Evidence map›Paper›PMID 26431681›Full record

ReviewAppetite2016

Managing temptation in obesity treatment: A neurobehavioral model of intervention strategies.

Bradley M Appelhans, Simone A French, Sherry L Pagoto, Nancy E Sherwood

Registry-linked trialAbstract readReview
In one paragraph

Review in Appetite, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06280339 (Comparison of Coping Strategies to Reduce Food Cravings During Dietary Weight Loss), which is not on this map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
–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.

NCT06280339 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Comparison of Coping Strategies to Reduce Food Cravings During Dietary Weight Loss

TypeinterventionalSponsorUniversity of Illinois at Urbana-ChampaignRan2024 to 2024Enrolled100ConditionsObesity, Food Cravings, Weight LossArmsTest two food cravings strategies during dietary weight loss, Dietary weight loss program +Food cravings strategies
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Cognitive Behavioral Interventions for Children and Adolescents With Overweight or Obesity: A Systematic Review and Component Network Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  11. Executive Functioning as a Predictor of Weight Loss and Physical Activity Outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2019
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  13. Neurobehavioral correlates of obesity are largely heritable.Proceedings of the National Academy of Sciences of the United States of America · 2018
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  18. Can non-pharmacological strategies in cancer patients support perceived appetite? A scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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.

Bradley M AppelhansDepartment of Preventive Medicine, Rush University Medical Center, 1700 W Van Buren St, Suite 470, Chicago, IL 60612, USA; Department of Behavioral Sciences, Rush University Medical Center, 1645 W Jackson Blvd Suite 400, Chicago, IL 60612, USA. Electronic address: brad_appelhans@rush.edu.
Simone A FrenchDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S 2nd Street, Suite 300, Minneapolis, MN 55454, USA. Electronic address: frenc001@umn.edu.
Sherry L PagotoDivision of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA. Electronic address: sherry.pagoto@umassmed.edu.
Nancy E SherwoodHealthPartners Institute for Education and Research, 8170 33rd Ave S, Mail Stop 23301A, Bloomington, MN 55425, USA. Electronic address: nancy.e.sherwood@healthpartners.com.

Funding

Delay Discounting and Household Food ChoicesR01HL117804 · NHLBI · RUSH UNIVERSITY MEDICAL CENTER · PI APPELHANS, BRADLEY M. · 2013 to 2016
$1.9M
Time over money? A novel system to influence snack machine choices.R21HL121861 · NHLBI · RUSH UNIVERSITY MEDICAL CENTER · PI APPELHANS, BRADLEY M. · 2014 to 2015
$430k
NHLBI NIH HHS R01 HL117804NHLBI NIH HHS R01HL117804NHLBI NIH HHS R21 HL121861NHLBI NIH HHS R21HL121861
6 · The paper itself

Abstract

Weight loss outcomes in lifestyle interventions for obesity are primarily a function of sustained adherence to a reduced-energy diet, and most lapses in diet adherence are precipitated by temptation from palatable food. The high nonresponse and relapse rates of lifestyle interventions suggest that current temptation management approaches may be insufficient for most participants. In this conceptual review, we discuss three neurobehavioral processes (attentional bias, temporal discounting, and the cold-hot empathy gap) that emerge during temptation and contribute to lapses in diet adherence. Characterizing the neurobehavioral profile of temptation highlights an important distinction between temptation resistance strategies aimed at overcoming temptation while it is experienced, and temptation prevention strategies that seek to avoid or minimize exposure to tempting stimuli. Many temptation resistance and temptation prevention strategies heavily rely on executive functions mediated by prefrontal systems that are prone to disruption by common occurrences such as stress, insufficient sleep, and even exposure to tempting stimuli. In contrast, commitment strategies are a set of devices that enable individuals to manage temptation by constraining their future choices, without placing heavy demands on executive functions. These concepts are synthesized in a conceptual model that categorizes temptation management approaches based on their intended effects on reward processing and degree of reliance on executive functions. We conclude by discussing the implications of our model for strengthening temptation management approaches in future lifestyle interventions, tailoring these approaches based on key individual difference variables, and suggesting high-priority topics for future research.

Indexed as

Health BehaviorDelay DiscountingDisease ManagementHumansLife StyleMotivationObesityRandomized Controlled Trials as TopicRewardCommitmentDiet adherenceExecutive functionFood rewardLifestyle interventionObesityTemporal discounting

Identifiers

PMID26431681
PMCPMC4684710

What OpenQuestion holds

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Read underepoch 390

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.