feeding styles in a Latino population

Liz Dancel et al.
Obesity, April 2015, Pages 840–846

Objective: To assess the relationship between parental acculturation and infant feeding style in a sample of Latino parents.

Methods: A post hoc analysis was performed using data from an ongoing four-site randomized controlled trial to promote early childhood obesity prevention. Cross-sectional data of parent–child dyads at the 12-month well-child visit who self-reported their Latino ethnicity were analyzed. The Short Acculturation Scale for Hispanics (SASH) and a subset of the Infant Feeding Style Questionnaire (IFSQ) that assessed four primary feeding styles were administered. SASH level (low vs. high) with each feeding style was compared by analyses.

Results: Complete SASH data were available for 398 of 431 Latino dyads. Median SASH score was 1.8 (IQR 1.4-2.7); 82% of participants had low acculturation (score < 3). Of the nine outcome variables, four were significantly associated with SASH: “Laissez-Faire/attention” (AOR: 2.3; 95% CI: 1.06-5.13; P = 0.004), “Laissez-Faire/diet quality” (AOR: 3.9; 95% CI: 1.7-8.75; P = 0.005), “Pressuring as soothing” (AOR: 3.6; 95% CI:1.63-8.05; P = 0.007), and “Restrictive/diet quality” (AOR: 0.4; 95% CI: 0.19-0.94; P = 0.031).

Conclusions: Latino parents with lower acculturation were more likely than those with higher acculturation to endorse feeding styles that are associated with child obesity. Further research is needed to determine why acculturation and feeding style relate.

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Oxytocin reduces caloric intake in men

Elizabeth Lawson et al.
Obesity, May 2015, Pages 950–956

Objective: Preclinical studies indicate that oxytocin is anorexigenic and has beneficial metabolic effects. Oxytocin effects on nutrition and metabolism in humans are not well defined. It was hypothesized that oxytocin would reduce caloric intake and appetite, and alter levels of appetite-regulating hormones. Metabolic effects of oxytocin were also explored.

Methods: A randomized, placebo-controlled crossover study of single-dose intranasal oxytocin (24 IU) in 25 fasting healthy men was performed. After oxytocin/placebo, subjects selected breakfast from a menu, and were given double portions. Caloric content of food consumed was measured. Visual analog scales were used to assess appetite and blood was drawn for appetite-regulating hormones, insulin, and glucose before and after oxytocin/placebo. Indirect calorimetry assessed resting energy expenditure (REE) and substrate utilization.

Results: Oxytocin reduced caloric intake with a preferential effect on fat intake and increased levels of the anorexigenic hormone cholecystokinin without affecting appetite or other appetite-regulating hormones. There was no effect of oxytocin on REE. Oxytocin resulted in a shift from carbohydrate to fat utilization and improved insulin sensitivity.

Conclusions: Intranasal oxytocin reduces caloric intake and has beneficial metabolic effects in men without concerning side effects. The efficacy and safety of sustained oxytocin administration in the treatment of obesity warrants investigation.

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Efficacy of SmartLoss, a smartphone-based weight loss intervention: Results from a randomized controlled trial

Corby Martin et al.
Obesity, May 2015, Pages 935–942

Objective: Test the efficacy of SmartLoss, a smartphone-based weight loss intervention, in a pilot study.

Design and Methods: A 12-week randomized controlled trial. Adults (25 ≤ BMI ≤ 35 kg/m2) were randomized to SmartLoss (n = 20) or an attention-matched Health Education control group (n = 20). SmartLoss participants were prescribed a 1,200 to 1,400 kcal/d diet and were provided with a smartphone, body weight scale, and accelerometer that wirelessly transmitted body weight and step data to a website. In the SmartLoss Group, mathematical models were used to quantify dietary adherence based on body weight and counselors remotely delivered treatment recommendations based on these objective data. The Health Education group received health tips via smartphone. A mixed model determined if change in weight and other endpoints differed between the groups (baseline was a covariate).

