Evidence map›Paper›PMID 23754824›Full record

ArticleObesity (Silver Spring, Md.)2013

Food reinforcement partially mediates the effect of socioeconomic status on body mass index.

Henry Lin, Katelyn A Carr, Kelly D Fletcher, Leonard H Epstein

Registry-linked trialAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06800794 (Effect of Meal Timing and Dietary Changes on Metabolic and Behavioral Factors Involved in the Food Insecurity-Obesity Paradox), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06800794 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Meal Timing and Dietary Changes on Metabolic and Behavioral Factors Involved in the Food Insecurity-Obesity Paradox

TypeinterventionalSponsorState University of New York at BuffaloRan2025 to 2026Enrolled12ConditionsObesity and Type 2 DiabetesArmsBehavioral Skill Training, Meal Provisioning
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

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  17. Delay discounting and obesity in food insecure and food secure women.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Henry LinDepartment of Pediatrics, School of Medicine and Biomedical Sciences, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
Katelyn A Carr
Kelly D Fletcher
Leonard H Epstein

Funding

Food reinforcement-genotype interactions and eatingR01DA024883 · NIDA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EPSTEIN, LEONARD H · 2007 to 2010
$997k
NIDA NIH HHS R01 DA024883NIDA NIH HHS R01DA024883
6 · The paper itself

Abstract

objectiveLow socioeconomic status (low SES), as defined by income or educational attainment, has been associated with obesity in industrialized nations. Low SES persons have limited resources and may experience food insecurity that increases food reinforcement. Food reinforcement has been positively related to energy intake and weight status, and increased food reinforcement may explain the higher prevalence of obesity among low SES individuals who have restricted access to low-energy-dense foods and nonfood reinforcers. DESIGN AND

methodsAnnual household income, highest education level completed and food reinforcement in 166 adults of varying body mass index (BMI, kg m(-2) ) was measured.

resultsMultivariate linear regression analyses controlling for age, sex, minority status, session hunger, and the reinforcing value of nonfood alternatives showed that household income was related to food reinforcement (P = 0.048) and BMI (P = 0.019), and that food reinforcement was related to BMI (P = 0.0017). Path analyses revealed a significant indirect effect of household income on BMI through food reinforcement, suggesting that the relationship between lower household income and greater BMI was mediated in part by increased food reinforcement. A similar pattern of results was observed when education level was used as the proxy for SES.

conclusionsThese findings support the hypothesis that deprivation and restricted food choice associated with low SES enhance food reinforcement, increasing the risk for obesity.

Indexed as

Body Mass IndexReinforcement, PsychologyAdultCross-Sectional StudiesEnergy IntakeFemaleFood PreferencesFood SupplyHumansLinear ModelsMaleMiddle AgedMultivariate AnalysisObesityObservational Studies as TopicPrevalence

Identifiers

PMID23754824
PMCPMC3742692

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.