ArticleInternational journal of obesity (2005)2018
The association of emotion-driven impulsiveness, cognitive inflexibility and decision-making with weight status in European adolescents.
Article in International journal of obesity (2005), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social Media and Children's and Adolescents' Diets: A Systematic Review of the Underlying Social and Physiological Mechanisms.Advances in nutrition (Bethesda, Md.) · 2022Pooled it
- Review
- Encouraging impulsive adolescents attending college to eat more fruit and vegetables: A preliminary investigation of negative urgency, message format and frame.Journal of health psychology · 2026Article
- A central role of nutrition in cognitive function among primary school children: a cross-sectional analysis.BMC nutrition · 2025Article
- Scoping Review: Transdiagnostic Measurement of Impulsivity Domains in Youth Using the UPPS Impulsive Behavior Scales.Journal of the American Academy of Child and Adolescent Psychiatry · 2024Article
- [Consequences of digital media on the health of children and adolescents with a focus on the consumption of unhealthy foods].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Review
- Digital media exposure and cognitive functioning in European children and adolescents of the I.Family study.Scientific reports · 2023Article
- Food craving predicts the consumption of highly palatable food but not bland food.Eating and weight disorders : EWD · 2019Article
- Emotional Eating, Health Behaviours, and Obesity in Children: A 12-Country Cross-Sectional Study.Nutrients · 2019Article
- The Role of Self-Control and the Presence of Enactment Models on Sugar-Sweetened Beverage Consumption: A Pilot Study.Frontiers in psychology · 2019Article
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Authors and funding
13 authors.
Funding
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Abstract
objectiveTo explore the association between emotion-driven impulsiveness, cognitive inflexibility, decision-making and weight status as reflected in body mass index (BMI) z-score (zBMI) in European adolescents.
methodsIn total, 3354 adolescents aged between 12 and 18 years from the I.Family cohort completed the questionnaire-based negative urgency subscale from the UPPS-P Impulsive Behavior Scale to measure emotion-driven impulsiveness in 2013/2014. Furthermore, 1584 adolescents completed the computer-based Bergs Card Sorting Test to measure cognitive inflexibility, and 1780 adolescents completed the Hungry Donkey Test to assess decision-making ability. Anthropometric variables were measured objectively; confounding variables (age, sex, socioeconomic status and country) were assessed using a questionnaire. Mixed-effect regression analyses were conducted for each outcome of the test or questionnaire as a predictor with standardised BMI (zBMI) as the dependent variable in order to investigate association between markers of cognitive functioning and zBMI.
resultsAfter controlling for confounders, results showed that emotion-driven impulsiveness (β=0.18, 95% confidence interval (CI): 0.13 to 0.24, P<0.001) and cognitive inflexibility (β=0.01, 95% CI: 0.002 to 0.02, P=0.016) were positively associated with zBMI. However, decision-making ability was not significantly related to zBMI (β=0.001, 95% CI: -0.001 to 0.003, P=0.47).
conclusionsMore emotion-driven impulsiveness and reduced cognitive flexibility were associated with a higher zBMI in adolescents across Europe. These results may indicate that being impulsive in negative situations and having difficulties changing mental sets increase the susceptibility for unhealthy weight development. Reducing impulsivity and training cognitive flexibility seem promising targets for the prevention and intervention programmes of obesity.
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