Results: The sample was 82.5% female. Mean ± SD baseline age, weight (kg), and BMI were 44.4 ± 11.8 years, 80.3 ± 11.5 kg, and 29.8 ± 2.9 kg/m2, respectively. One participant was lost to follow-up in each group before week 4. Weight loss was significantly (P < 0.001) larger in the SmartLoss (least squares mean ± SEM: −9.4 ± 0.5%) compared with the Health Education group (−0.6 ± 0.5%).

Conclusions: SmartLoss efficaciously promote clinically meaningful weight loss compared with an attention-matched control group. Smartphone-based interventions might prove useful in intervention dissemination.

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Paying people to eat or not to eat? Carryover effects of monetary incentives on eating behavior

Paul Dolan, Matteo Galizzi & Daniel Navarro-Martinez
Social Science & Medicine, May 2015, Pages 153–158

Abstract:
There is no evidence comparing head-to-head the effects of monetary incentives to act and to abstain from acting on behaviour. We present an experiment, conducted between June and September 2012, that directly compares the effects of those two different monetary incentive schemes on eating behaviour: we evaluate incentives to eat against incentives not to eat. A large number of participants (n = 353) had bowls of sweets next to them while they watched different videos over two experimental sessions that were two days apart. Sweets eating was monitored and monetary incentives to eat or not to eat were introduced during one of the videos for participants randomly allocated to these conditions. Our results show that, while both types of incentives were effective in changing sweets-eating behaviour when they were in place, only incentives not to eat had significant carryover effects after they were removed. Those effects were still significant two days after the monetary incentives had been eliminated. We also present some additional results on personality and health-related variables that shed further light on these effects. Overall, our study shows that incentives not to eat can be more effective in producing carryover effects on behaviour in domains like the one explored here.

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Less Sitting and More Moving in the Office: Using Descriptive Norm Messages to Decrease Sedentary Behavior and Increase Light Physical Activity at Work

Carly Priebe & Kevin Spink
Psychology of Sport and Exercise, July 2015, Pages 76–84

Method: Office workers were randomly assigned to receive one of four email messages containing descriptive norms about co-workers’ behavior. Sedentary behavior and activity were measured before and after message receipt.

Results: A repeated measures MANOVA revealed a main effect for time, p < .001, ηp2 = .316. Those who received descriptive norm messages about co-workers’ lower sedentary behavior and greater stair use and walking decreased their own sitting time while increasing stair use and walking at the office, respectively, p’s < .05. No differences emerged between participants receiving information about groups that varied in reference group characteristics, p’s > .10.

Conclusion: Results provide experimental evidence that descriptive norm messages may serve to decrease sedentary and increase light activity in an office setting.

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Excessive Sugar Consumption May Be a Difficult Habit to Break: A View From the Brain and Body

Matthew Tryon et al.
Journal of Clinical Endocrinology & Metabolism, forthcoming

Context: Sugar overconsumption and chronic stress are growing health concerns because they both may increase the risk for obesity and its related diseases. Rodent studies suggest that sugar consumption may activate a glucocorticoid-metabolic-brain-negative feedback pathway, which may turn off the stress response and thereby reinforce habitual sugar overconsumption.

Intervention: The intervention consisted of sucrose- or aspartame-sweetened beverage consumption three times per day for 2 weeks.

Results: Compared with aspartame, sucrose consumption was associated with significantly higher activity in the left hippocampus (P = .001). Sucrose, but not aspartame, consumption associated with reduced (P = .024) stress-induced cortisol. The sucrose group also had a lower reactivity to naltrexone, significantly (P = .041) lower nausea, and a trend (P = .080) toward lower cortisol.

Conclusion: These experimental findings support a metabolic-brain-negative feedback pathway that is affected by sugar and may make some people under stress more hooked on sugar and possibly more vulnerable to obesity and its related conditions.


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