EAH pregnancy preprint
Background: Eating in the absence of hunger (EAH) measures intake of highly palatable, highly processed foods when sated, and may reflect food reward sensitivity. However, it is unknown whether EAH occurs in the presence of low-processed, nutrient-dense foods, and the relationship of self-reported food reward sensitivity with EAH during pregnancy has not been examined.Objective: This study tested whether EAH differs for highly-processed (HP) versus low-processed (LP) foods in pregnant women and examined relationships of EAH with self-reported food reward sensitivity and impulsivity.Design: Women in their 2nd trimester (n=46) enrolled in a counterbalanced crossover study in which they completed two EAH conditions following a standardized meal. Participants completed the Power of Food Scale (PFS), the modified Yale Food Addiction Scale (m-YFAS), and the Barratt Impulsiveness Scale (BIS). EAH energy intake (EAH-kcal) and proportion consumed (EAH-%) was measured overall and separately for sweet and savory test foods. Results: EAH-% was similar across conditions (16.3% ± 1.1% HP versus 17.9% ± 1.2% LP, P = 0.74), resulting in 347.7 ± 49.0 kcal greater energy intake in the HP versus LP condition (P < 0.001). PFS was not significantly associated with EAH; m-YFAS was positively associated with EAH-kcal and EAH-% of savory foods, and BIS was positively associated with EAH-kcal and EAH-% overall, and with EAH-% of sweet foods (p < 0.05). There was little evidence of an interaction of BIS with PFS or m-YFAS.Conclusions: Findings demonstrate that EAH in pregnant women correlates with self-reported food reward sensitivity and occurs for both highly processed and low-processed foods. Self-control did not modify the positive association of food reward sensitivity with eating beyond satiation in this sample.