Gamified working memory training in overweight individuals reduces food intake but not body weight

• Published in: Appetite 2018-05, Vol.124, p.89-98
• Main Authors: Dassen, Fania C.M., Houben, Katrijn, Van Breukelen, Gerard J.P., Jansen, Anita
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Body Mass Index; Body Weight; Cognitive control; Eating - psychology; Executive Function; Executive functions; Female; Follow-Up Studies; Health Behavior; Health Education; Humans; Life Style; Male; Memory, Short-Term; Middle Aged; Obesity; Obesity - therapy; Overweight - psychology; Overweight - therapy; Self-Control - psychology; Serious gaming; Surveys and Questionnaires; Treatment Outcome; Video Games; Weight loss; Working memory; Young Adult
• ISSN: 0195-6663; 1095-8304
• DOI: 10.1016/j.appet.2017.05.009

Working Memory (WM) plays a crucial role in successful self-regulation of behavior, including weight regulation. Improving WM might therefore be a promising strategy to support weight loss. In the present study, overweight individuals with a desire to lose weight (N = 91) received an online lifestyle intervention, in conjunction with either 25 sessions of gamified WM training (experimental condition) or a sham training (control). Primary outcomes were Body Mass Index (BMI) and food intake at posttest. Secondary outcomes were executive functioning, self-control, eating style, eating psychopathology and healthy eating. Data were analyzed with mixed regression analyses with condition as between-subjects factor (experimental versus control) and time as within-subjects factor (baseline, posttest, FU1 after one month and FU2 after six months). Results revealed that the experimental condition increased their WM span more than control from pretest to posttest, and these gains were retained at FU1, though lost at FU2. No transfer effects of WM training to other executive functioning measures were found. During the bogus taste test at posttest, participants in the experimental condition consumed significantly less than participants in the control condition. However, both conditions showed a small reduction in BMI, improved eating style, reduced eating disorder pathology, and reported more self-control and a healthier eating pattern. In conclusion, the current results provide some evidence that WM training can improve eating behavior at the short term. However, the WM gains were short-lived, and the added value of WM training as an intervention to promote weight loss could not be established. Future studies should test the added value of WM training booster sessions to promote weight loss over a prolonged period of time.