Inhibition and shifting across the weight status spectrum
Executive functioning is of major interest in the study of cognitive factors involved in obesity. Among executive functions, shifting is related to behavioral flexibility, and inhibition to the ability to refrain impulsive behavior. A deficit in those two functions could predict individual difficulties to reach and maintain a healthy lifestyle. Weak evidence of deficits in shifting and inhibition in individuals of higher Body Mass Index (BMI) have been observed. The objective of our study was to clarify the relationship between inhibition and shifting regarding weight status group differences as well as BMI, in healthy adults. Two neuropsychological tests from the Test of Attentional Performance (TAP) battery were used. Three groups of men and women (n=115) were studied: normal-weight (NW, n=38), overweight (OW, n=40) and obesity (OB, n=37). By controlling for age, sex, educational level and major diseases, weight status group differences (NW, OW, OB) in inhibition and shifting were analyzed as well as performance related to BMI alone. The results show that individuals with higher BMI have lower inhibition capacities and that classically used weight status categories (NW, OW, OB) might not capture cognitive variability. No differences in shifting between behavioral responses were observed in relation to weight status nor BMI. This paper provides new insights on cognitive factors in weight excess by presenting data from individuals with overweight, and data from individuals with obesity without major comorbidities. The results support that assessing inhibition capacities might be of interest in a clinical setting for patients with difficulties to lose weight.